SGA
Growth (weight) less than the _____%
10
Growth (weight) greater than the _____%
90
True or False: Skin is red and transluscent with blood vessels present
True
Postmaturity refers to a baby born after ______ weeks
42
What is a normal respiratory rate for a newborn?
30-60 breathes per minute
SGA characteristics: name 2
Decreased breast tissue
Sunken (scaphoid) abdomen
Head larger than body
Wasted appearance
Reduced fat stores
Wide sutures and wide eyed appearance
Name 2 characteristics of a LGA neonate
Large body- plump face
Body size is proportionate
Poor motor skills
Difficulty in regulating behavioral state (drowsy/quite alert/deep sleep/REM sleep)
The baby's head appears small or large?
Large
Name 2 characteristics of a Postmature baby
Wrinkled, patchy, peeling skin
Long, thin body (wasted)
Open eyed, old man appearance
nails are long
meconium staining, oligohydramnios likely
When a newborn is delivered what is done to start breathing in the infant?
Bulb suction
Stimulate/dry
Reposition to see if airway is blocked
PPV
Deep suction
Oximeter and Oxygen
What is the most likely offender that causes SGA/IUGR?
Placenta
What would an LGA baby be at risk for during delivery?
Shoulder dystocia - broken clavical, Erb's palsy
the baby has _______ subcutaneous fat
Less than a term newborn
What are the complications a post mature baby may have related to?
Placenta (whether or not it is still working well or is old and not working well)
What is a normal temperature for a newborn?
97.7- 99.5 F
What is a complication that we would be looking for in an SGA/IUGR baby?
Hypoglycemia
Hypothermia
What is the most likely complication in our LGA neonate?
Hypoglycemia
Most critical complication of the preterm neonate is?
Respiratory Distress
Why do we care about meconium?
Aspiration causing chemical pneumonia
Name a sign of hypoglycemia in a newborn?
Jitteriness
Lethargy
Restlessness/high pitch cry
Poor feeding
Seizure
What is the inital nursing intervention to increase a SGA baby's temp?
Skin to skin contact
What would be the intervention to increase blood sugar in a hypoglycemic baby?
Feed
The factor that plays into all preterm neonates complications?
Premature organ systems
True or False: Early frequent feedings can help prevent hypoglycemia, respiratory distress, and hypothermia.
True
Name all 4 signs of respiratory distress
Retractions
Grunting
Nasal Flaring
Cyanosis