Podcast
Questions and Answers
What is the definition of a preterm infant?
What is the definition of a preterm infant?
- An infant born before 38 weeks' gestation
- An infant born with a weight greater than 2500g
- An infant born with a weight less than 2500g
- An infant born before 37 weeks' gestation (correct)
What is the focus during the neonatal period (first 28 days of life)?
What is the focus during the neonatal period (first 28 days of life)?
- Assessing the digestive and nervous systems
- Assessing the respiratory and cardiovascular systems (correct)
- Assessing all body systems equally
- Assessing for congenital abnormalities
What is the definition of a low-birth-weight infant?
What is the definition of a low-birth-weight infant?
- An infant born before 37 weeks' gestation
- An infant born with a weight greater than 2500g
- An infant born with a weight less than 2500g (correct)
- An infant born after 42 weeks' gestation
Why is it important to include the parent/caregiver during the assessment of a pediatric patient?
Why is it important to include the parent/caregiver during the assessment of a pediatric patient?
Which of the following is NOT a symptom of respiratory distress in neonates?
Which of the following is NOT a symptom of respiratory distress in neonates?
What is the primary symptom associated with Bronchopulmonary Dysplasia (BPD) in preterm infants?
What is the primary symptom associated with Bronchopulmonary Dysplasia (BPD) in preterm infants?
Which of the following statements about Respiratory Distress Syndrome (RDS) is FALSE?
Which of the following statements about Respiratory Distress Syndrome (RDS) is FALSE?
Which of the following is a potential cardiovascular problem in preterm infants?
Which of the following is a potential cardiovascular problem in preterm infants?
What is a common complication for former preterm infants undergoing surgery?
What is a common complication for former preterm infants undergoing surgery?
Pediatric patients and adult patients require the same anesthesia management.
Pediatric patients and adult patients require the same anesthesia management.
A postmature infant is born before 37 weeks' gestation.
A postmature infant is born before 37 weeks' gestation.
Consulting the growth chart in infants helps determine their weight categories.
Consulting the growth chart in infants helps determine their weight categories.
The neonatal period is defined as the first 28 days of life inside the mother's womb.
The neonatal period is defined as the first 28 days of life inside the mother's womb.
SGA infants are less prone to comorbidities impacting anesthesia compared to LGA infants.
SGA infants are less prone to comorbidities impacting anesthesia compared to LGA infants.
Respiratory Distress Syndrome (RDS) is directly related to gestational age at birth.
Respiratory Distress Syndrome (RDS) is directly related to gestational age at birth.
Bronchopulmonary Dysplasia (BPD) can lead to air trapping and carbon dioxide retention.
Bronchopulmonary Dysplasia (BPD) can lead to air trapping and carbon dioxide retention.
Heart failure is not a potential cardiovascular problem in preterm infants.
Heart failure is not a potential cardiovascular problem in preterm infants.
Former preterm infants have a low incidence of postoperative apnea.
Former preterm infants have a low incidence of postoperative apnea.
Chronic intrauterine infection is not a potential cause of respiratory distress in preterm infants.
Chronic intrauterine infection is not a potential cause of respiratory distress in preterm infants.
A low birth weight infant is less than <____.
A low birth weight infant is less than <____.
A preterm infant is born before how many weeks?
A preterm infant is born before how many weeks?
What are the categories of infant weight? (3)
What are the categories of infant weight? (3)
neonatal period is generally defined as:
neonatal period is generally defined as:
Most pediatric patients are _____ thinkers.
Most pediatric patients are _____ thinkers.
Two biggest fears in kids:
Two biggest fears in kids:
best way to alleviate fear in the preop kid
best way to alleviate fear in the preop kid
Pediatric patients become dehydrated faster than adults due to what two things?
Pediatric patients become dehydrated faster than adults due to what two things?
A productive cough is a reason for definitive cancellation.
A productive cough is a reason for definitive cancellation.
In gastroschisis, the abdominal wall is _____, while it is _____ in omphalocele.
In gastroschisis, the abdominal wall is _____, while it is _____ in omphalocele.
What two interventions should occur prior to surgery of omphacele and gastroschisis?
What two interventions should occur prior to surgery of omphacele and gastroschisis?
Cranial nerve palsy impacting vocal cords and inspiratory stridor is associated with which condition?
Cranial nerve palsy impacting vocal cords and inspiratory stridor is associated with which condition?
Pyloric stenosis is always a surgical emergency.
Pyloric stenosis is always a surgical emergency.
Flashcards
Preterm Infant
Preterm Infant
Born before 37 weeks' gestation.
Low Birth Weight
Low Birth Weight
Weighing less than 2500 grams at birth.
Neonatal Period
Neonatal Period
First 28 days of life.
Respiratory Distress
Respiratory Distress
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Bronchopulmonary Dysplasia (BPD)
Bronchopulmonary Dysplasia (BPD)
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Respiratory Distress Syndrome (RDS)
Respiratory Distress Syndrome (RDS)
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Patent Ductus Arteriosus
Patent Ductus Arteriosus
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Arrhythmias
Arrhythmias
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SGA
SGA
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AGA
AGA
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LGA
LGA
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Pediatric Patient Thought Process
Pediatric Patient Thought Process
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Pediatric Patient Fears
Pediatric Patient Fears
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Dehydration in Pediatrics
Dehydration in Pediatrics
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Gastroschisis
Gastroschisis
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Omphalocele
Omphalocele
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Surgery Complications (Preterm)
Surgery Complications (Preterm)
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Anesthesia Management (Pediatric)
Anesthesia Management (Pediatric)
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Pyloric Stenosis
Pyloric Stenosis
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Critical Interventions
Critical Interventions
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Cranial Nerve Palsy (Inspiratory Stridor)
Cranial Nerve Palsy (Inspiratory Stridor)
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Growth Assessment
Growth Assessment
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Study Notes
Definitions
- A preterm infant is born before 37 weeks' gestation.
- A low-birth-weight infant weighs less than 2500 grams at birth.
Neonatal Period Focus
- The neonatal period encompasses the first 28 days of life.
- Assessment during this period should include involvement of parents/caregivers, as they provide insight into the infant's health and well-being.
Respiratory Distress Indicators
- Common symptoms of respiratory distress in neonates include grunting, retractions, and nasal flaring.
- The primary symptom of Bronchopulmonary Dysplasia (BPD) in preterm infants is difficulty breathing due to inflammation and scarring in the lungs.
Respiratory Distress Syndrome (RDS)
- RDS is false in stating that it is not directly correlated with gestational age; in fact, it is strongly related to it.
- Conditions like chronic intrauterine infection are not typical causes of respiratory distress in preterm infants.
Cardiovascular Concerns
- Potential cardiovascular problems in preterm infants include patent ductus arteriosus and arrhythmias. Heart failure is not considered a typical issue in this group.
Surgery Complications
- Common complications for former preterm infants undergoing surgery include postoperative apnea and respiratory complications.
Anesthesia Management
- Pediatric patients do not require the same anesthesia management as adults; adjustments are necessary for their physiological differences.
Growth Assessment
- Consulting growth charts in infants helps determine weight categories:
- SGA (small-for-gestational-age)
- AGA (appropriate-for-gestational-age)
- LGA (large-for-gestational-age)
Pediatric Patient Considerations
- Pediatric patients often think concretely rather than abstractly.
- Common fears in pediatric patients include fear of separation from parents and fear of the procedure itself.
- The best way to alleviate preoperative fears in children is through clear communication and reassurance.
Dehydration Dynamics
- Pediatric patients become dehydrated faster than adults due to higher metabolic rates and a greater surface area-to-volume ratio.
Specific Conditions
- In gastroschisis, the abdominal wall is open, whereas in omphalocele, it is covered by a membrane.
- Critical interventions prior to surgery for omphalocele and gastroschisis include stabilization of the infant and ensuring adequate fluid resuscitation.
- Cranial nerve palsy affecting vocal cords with inspiratory stridor is linked to conditions like Arnold-Chiari malformation or central nervous system anomalies.
- Pyloric stenosis is recognized as a surgical emergency requiring immediate intervention.
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