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Week 13 Terms
Newborn Health Assessment
Question | Answer |
---|---|
Trisomy 21 | Hypotonia Poor Moro reflex Hyperflexible joints Excess skin to nape of neck Flat facial profile Simian crease CHD Duodenal atresia Esophageal atresia Imperforate anus |
Trisomy 18 (Edwards Syndrome) | 3:1 female to male 50% mortality in first week Poor growth Micrognathia Overlapping digits CHD Low-set ears Rocker: Bottom and clubfeet Hypertonicity TEF Hemivertebrae Omphalocele Myelomeningocele |
Trisomy 13 (Patau Syndrome) | Average survival is seven days Microcephaly Cleft lip Polydactyly Scalp cutis aplasia CHD Cystic kidneys Multi midline defects |
45, X (Turner Syndrome) | Female 95% miscarried, stillbirth Small stature Short, webbed neck Lymphedema of hands and feet Ovarian dysgenesis |
Digeorge Syndrome | Deletion of 22q11 Absent or underdeveloped thymus and parathyroid glands 1:1 ratio male to female Cardiac anomalies Small, abnormally shaped ears Hypocalcemia Nonspecific facial dysmorphology Prenatal exposure to alcohol, accutane |
Deformation | Forms normally but subjected to unusual forces that alter development. Congenital hip dislocation, clubfoot Good prognosis, low recurrence |
Disruption | Normal development of tissue that is subjected to a destructive interruption. Usually a body part rather than an organ Can be vascular, infectious, or mechanical Amniotic bands |
Dysplasia | A primary structural defect in tissue formation, such as congenital heart defects or neural tube defects |
Malformation | Abnormal organization of cells into tissue. Hemangioma or achondroplasia Usually not correctable Syndromes, sequences, associations, and teratogens |
Syndrome | collection of anomalies involving more than one developmental region or organ system, or a pattern of multiple anomalies thought to be pathogenetically related. Chromosomal syndromes are usually malformation syndromes. |
Potter Sequence | Renal agenesis Polycystic kidneys Urinary tract obstruction Pulmonary hypoplasia Respiratory distress Clubfeet Hyperextensible fingers Large ears Low inner eye folds Beak nose Anuria Prune belly |
Amnotic Band Syndrome | Small bands of amnion encircle structures, usually extremities Intrauterine amputation |
Robin Sequence | Severe hypoplasia of the mandible Micrognathia Cleft palate, low-set ears Respiratory distress due to upper airway obstruction |
CHARGE | Coloboma Heart disease Choanal atresia Restricted growth and development Genital anomalies Ear anomalies or deafness |
Associations | Refers to a nonrandom occurrence of multiple malformations for which there is no specific etiology. VACTER/VACTERL Cardiac defects Single umbilical artery Limb abnormalities IUGR |
VACTER/VACTERL | Vertebral anomalies Anal atresia TEF Radial or renal dysplasia |