NURS 216 Lecture Notes - Lecture 26: Robertsonian Translocation, Nuchal Scan, Cerebral Palsy
24 Jan 2020
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Document Summary
Gi issues: large tongue, difficult latch, te fistula, duodenal obstruction, hirschsprung disease (malfunctioning portion of large intestine), imperforated anus, gerd. Error in meiosis phase of germ cell replication. Risk groups: women with aged oocytes, familial link for chromosomal robertsonian. U/s: may identify certain correlated anomalies (e. g. cardiac defect, growth) fetal echocardiogram: nuchal translucency measured between 10-13 weeks serum markers: hcg levels are high. Amniocentesis: amniotic fluid aspiration, most accurate (along with chorionic villus or umbilical cord sampling) Signs and symptoms: unsettled baby, frequent regurgitation/vomiting = reflux. Risk of esophageal injury, aspiration, choking and ftt. High incidence in down syndrome, cerebral palsy and neurological disorders. G-tube thickened formula with added carbohydrate content. Possible cause: air-swallowing, esophageal reflux, food intolerance, hunger. Signs and symptoms: abdominal pain and cramping. Clinical rule of 3 inconsolable crying for more than 3 hours a day. Same incidence whether breast or bottle fed. Careful diagnosis to rule out serious dysfunctions.
