care of high risk NB
infants w/congenital anomalies
NB who is ill at birth
disorders/preemies
abnormal gestational age/weight
100
this may cause CP
What is anoxia
100
may involve hard palate or soft palate or both
What is cleft palate
100
seen when ROM >24hrs, aspirated vaginal secretions or meconium stained AF, mom has had gonorrhea or chlamydia
What is pneumonia
100
seen in preemie b/c of fewer albumin binding sites, often acidotic
What is kernicterus
100
if weight is >90th percentile
What is LGA
200
see increased AP & color change
What is second stage of signs of resp distress
200
protrusion of abdominal contents through abdominal wall at umbilicus covered by thin membrane of amnion
What is omphalocele
200
RX is increased blood Ca (po or IV) and symptoms are
What is hypocalcemia and tremors, muscle twitching, chvostek's sign, Trousseau's sign, and larynx spasms
200
can happen when O2 levels are too high for level of retinal maturity
What is retrolental fibroplasia
200
thin, yellow, dry, dull cord usually gray, moist and shinny
What is SGA
300
severely depressed, first insert laryngoscope so airway can be deep suctioned then insert E-T tube & give O2 w/pressure
What is apgar scores of 0-2
300
posterior spinal canal fails to close, seen as depression of skin often with tuft of hair over depression
What is spina bifida
300
infant ruddy and prone to thrombus formation, as extra RBC's are destroyed prone to hyperbili
What is polycythemia
300
recessive gene is abnormal, not expressed unless each parent gives a recessive gene
What is autosomal recessive inheritance
300
after birth see same symptoms of SGA PLUS low BS & temp
What is postmature (postterm) baby
400
adds pressure at end of expiratory phase to prevent alveoli collapse
What is PEEP
400
can lead to UTI or kidney damage, cover with prosthesis or sterile petroleum gauze
What is extrophy of bladder
400
maybe transfusion or iron replacement
What is anemia
400
defective genes on X have no counterpart on Y so traits are always expressed in the male
What is X linked inheritance
400
o degree angle, hand lies flat on ventral surface of forearm
What is square window term baby
500
1.030, seldom >1.012
What is NB specific gravity
500
blockage of posterior nares by membrane, cartilage, bone can be uni or bilateral, bilateral causes problems
What is choanal atresia
500
due to slow absorption of fluid in lungs which limits amount of alveolar surface available for O2 exchange
What is (TTN), transient tachypnea of NB
500
short web neck, low posterior hairline, edema of hands and feet, sterile, normal IQ
What is turners syndrome
500
skin opacity for preemie
What is numerous veins