OB4 Ch35 acquired problems of newborn

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lrnino
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214238
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OB4 Ch35 acquired problems of newborn
Updated:
2013-04-18 06:58:52
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OB4 Ch35 acquired problems newborn
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OB4 Ch35 acquired problems of newborn
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  1. what can happen with bilirubin toxicity?
    kernicterus.
  2. what is the difference between unconjugated (indirect) bilirubin and conjugated (indirect bilirubin)?
    unconjugated - didn't go through the liver yet, can pass through onto tissues (like the brain)

    conjugated - liver processed it. going to the duodenum to be excreted.
  3. how can jaundiced be detected early?
    universal bilirubin screening.
  4. your baby has lost his moro reflex. is this a late or early sign of bilirubin toxicity?
    early.
  5. your baby is hypotonic. is this a early or late sign of bilirubin toxicity?
    early.
  6. your baby is hypertonic. is this a early or late sign of bilirubin toxicity?
    late
  7. your baby has a fever. is this a early or late sign of bilirubin toxicity?
    late
  8. your baby has a high-pitched cry. is this a early or late sign of bilirubin toxicity?
    early
  9. what is the reason for macosomia in mothers with diabetes?
    excess glucose in blood brings it to baby - excesssive growth.
  10. what are some congenital anomalies seen in IDM?
    • Cardiomyopathy: disease affecting the
    • structure and function of the heart

    Coarctation: narrowing

    • Anencephaly: absence of cerebrum
    • and cerebellum

    • Encephalocele: herniation of brain
    • through opening in the cranium

    • Myelomeningocele: protrusion of
    • portion of the spinal cord through a defect in the vertebral column

    • Hydrocephalus: condition caused by
    • an abnormal amount of CSF in skull

    • Caudal regression
    • syndrome: weakness or
    • deformities of the lower extremities: shortening or deformity of femurs
  11. this baby has macrosomia. what do you expect it to look like?
    round face, chubby body, flushed face
  12. excessive blood glucose will delay surfactant synthesis. what problem will this cause for the baby?
    delayed lung maturity. respiratory distress syndrome.
  13. what does the lecithin/sphingcmyelin ratio have to be to evident lung maturity?
    3:1
  14. your baby looks cyanotic, has tachy, apnea, jitterness, what is going on and happened within 1-6 hours after birth.
    hypoglycemic.
  15. your baby looks cyanotic, has tachy, apnea, jitterness, what is going on and happened within 24-36 hours after birth.
    hypocalcemic/mag
  16. your baby has a late onset of sepsis. how long went by before it was found?
    7-30 days.

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