The Four H's
Below 30 mg/DL at birth
What is hypoglycemia?
A 40 week gestation newborn weighs 3000gms
What is AGA?
Uteroplacental insufficiency
What can cause asymmetric IUGR?
Born after 42 weeks gestation
What is a post-term newborn?
Macrosomia
What is a characteristic of an IDM newborn?
Premature infant cannot maintain their body heat
What is hypothermia?
The examiner attempts to pull the arm across the chest of the baby.
What is the scarf sign?
Hypothermia and hypoglycemia
What are complications of SGA/IUGR?
Oligohydramnios
What is a risk for post dates pregnancy?
Routine monitoring for all IDM infants
Blood glucose monitoring
Causes jaundice
What is hyperbilirubenia?
The baby has creases on 3/4 of their foot
What is a sign of maturity utilizing the plantar surface?
Asymmetric and Symmetric
What are types of IUGR?
Infant has leathery skin
What is a sign of a post mature infant?
Hypoglycemia, hypocalcemia, hyperbilirubemia
What are complications of IDM infants
Can be caused by lack of surfactant in the aveoli
What is hypoxia?
The examiner attempts to bend the baby's wrist
What is the square window?
Torch Syndrome such as CMV
What can cause symmetric IUGR?
The infant has a very high H and H
What is polycythemia?
Poor feeding, hypothermia, jitteriness
What are symptoms of hypoglycemia?
The baby has thin skin due to prematurity.
Hypothermia
The wrist of a recently born baby only bends to 90 degrees
What is a sign of prematurity?
Maternal drug and alcohol use
What can cause asymmetric IUGR?
The infant's head delivers but not the body
What is shoulder dystocia?
BG from 40-45 mg/DL
What is the level of BG that requires IV glucose?