Term
| when does respriotrary acidosis begin? |
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Definition
| within in two mins from birth if she does not breath |
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Term
Gag reflex?
Suck and swallow reflex? |
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Definition
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Term
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Definition
| it is severe damage to the intestinal mucosa of the preterm infant due to ischema resulting from asphyxia or prolonged hypoxemia |
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Term
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Definition
abdominal distension, no oral feedings blood in stool apnea
IV, HAS, no oral feedings, surgery and colostomy |
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Term
| Expected physical attributes of a pre me ( 20-37) |
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Definition
| weak tone, thin delicate skin, little ear cartilage , minimal reflexes until 32-34 weeks. The baby will be inactive, feeble movements, drowsy and lethargic |
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Term
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Definition
| small muscles, dry poor turgor, good ear cartilage, lanugo is starting to disappear will have creases in feet, more active and alert |
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Term
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Definition
| small muscles, looks scrawny, dry lethargy at birth, cracks in skin, little sc fat no lanugo, alert like older infant |
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Term
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Definition
polycthemia due to anoxia
increased blood viscosity
increased work load of heart |
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Term
|
Definition
increased bilirubin
polycythemai
hypoglycemia |
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Term
| post mature ( born after 42 weeks) Special needs |
|
Definition
| post term syndrome, respiratory problems, sq fat decreased, hypoglycemia |
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Term
| 60 or more reap. per minuet suggest? |
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Definition
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Term
| apnea can lead to brady caused from: |
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Definition
RDS, hypoglycemia, preemie forgets to breathe
Nursing actions: flick foot, glucose, apnea monitor |
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Term
| tachy, irregulier breathing pattern possible problems and nursing actions |
|
Definition
problems: RDS, congenital heart disease, hypoglycemia, meconium aspiration
nursing actions, 02 glucose CXE
surfactant into lungs |
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Term
| Cyanosis; possible causes |
|
Definition
acrocyanosis- extremitis in infants normal for 24 hours, centra cyanosis- trunk
te fistual, cleft palate , intracranial hemorrhage
suction mouth first nose, o2 |
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Term
|
Definition
RDS, cyanosis, anemia, chilling, blood incompatibility
watch for blood in stools, warm |
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Term
| micr/macro heads possible causes |
|
Definition
downs, hydrocephalus, FAS, PKU, malnutriton
measure scalp CM, assess fontanels - flat is normal |
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Term
| Jaundice possible problems |
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Definition
hemolytic disease of new born, breast fad
coombs test, above 20 could be kirnicterus |
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Term
| fever of hypothermia: possible causes and Nursing actions |
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Definition
problems;RDS, infection, hyperglycemia from fever can lead to intercrainal hemorrhage
fever: check axillary check blood glucose: baby can not shiver or sweat |
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Term
| exssive salvation: possible causes: nursing actions |
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Definition
| possible traceoesophageal fistua- do no t feed, obtain X-ray |
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Term
| abdominal distention possible problems and actions: |
|
Definition
problems: NEC, intestinal obstruction, omphalocele-contants outside umbillicus- tumor, chf, over feeding?
check bowl sounds ( 1 hour after birth) cord site, x ray |
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Term
| Poor sucking, Problems and actions |
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Definition
| premie, cleft lip, ic hemorrhage, kernicterus, hydrocephalus- chf-sob |
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Term
| abnormal cry problems and actions |
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Definition
Ic hemorrhage, drug addict, hypoglycemia, hydrocephalus, syphilis, preemie
check fontanel for ice, swaddle, check blood sugar, head circumference, |
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Term
| twitching possible problems and actions |
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Definition
hypoglycemia, ic hemorrhage, addiction, hypocalcemia immaturity
bloodsugar, fontanels, blood levels, addiction also causes stiffness |
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Term
| possible problems lethargic possible problems and actions |
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Definition
hypoglycemia, ic hemorrhage, hydrocephalus, kernicterus, infection
glucose bilirubin |
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Term
|
Definition
| hemorrhage, hydrcephalus, over hydration leads to cerebral edema, |
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|
Term
| Jittery possible problems |
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Definition
| drug addiction, hypocalcemia- occurs in all nb before eating well |
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Term
|
Definition
anoxia, perintatal, infection, metabolic disorder, kinicterus,
have inutbation equipment ready |
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Term
| <3 congenital anomaly s/s |
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Definition
| cyanosis, tachy, retractions, grunting, difficulty breathing, decreased response to stimuli, unequal or absent pulses - coractation of aorta is characterized by increased bp in upper extremities and decrease blood pressure in lower extremities |
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Term
| toxoplasmosis causes ( from kitty litter) |
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Definition
| microcephaly, hydrocephalus, preemie |
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Term
|
Definition
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Term
|
Definition
| defects in contracted in first trimester <3 |
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Term
|
Definition
| congenital defects, low birth weight, bone lesions |
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Term
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Definition
| lesions to eyes throat mouth and sin |
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Term
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Definition
Silvermen score 0- good 1-3 ok anything higher in distress
could lead to pneumothorax, anoxia, HF, brady, decreased blood pressure, intreventricular hemorrhage , decreased bp and blood to brain
Give surfactant via ETT
dexamethasone- into mom takes 24-48 hours to work |
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