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Maternal Peds exam 2

Terms in this set (39)

Choanal Atresia
No nasal opening
Tracheoesophageal fistula
Esophagus is deformed
Cleft lip/Cleft palate
An upper lip congenitally divided into two parts
Pierre Robin Syndrome
Small mandible, receding jaw
Intestinal malrotation
Intestines do not form into a coil in the abdomen
Pyloric stenosis
narrowing of the opening of the stomach to the duodenum
Diaphragmatic hernia
Hole in diaphram, puts pressure on lungs (on left side)
Gastroschisis
Hole in abdominal wall by the belly button
Omphalocele
intenstines, liver, and other organs stick outside of the abdominal wall at the belly button
Spina Bifida
Spinal collum not fully grown
Torticollis
Uterine position, wry neck, stiff neck
Name the 4 shunts of fetal circulation
Placenta, Forman orval, Ductus venous, ductus arteriosis
What is the formen oval?
a shunt between the right and left atria. This shunt allows right heart blood to bypass pulmonary circulation and flow into the left heart.
What is the ductus venosis
a shunt, allowing oxygenated blood in the umbilical vein to bypass hepatic circulation and be conducted into the inferior vena cava (IVC).
Ductus arteriosis
This is a shunt connecting the pulmonary artery to the aortic arch.
What percent of blood flows to the lungs
15%
The Golden Minute
Neonate should be breathing or being ventilated within 60 seconds
What is the ideal temperature for neonates
97.7-99.5
What is the rate of chest compressions for neonates
3 compressions to 1 breath
What is the Epi 1:10 dose for cardiac arrest
0.01 mg/kg
What is the normal saline dose for cardiac arrest
10 ml/kg
What are the 3 most common complications of post resuscitation care?
ET tube migration, tube occlusion, Pneumothorax
What is the DOPE pnemonic?
Displacement, Obstruction, pneumothorax, Equipment failure
What is the 1st stage of labor?
Regular contractions, Effacement, Dialation
What is the 2nd stage of labor?
Birth, Contractions, urge to push, crowning
What is the 3rd stage of labor
Placental delivery, signaled by a rush of blood. 5-60 min after delivery
What is the 4th stage of labor?
bleeding 1 hour after placental delivery, fundal message
What is protracted labor?
Slow cervical dialation and/or fetal descent
What is arrested labor?
2-4 hours without cervical dialation and/or fetal descent
Who is considered a neonate
Birth to 28 days of age
What sign would a baby have who is born in 20-28 weeks?
Lanugo
What sign would a baby have who is born 35-40 weeks?
Vernex
What sign would a baby have who is born >41 weeks?
Peeling
What is considered a fever?
rectal temperature greater than 100.3 F
What is considered Hypothermia?
Temperature less than 95 F
What is considered low BGL for an infant?
40
What is considered low BGL for a neonate?
30
What is physiologic Jaundice
Increase RBC, not as serious, first 2 or 3 goes away
What is pathologic jaundice
RBC are being destroyed, Sepsus or infection
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