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Ductus Arteriosus
Connection and closure |
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Foramen Ovale
Connection and closure |
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R + L atria
Immediate closure |
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Inferior vena cava + Umbilical vein |
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Acrocyanosis 24 h Hgb 14-24 Hct 44-64 Leukocytes 18,000- not good indicator of inf. |
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Major causes of newborn respiratory distress |
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Definition
Prematurity Hypothermia Infection |
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Void w/in 24 h 6-10 diapers/day Pale, straw, brick red normal |
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50-60 cc stomach Digest CHO/Protein, trouble w/ fats Reflux (immat. cardiac sphincter) Sterile gut |
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Meconium (1st 24h) Transition stool (Thin, brown/green) 3 days breast (Loose, golden yellow) 3 days bottle (Formed, pale yellow) |
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What is Aquemephyton for? |
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Definition
Babies can't use K to coagulate yet b/c of poor flora; this increases vitamin K in the liver |
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Hyperbilirubinemia levels |
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Definition
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2-7 days it's normal to show up If >12 b4 24h = BAD
Breast milk jaundice- Dehyd or poor feed |
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Definition
Bilirubin in the neurons >20 mg/100 ml |
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Hyperbilirubinemia needs to be on what precautions? |
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Physiologic hyperbilirubinemia |
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Definition
"normal" response to baby's poor ability to excrete bilirubin 4 first few days |
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Definition
1. Breast feed 8-12x/day 1st few days 2. Don't give H20 or dextrose H20 if baby's not dehydrated! |
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Definition
1. Draw Coombs/antibodies 2. Assess q 8-12 h |
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Can't shiver Brown fat metabolized quickly (Spine, adrenal, kidney) |
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Convection Radiation Evaporation Conduction |
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Definition
Convection: Body to air Radiation: Body to indirect surface Evaporation: Liquid to vapor Conduction: Body to direct surface |
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Causes of poor weight and sub-q fat (thermoregulation) (4) |
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Definition
IUGR Postterm Resp. problems Prematurity |
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When do babies form their own antibodies? |
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Definition
1st 3 months
Don't take out for 2 weeks |
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Definition
Blood swelling beneath scalp Vacuum, forceps Gone in 6-8 wks |
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Scalp swelling d/t being pushed thru vag Gone 24-48 h |
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Female reproductive normals |
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Definition
Pseudomenstruation 1st 24 h Vag tags Edema, vernix Breast tissue swollen |
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Male reproductive normals |
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Definition
Descend 90% Retractable foreskin |
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Arms longer than legs Head 1/4 body length Symmetrical hip skin folds |
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Overlap suture lines Can cause caput succedeneum then cephalohematoma |
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Polydactyly: Extra digits Syndactyly: Webbed digits |
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Nutrition reflexes at birth |
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Why can't we spoon feed newborns? |
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Definition
Extrusion reflex; Gone in 3-6 mo |
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Definition
108 kcal/kg/day 105 ml/kg/day |
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Empty q day (prevent mastitis) Prolactin r/t frequency, intensity, duration 1. Lactogenesis 2. Let down 3. Colostrum 3. True milk (blue) |
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Definition
Positioning Burp q 1/2 oz. |
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Term
What scale do we use to measure behavior? What factors affect behavior? |
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Definition
BNBAS Age, time, stimulation, ethnicity, meds |
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Definition
1. Glucose 2. PKU 3. Thyroid 4. Hearing |
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Who do we not let around the baby? (W/out a mask) (3) |
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Definition
1. URI 2. Sores 3. Fever blisters |
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Teaching for baby's safety (3) |
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Definition
1. No pillows 2. No sign in yard 3. No sick people |
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Newborn Prophylactic abx are for... |
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