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The Biophysical Profile uses Ultrasound to determine fetal well being. These five parameters are assessed: Amniotic Fluid Tone Respiratory Movement Body Movement Non Stress Test. Physical Assessment.

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The Biophysical Profile uses Ultrasound to determine fetal well being. These five parameters are assessed: Amniotic FluidTone Respiratory Movement Body Movement Non Stress Test


Physical assessment
Physical Assessment well being. These five parameters are assessed:

  • Caput Succedaneum- crosses the suture lines, can occur with a vertex delivery, hemorrhagic edema.

  • Cephalohematoma- will not cross the suture lines, due to traumatic delivery and is contained to one area.


Physical assessment1
PHYSICAL ASSESSMENT well being. These five parameters are assessed:

  • A FULL TERM INFANT THAT IS SGA IS AT RISK FOR POLYCYTHEMIA DUE TO CHRONIC HYPOXIA IN UTERO:

    MORE RBC’S ARE PRODUCED TO COMPENSATE FOR LACK OF OXYGEN.


Physical assessment2
PHYSICAL ASSESSMENT well being. These five parameters are assessed:

  • ERYTHEMA TOXICUM- YELLOW OR WHITE MACULAR PAPULAR RASH. THIS IS A NORMAL NEWBORN RASH WHICH WILL RESOLVE SPONTANEOUSLY.

  • THIS RASH WOULD NEVER BE FOUND ON THE PALMS OF HANDS OR SOLES OF FEET (THIS TYPE OF RASH CAN BE INDICATIVE OF SYPHYLLIS)


Alpha fetoprotein afp
Alpha-fetoprotein (AFP) well being. These five parameters are assessed:

  • THE CONCENTRATION IS LOW IN DOWN SYNDROME BUT ELEVATED IN NEURAL TUBE DEFECTS.



Thermoregulation
THERMOREGULATION THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • NEONATES CONSERVE HEAT THROUGH –NON-SHIVERING THERMOGENESIS, WHICH CONSISTS OF THE METABOLISM OF BROWN ADIPOSE TISSUE.

  • BROWN ADIPOSE TISSUE BEGINS FORMING AT 26-28 WEEKS GESTATION.


Thermoregulation1
THERMOREGULATION THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • INSENSIBLE WATER LOSS IS WHAT IS LOST THROUGH THE SKIN AND RESPIRATORY SYSTEM, AND WE ARE UNABLE TO MEASURE.

  • THE MORE PRETERM THE NEONATE IS THE MORE WATER THEY LOSE IN THIS MANNER.


Fluid and electrolytes
FLUID AND ELECTROLYTES THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • INFANTS WITH RDS AND BPD TEND TO HAVE THIRD SPACING OF FLUID WITH EDEMA DUE TO INJURY TO THE CELLS WHICH CAUSE FLUID TO LEAK.

  • THE INJURY IS DUE TO EXPOSURE TO OXYGEN AND POSITIVE PRESSURE VENTILATION.


Developmental
DEVELOPMENTAL THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • SELF REGULATION IS WHEN A NEONATE ATTEMPTS TO MAINTAIN A BALANCED STABLE STATE: EXAMPLES OF SELF REGULATORY STRATEGIES INCLUDE-

  • 1. FOOT BRACING AGAINST A BOUNDARY

  • 2. GRASPING HANDS TOGETHER OR HAND TO MOUTH OR HAND TO FACE

  • 3. SUCKING

  • 4. GRASPING BLANKET OR TUBING


Developmental1
DEVELOPMENTAL THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • THERE ARE TWO DIFFERENT STATES THE NEONATE CAN BE IN: SLEEP AND AWAKESTATE: THE AWAKE STATE CONSISTS OF THE INFANT BEING - ACTIVE ALERT, QUIET ALERT AND CRYING.

  • THE BEST TIME TO INTERACT WITH THE NEONATE IS WHEN THEY ARE IN THE QUIET ALERT STATE.


Nutrition
NUTRITION THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • NEONATES DEVELOP THE ABILITY TO COORDINATE SUCKING, SWALLOWING AND BREATHING AT 31-34 WEEKS.


Cardiac

CARDIAC THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

CONGENITAL HEART DEFECTS THAT HAVE AN INCREASE IN PULMONARY BLOOD FLOW ARE:

PDA

VSD

ASD

AV CANAL


Cardiac1
CARDIAC THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • OBSTRUCTIVE DEFECTS THAT CAUSE PULMONARY VENOUS CONGESTION ARE:

  • COARCTATION OF THE AORTA

  • AORTIC STENOSIS


Cardiac2
CARDIAC THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • MATERNAL FACTORS THAT PREDISPOSE NEONATES TO CONGENITAL HEART DEFECTS ARE:

    • LUPUS

    • MATERNAL DIABETES

    • RUBELLA


Line placement
LINE PLACEMENT THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • UMBILICAL ARTERY CATHETERIZATION – IF PLACEMENT IS LOW CATHETR SHOULD BE BETWEEN THE 3RD AND 4TH LUMBAR SPACE.

  • IF PLACEMENT IS HIGH CATHETER SHOULD BE BETWEEN THE 6TH -10TH THORACIC SPACE.


X rays
X-RAYS THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • DUODENAL ATRESIA IS ASSOCIATED WITH DOWN SYNDROME.

  • CLASSIC APPEARANCE ON ABDOMINAL X-RAY WILL REVEAL A “DOUBLE BUBBLE”.


Pharmacology
PHARMACOLOGY THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • TOLERANCE TO A MEDICATION IS WHEN THE INFANT REQUIRES AN INCREASE IN DOSE TO ACHIEVE THE DESIRED EFFECT.

  • DEPENDANCE TO A MEDICATION IS WHEN THE INFANT NEEDS REGULAR ADMINISTRATION OF THE MEDICATION FOR PHYSIOLOGICAL WELL BEING.


Gi system
GI SYSTEM THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • OMPHALOCELE- HERNIATION THROUGH THE UMBILICUS, COVERED BY A SAC. ASSOCIATED WITH OTHER ANOMALIES SUCH AS SGA, SKELETAL OR CHROMOSOMAL.

  • GASTROSCHISIS- HERNIATION OCURS TO THE RIGHT OF THE UMBILICUS AND IS NOT USUALLY ASSOCIATED WITH OTHER ANOMALIES.


Bilirubin
BILIRUBIN THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • INDIRECT BILIRUBIN ALSO KNOWN AS UNCONJUGATED IS FAT SOLUBLE AND MUST BE BROUGHT TO THE LIVER TO BE CHANGED TO WATER SOLUBLE.

  • DIRECT BILIRUBIN ALSO KNOWN AS CONJUGATED IS WATER SOLUBLE AND IS READY TO BE EXCRETED IN THE BILE AND INTO THE STOOL.


Gi system1
GI SYSTEM THE UTERINE CONTRACTION, AND RETURNING TO BASELINE AFTER THE CONTRACTION HAS ENDED.

  • AT BIRTH THE ABDOMEN IS FLUID FILLED, WITHIN 30 MINUTES IT BEGINS TO FILL WITH AIR.

  • WITHIN 8 HOURS THE LARGE INTESTINE SHOLD BE FILLED WITH AIR, IF NOT THIS COULD INDICATE AND OBSTRUCTION.


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