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Neonatology Chapter 43
Mosby's Paramedic textbook 3ED-R
20
Medical
Professional
04/19/2012

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Term
Define antepartum
Definition
the period before labor and delivery
Term
Define intrapartum
Definition
The period during labor and delivery
Term
What is the average weight of a newborn
Definition
3600g or 7.5 lb
Term
What are some risk factors for antepartum
Definition
multiple gestation, inadequate prenatal care, mother's age(<16 or >35), Hx of perinatal morbdity or mortality, postterm gestation, drugs, toxemia
Term
What are some risk factors for Intrapartum
Definition
premature labor, meconium stained amniotic fluid, rupture of membranes, use of narcotics within 24hrs of labor, abnormal presentation, prolonged labor, prolapsed cord, and bleeding
Term
Explain what congenital anomalies are
Definition
They are defects that occur during fetal development. They occur in about 2% of all births
Term
What can be some of the causes of congenital abnormalities
Definition
genetics, heredity, maternal infection, alcohol or other drug use, and other factors
Term
What are some congenital abnormalities
Definition
Choanal atresia, Cleft lip, cleft palate, Diaphragmatic hernia, Pierre Robin syndrome
Term
Explain what Choanal atresia is
Definition
A bony or membranous occlusion that blocks the passageway between the nose and pharynx
Term
What is a cleft lip
Definition
One or more fissures that originate in the embryo, a vertical split in the upper lip that may extend to the nose
Term
What is a Cleft palate
Definition
A fissure in the roof of the mouth that runs along its midline: it may extend through the hard adn soft palates into the nasal cavities
Term
What is Diaphragmatic hernia
Definition
The protrusion of a part of the stomach through the diaphragm
Term
What is Pierre Robin syndrome
Definition
A complex of anomalies including a small mandible, cleft lip, cleft palate, other craniofacial abnormalities, and defects of the eyes and ears
Term
What are the 3 major physiological adaptation neccessary ofr survival`
Definition
Emptying fluids from their lungs and beginning ventilation, Changing their circulatory pattern, and maintaining body temp
Term
What are the 4 steps in neonatal assessment and management
Definition
1)Prevent heat loss, 2)Clear the airway, 3) Provide tactile stimulation and intiate breathing if necessary, 4)Further evaluate the infant
Term
What is considered hypoglycemia for an infant
Definition
A glucose measurement < 40 mg/dL
Term
What does persistant vomiting in the first 24hrs of life suggest
Definition
An obstruction in the upper digestive tract or perhapes increased ICP
Term
Where do newborns usually produce sweat
Definition
on their brow, but not on the rest of their bodies.
Term
What are some causes of neonatal seizures
Definition
Developmental abnormalities, drug withdrawl, hypoglycemia, intercrannial hemorrhage,meningitis, etc
Term
What are the classes of seizures a neonates can have
Definition
subtle, tonic, multifocal, focal clonic, and myoclonic
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