Newborn risks

Question 1

T/F

socioeconimic status of mom can affect the baby

Answer 1

true it can q

Question 2

T/F

No prenatal care is not a big deal for the baby’s health

Answer 2

false , prenatal care is super important

Question 3

T/F

the baby being in moms utero means it is protected from outside, environmental dangers

Answer 3

false. it is not as protected bc if something happens to mom it hurts baby

Question 4

T/F

diabetes of mom or other pre-existing maternal conditions can effect the baby

Answer 4

True

Question 5

T/F

maternal factors such as moms age and parity never have effects to the fetus

Answer 5

false. sometimes they can

Question 6

AGA means

Answer 6

Appropriate for gestational age so between 10th and 90th %

Question 7

SGA means

Answer 7

Small for gestational age so below the 10th percentile and means failure to thrive in utero
- small head, length, and chest cirucmfernce

Question 8

Factors that can affect SGA?

Answer 8

It could be from just having Small parents/genetics but could be from complication

Question 9

IUGR

Answer 9

Intrauterine growth restriction so worse than SGA

Question 10

What causes IUGR in infats

Answer 10

environmental or placenta issue

Question 11

Types of IUGR

Answer 11

Symmetric - symmetrically small from chronic reasons. Especially head circumference

Asymmetric - asymmetrically small in certain places from a short term issue
ex: large head, small body circumference

Question 12

neonate mortality

Answer 12

dying in first month

Question 13

neonate morbidity

Answer 13

developing issues in first month of life

Question 14

Measurement criteria

Answer 14

head
weight
chest

Question 15

In an IUGR infant, what if they have an asymmetrically small abdomen.

What if the baby is long and thin?

Answer 15

Means reduced glycogen stores bc they used it all up already

Long thing and muscle is flabby

Question 16

SGA list complications

Answer 16

Perinatal Asphyxia
Meconium Aspiration Syndrome
Hypothermia
Hypoglycemia
Polycythemia

Question 17

Perinatal Asphyxia is a complication of what?

And what is it?

Answer 17

SGA

Perinatal Asphyxia means fetal hypoxia from placenta insufficiency (from infections and smoking )

Question 18

Meconium Aspiration Syndrome is a complication of?

Answer 18

SGA

Thick meconium being released in utero can aspirate into baby’s mouth and cause breathing issue and atelectasis

Question 19

Hypothermia is a complication of?

Answer 19

SGA

Due to not having brown fat since they’re small

Question 20

Hypoglycemia is a complication of ?

Answer 20

SGA

From using up their glucose stores already and so not having enough and inability to do glucogeogenesis

Question 21

Polycythemia is a complicatoin of? What is it?

Answer 21

high hmct due to hypoxia and complications, the body kicks out rbc and then it looks like more hematocrit

Question 22

Risks with IUGR?

Answer 22

Congenital malformations
Infections
Marked growth symmetry 
Hyperactive, short attention span 
Hearing loss 
speech defects.

Question 23

LGA meaning

Answer 23

Large babies. Greater than 90th percentile , 4000g = about 9 ibs

Question 24

LGA causes

Diabetes

Miscalculated due date

Large parents

Congenital disorder

Answer 24

Diabetes can create a LGA baby bc of the glucose storing.

Miscalculated due date /gestational age bc the baby could just be the another age that is greater than the size

Large parents make bigger babies
Male babie are bigger

Congenital disorders where they are born edematous so it makes them as LGA

Question 25

Why might LGA babies have a complication and need to be induced? or C-section? What other complication can happen?

Answer 25

Because of their size, the LGA baby may have a CPD or huge head that can't fit through the pelvis. This may mean mom has to be induced early or they need to just do the c section Birthing the baby can give you soft tissue bruising Main complications: CPD head Soft tissue bruising

Question 26

Why is hypoglycemia a complication of LGA babies?

Answer 26

Large baby means large BS fall so hypoglycemia after birth is a complication of LGA babies

Question 27

Complications of LGA babies due to diabetic mom ? Euglycemia can make sure these things dont happen

Answer 27

``` Dropping BS after being born Hypocalcemia= tremors RDS Birth trauma Polycythemia Hyperbilirubemia Congenital malformations ```

Question 28

Characteristics of Diabetes birthed infant macrosomia sga color fat umbilical cord size placenta size fluid size as they grow up?

Answer 28

In diabetes.. macrosomia if gestational diabetic mom or new diagnosis sga if mom has always had diabetes and didn't manage it coloring of baby is red extra fat umbilical cord will be big decreased total body water and ecf - so no edema here. just all fat Will probably be obese

Question 29

What is a post term infant

Answer 29

An infant born on 42 weeks and on bc mom doesn't go in labor

Question 30

Reasons for post term infant

Answer 30

Miscalculated due date | Failure of spontaneous labor

Question 31

Post term infant characteristics behavior skin vernix and lanugo hair and nails general size of infant meconium

Answer 31

Post term infant behavior will be mature and with alert behaviors bc they are developed. The skin will be dry and cracked due to going past the 41 week mark. Fluid starts to go away then. They will lack vernix and lanugo lots of hair longs nails Infant will be long and thin Meconium staining on the nails, skin, and umbilical cord

Question 32

How deadly is post term infancy?

Answer 32

2-3x more than term infancy

Question 33

What is post maturity syndrome?

Answer 33

Decreased placental function w aging

Question 34

Disorders of Post maturity syndrome are: Hypoglycemia Meconium Aspiration Polycythemia congenital anomalies Seizures Cold stress

Answer 34

Hypoglycemia since they live off their own glycogen stores and run out Meconium aspiration due to hypoxic utero triggers Polycythemia or the kicking off rbc Congenital anomalies like anencephaly where you miss part of the upper portion of your head Seizures from hypoxia and hypoglycemia Cold Stress bc of no insulation