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OB Test 3 High risk newborn
High risk newborn
36
Nursing
Undergraduate 4
04/13/2010

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Cards

Term
Low birth weight
Definition
<2,500 g
Term
IUGR
Definition
< growth RATE
Term
Respiratory interventions
Definition
Suction
Dry
O2, surfactant
Stimilate
Warm/humidify
Term
ECMO
Definition
Last-ditch respiratory effort
Similar to cardiac bypass
Term
RDS
Definition
Respiratory Distress Syndrome
< surfactant
2 doses steroids b4 birth
Term
ROP
Definition
Retinopathy of Prematurity
Hyperoxia
Term
BPD
Definition
Bronchopulmonary Dysplasia
O2 dependent >28 days
Tx 36 wks gestation
Term
Chronic lung D/O's
Definition
Premature (24-26 wk)
Wean O2 slowly
Occur/resolve 1st 2 yrs
Term
Risks for poor thermoregulation
Definition
Low SQ fat, brown fat, skin capillaries, muscle, brain regulation
Term
Cardiac issues
Definition
Murmur, alcohol, downs, rubella, >40, folic
Term
IP-IVH (Intraventricular hemm)
Definition
Trauma
Anoxia
Hypoglycemia
Term
Renal issues
Definition
Can't excrete
Can't concentrate
Acid/base and F/E
Term
Heme issues
Definition
Increased friability
Decreased RBCs
Blood loss/bleeding
Term
How to deal with poor nutrition
Definition
No sucking/resp distress: D5W/D10W
If persists 24 h: Add electrolytes
If persists 72 h: TPN, IVF, lipids
Term
Don't feed PO if RR is...
Definition
>60
Term
Abd distention, vomiting, bloody stool
Definition
Necrotizing enterocolitis

D/C feed, low suction to decompress, abx, sx
Term
When can we D/C a premie?
Definition
Pattern of wt gain
Moves head
Cries for food
Term
LGA
Definition
>4,000 g (macrosomic)

Trauma, CPD, obese, DM
Term
SGA, IUGR, Dysmature
Definition
*Asphyxia, hypoglycemia, heat loss
Vascular D/O, decreased perfusion
Term
Near term issues
Definition
Infection
Jaundice
Term
Postdate
Definition
>42 wks

Meconium aspiration
PPHN (Pulm HTN)
Peeling skin
Term
Musculoskeletal issues
Definition
Hip dysplasia (Double diaper, Pavlik)
Clubbed foot (Cast, sx)
Term
Hypospadias/Epispadias
Definition
The hole is in the wrong spot
Don't circumcise
Term
Other GU issues
Definition
Bladder extrophy
Sexual ambiguity
Term
Metabolic issues
Definition
PKU
Galactosemia
Hypothyroid
Term
PKU
Definition
Can't break down amino acid phenylalanine
Term
Galactosemia
Definition
Can't metabolize galactose (D/T formula or breastmilk w/ lactose)

Lactose-intolerant
Term
What can newborn petechiae indicate
Definition
Birth trauma such as shoulder dystocia
Term
Babies born to DM moms
Definition
Macrosomic
RDS
Hyperbilirubinemia
Asphyxia
Hypoglycemia
Cardiomyopathy
Term
What to do for Varicella
Definition
Last few wks- needs VZIG
Term
What to do for Hep. B
Definition
HBIG after 1st few hours of birth
Term
What to do for syphilis
Definition
Tx after delivery if mom tx in last few wks
Term
What to remember about babies and pain
Definition
They can remember and recognize pain situations
Term
Don't detox these substances while pregnant
Definition
Alcohol, heroin, methadone
Term
___ stores in the baby's ___
Definition
Marijuana stores in the baby's fat
Term
Tobacco causes HRF:
Definition
Low birth weight
PTL
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