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Birth Injury
| Question | Answer |
|---|---|
| risk factors for birth injury include.. | very long or short labour, macrosomia, cephalopelvic disproportion, prem, shoulder dystocia, presentation, instrumental delivery |
| what is the difference between petechiae and eccymoses | petechiae are pinpoint red spots, eccymoses are bigger than pinpoint |
| what are some signs of clavicle injury | asymmetrical moro-reflex, restricted use or malposition |
| what treatment is administered to a broken clavicle | rarely needed, break usually unites from day 10 |
| what are the signs of a broken humerus | asymmetrical moro-reflex, restricted use and tenderness |
| what treatment is administered to a broken humerus | immobilise arm by bandaging to the chest |
| how do brachial plexus nerve injuries occur | excessive stretching of the brachical plexus i.e. lateral flexion of the neck |
| what is erbs palsy | upper arm paralysis |
| what is klumpke palsy | lower arm paralysis |
| what does klumpke palsy present as | claw hand with no grasp reflex |
| what does erbs palsy present as | absent moro in affected arm, waiters tip position |
| what is erb-duchenne-klumpke palsy | total brachial plexus palsy |
| what other conditions are important to rule out when there is a suspected brachial plexus palsy | cerebral injury, fracture, dislocation |
| how are brachial plexus injuries treated | physio and passive excercises |
| what percentage of brachial plexus nerve injuries have recoverd by 12 months | 92% |
| what causes a facial nerve palsy | trauma resulting in haemorrhage and oedema into the nerve sheath |
| what are the signs of a facial nerve palsy | persistently open eye, drooling, mouth drawn to normal side on crying |
| what is caput succendanum | when the cx impedes venous blood return causing congestion and oedema so serum collects between the scalp and periosteum |
| what is a cephalhaematoma | bleeding between the skull and periosteum |
| why does a cephalhaematome not spread across suture lines | the periosteum is adherent to the edges of the skull bones |
| what are the risks of vitamin k deficiency | LBW trauma asphyxia prem poor feeding antibiotics |
| what is the IM dose of vitamin k | 2mg |
| what is the oral dose of vitamin k | 2mg at birth, 7 days and then monthly is breastfed |
Created by:
KerriPatton
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