Emergency Care in the Streets Chapter 42 - Neonatal Care
_____ ____ ____ _____ is a narrowing of the aorta, the largest oxygen-carrying artery in the human body. Aorta is
pinched or constricted in the area of the ductus arteriosus, just beyond the aorta branching vessels to the head and arms -
ANS -Coarctation of the Aorta (CoA)
\_____ _____ _____ _____ ________ is a rare congenital defect in which the 4 pulmonary veins do not connect to the left
atrium - ANS -Total anomalous pulmonary venous return
\_____ _____ _____ ______ is the complete underdevelopment of the left side of the heart - ANS -Hypoplastic left heart
syndrome
\_____ _____ _____ (also called blue defects are congenital abnormalities in which deoxygenated blood from the right
(pulmonary) side of the heart mixes with oxygenated blood from the left (systemic) side and enters the systemic
circulation, bypassing pulmonary circulation - ANS -Cyanotic heart lesions
\_____ _____ _____ exists when the ductus arteriosus fails to close after birth. Allows blood flow to bypass the right
ventricle and lungs due to the fetus's lungs being filled with fluid - ANS -Patent ductus arteriosus
\_____ _____ _____ is a combination of 4 heart defects: a ventricular septal defect, pulmonary stenosis, right ventricular
hypertrophy, and an overriding aorta (aorta lies directly over the ventricular septal defect) - ANS -Tetralogy of Fallot
\_____ _____ and ______ ______ also promote early breathing - ANS -Tactile stimulation and cold stress
\_____ _____ are dark or blue pigmentation over the buttocks and lower lumbar regions in patients of African, Asian,
Mediterranean, and Native American ancestry - ANS -Mongolian spots
\_____ _____ injuries typically occur in deliveries complicated by shoulder dystocia - ANS -Brachial plexus
\_____ _____ is a disease in which the pulmonic valve located near the right ventricle becomes damaged. Patient will
have a decrease in blood flow to the lungs and will present with JVD, cyanosis, or right ventricular hypertrophy - ANS
-Pulmonary stenosis
\_____ _____ is an indication of diaphragmatic herniation - ANS -Scaphoid (concave) abdomen
\_____ _____ is preferred when resuscitating term infants - ANS -Room air
\_____ _____ is swelling of the soft tissue of the newborn's scalp as it presses against the dilating cervix. Common - ANS
-Caput succedaneum
, \_____ _____ or _____ _____ include congenital conditions where parts of the bowel may not have developed well or
may be narrow - ANS -Intestinal atresia, intestinal stenosis
\_____ ______ ______ refers to abnormalities of the heart during development - ANS -Congenital heart disease (CHD)
\_____ _____, the production of heat by metabolism, is the primary source of heat production in the newborn - ANS
-Nonshivering thermogenesis
\_____ in a newborn is most frequently a result of inadequate ventilation and often responds to effective PPV - ANS
-Bradycardia
\_____ is a white cheesy material that is a common finding on a newborn's skin - ANS -Vernix
\_____ is the single most common cause of respiratory distress and cyanosis in a neonate - ANS -Prematurity
\_____ is wandering or shaking eye movements - ANS -Nystagmus
\_____ refers to excessive amounts of amniotic fluid - ANS -Polyhydramnios
\_____ seizures may be classified as focal or generalized. Persisitent posturing of one limb, the neck, or the trunk with
horizontal eye deviation (focal) - ANS -Tonic seizures
\______ ______ (involvement of C8-T1) is rare and results in the weakness of the intrinsic muscles of the hand - ANS
-Klumpke paralysis
\______ are characterized by a single, brief sudden movement resembling a twitch or jerk - ANS -Spasms
\______ in the newborn results from the immaturity of the liver to conjugate and excrete bilirubin from the RBC breakdown
in the first week of life. Can also result from _______ (ABO incompatibility, Rh incompatibility) - ANS -Jaundice, hemolysis
\______ is a congenital anomaly of rotation of the midgut. The small bowel is found predominantly on the right side of the
abdomen; the cecum found in the epigastrium-right hypochondrium. Vomitus is bile stained and may be ______ (like
feces/stool) - ANS -Malrotation, feculent
\______ is alternating convergence or divergence, creating a cross-eyed appearance - ANS -Strabismus
\______ is not recommended in newborns with respiratory depression secondary to narcotics. Treat ABCs - ANS -Narcan
\______ means large tongue size - ANS -Macroglossia
\______ refers to a decreased volume of amniotic fluid during a pregnancy - ANS -Oligohydramnios
\______ seizures are classified as focal, multifocal, and generalized. Jerks are much more rapid and do not have a
rhythm, in contrast to clonic seizure activity. Involves twitching of multiple body parts - ANS -Myoclonic
\______ seizures may be classified as either a focal seizure if one body part is involved, or a multifocal seizure if multiple
body parts are involved - ANS -Clonic seizures
_____ ____ ____ _____ is a narrowing of the aorta, the largest oxygen-carrying artery in the human body. Aorta is
pinched or constricted in the area of the ductus arteriosus, just beyond the aorta branching vessels to the head and arms -
ANS -Coarctation of the Aorta (CoA)
\_____ _____ _____ _____ ________ is a rare congenital defect in which the 4 pulmonary veins do not connect to the left
atrium - ANS -Total anomalous pulmonary venous return
\_____ _____ _____ ______ is the complete underdevelopment of the left side of the heart - ANS -Hypoplastic left heart
syndrome
\_____ _____ _____ (also called blue defects are congenital abnormalities in which deoxygenated blood from the right
(pulmonary) side of the heart mixes with oxygenated blood from the left (systemic) side and enters the systemic
circulation, bypassing pulmonary circulation - ANS -Cyanotic heart lesions
\_____ _____ _____ exists when the ductus arteriosus fails to close after birth. Allows blood flow to bypass the right
ventricle and lungs due to the fetus's lungs being filled with fluid - ANS -Patent ductus arteriosus
\_____ _____ _____ is a combination of 4 heart defects: a ventricular septal defect, pulmonary stenosis, right ventricular
hypertrophy, and an overriding aorta (aorta lies directly over the ventricular septal defect) - ANS -Tetralogy of Fallot
\_____ _____ and ______ ______ also promote early breathing - ANS -Tactile stimulation and cold stress
\_____ _____ are dark or blue pigmentation over the buttocks and lower lumbar regions in patients of African, Asian,
Mediterranean, and Native American ancestry - ANS -Mongolian spots
\_____ _____ injuries typically occur in deliveries complicated by shoulder dystocia - ANS -Brachial plexus
\_____ _____ is a disease in which the pulmonic valve located near the right ventricle becomes damaged. Patient will
have a decrease in blood flow to the lungs and will present with JVD, cyanosis, or right ventricular hypertrophy - ANS
-Pulmonary stenosis
\_____ _____ is an indication of diaphragmatic herniation - ANS -Scaphoid (concave) abdomen
\_____ _____ is preferred when resuscitating term infants - ANS -Room air
\_____ _____ is swelling of the soft tissue of the newborn's scalp as it presses against the dilating cervix. Common - ANS
-Caput succedaneum
, \_____ _____ or _____ _____ include congenital conditions where parts of the bowel may not have developed well or
may be narrow - ANS -Intestinal atresia, intestinal stenosis
\_____ ______ ______ refers to abnormalities of the heart during development - ANS -Congenital heart disease (CHD)
\_____ _____, the production of heat by metabolism, is the primary source of heat production in the newborn - ANS
-Nonshivering thermogenesis
\_____ in a newborn is most frequently a result of inadequate ventilation and often responds to effective PPV - ANS
-Bradycardia
\_____ is a white cheesy material that is a common finding on a newborn's skin - ANS -Vernix
\_____ is the single most common cause of respiratory distress and cyanosis in a neonate - ANS -Prematurity
\_____ is wandering or shaking eye movements - ANS -Nystagmus
\_____ refers to excessive amounts of amniotic fluid - ANS -Polyhydramnios
\_____ seizures may be classified as focal or generalized. Persisitent posturing of one limb, the neck, or the trunk with
horizontal eye deviation (focal) - ANS -Tonic seizures
\______ ______ (involvement of C8-T1) is rare and results in the weakness of the intrinsic muscles of the hand - ANS
-Klumpke paralysis
\______ are characterized by a single, brief sudden movement resembling a twitch or jerk - ANS -Spasms
\______ in the newborn results from the immaturity of the liver to conjugate and excrete bilirubin from the RBC breakdown
in the first week of life. Can also result from _______ (ABO incompatibility, Rh incompatibility) - ANS -Jaundice, hemolysis
\______ is a congenital anomaly of rotation of the midgut. The small bowel is found predominantly on the right side of the
abdomen; the cecum found in the epigastrium-right hypochondrium. Vomitus is bile stained and may be ______ (like
feces/stool) - ANS -Malrotation, feculent
\______ is alternating convergence or divergence, creating a cross-eyed appearance - ANS -Strabismus
\______ is not recommended in newborns with respiratory depression secondary to narcotics. Treat ABCs - ANS -Narcan
\______ means large tongue size - ANS -Macroglossia
\______ refers to a decreased volume of amniotic fluid during a pregnancy - ANS -Oligohydramnios
\______ seizures are classified as focal, multifocal, and generalized. Jerks are much more rapid and do not have a
rhythm, in contrast to clonic seizure activity. Involves twitching of multiple body parts - ANS -Myoclonic
\______ seizures may be classified as either a focal seizure if one body part is involved, or a multifocal seizure if multiple
body parts are involved - ANS -Clonic seizures