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Samenvatting Zorg verlenen aan een pasgeborene met een laag- en midden complexe zorgvraag, MK-FO-1 R304,96   Add to cart

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Samenvatting Zorg verlenen aan een pasgeborene met een laag- en midden complexe zorgvraag, MK-FO-1

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Samenvatting van de leerdoelen van MK-FO-1. Samenvattingen van de lessen en het boek in 1 document

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  • May 22, 2024
  • 62
  • 2023/2024
  • Summary
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Inhoudsopgave
Normaalwaarden:......................................................................................................................6

1. Screening................................................................................................................................7
1.1 Prenatale screening............................................................................................................7
1.2 Chromosoomafwijkingen..................................................................................................8
1.3 Wet op bevolkingsonderzoek (WBO)................................................................................8
1.4 Counseling.........................................................................................................................8
1.5 NIPT..................................................................................................................................8
1.6 Hartfilmpje.........................................................................................................................9
1.7 Bloedonderzoek.................................................................................................................9

2. Diagnostische test................................................................................................................10
2.1 Vruchtwaterpunctie..........................................................................................................10
2.2 Vlokkentest......................................................................................................................10

3. Structureel echoscopisch onderzoek...................................................................................10
3.1 Echo’s..............................................................................................................................10

1. Erfelijkheid...........................................................................................................................11
1.2 Mitose..............................................................................................................................12
1.3 Meiose..............................................................................................................................12
1.4 Numerieke chromosomale afwijkingen...........................................................................13
1.5 Structurele bouwfouten op de chromosomen..................................................................13
1.6 Non-disjunctie..................................................................................................................14

2. De wet van Mendel...............................................................................................................14
2.1 Autosomaal overerving....................................................................................................14
2.2 Autosomaal recessief.......................................................................................................15
2.3 Geslachtsgebonden aandoening, X-gebondenchromosoom............................................15
2.4 Multifactorieel overerving...............................................................................................15
2.5 Mitochondriën..................................................................................................................15

3. Geboorteafwijkingen............................................................................................................15
3.1 Syndroom.........................................................................................................................16
3.2 Sequentie..........................................................................................................................16
3.3 Associatie.........................................................................................................................16

1. Fysiologie van de zwangerschap.........................................................................................18

1

, 1.2 De cyclus van een vrouw.................................................................................................18
1.3 Menstruatiecyclus............................................................................................................18
1.4 Ontwikkeling embryo......................................................................................................19

2. De placenta...........................................................................................................................20

3. De vliezen.............................................................................................................................20
3.2 Vruchtwater.....................................................................................................................21

4. Navelstreng...........................................................................................................................21

5. Foetale groei en ontwikkeling.............................................................................................21

1. Anatomie van het hart.........................................................................................................23
1.2 Foetale circulatie..............................................................................................................23
1.3 Tachycardie......................................................................................................................24
1.4 Bradycardie......................................................................................................................25
1.5 Kleurverandering van de huid..........................................................................................25

2. Anatomische en fysiologische veranderen na de geboorte.................................................25
2.1 Respiratoire veranderingen..............................................................................................25
2.2 Nierfunctie.......................................................................................................................26

3. Directe zorg post partum......................................................................................................27
3.1 Transitieperiode...............................................................................................................27
3.2 Thermoregulatie...............................................................................................................27
3.3 Soorten thermoregulaties.................................................................................................27
3.4 Soorten warmteverlies.....................................................................................................28
3.5 Observatie........................................................................................................................28
3.6 De Apgar-score................................................................................................................28
3.7 Capillaire refill.................................................................................................................28
3.8 Geboortetrauma...............................................................................................................28

4. Reflexen................................................................................................................................29

5. Algehele lichamelijke controle en observatie bij prematuren............................................29
5.1 Large of gestational age (LGA).......................................................................................29
5.2 Small for gestational age (SGA)......................................................................................29

1. Psychische problematiek in de zwangerschap....................................................................32

2. Psychofarmaca....................................................................................................................32
2.1 Indeling van de psychofarmaca.......................................................................................32

2

,3. Verslaving.............................................................................................................................33
3.1 Verslavingssyndroom......................................................................................................33
3.2 Gevolgen..........................................................................................................................34
3.3 Gevolgen verschillende drugs..........................................................................................34

4. Finnegan score....................................................................................................................35

5. NAS.......................................................................................................................................36
4.1 Symptomen......................................................................................................................36
4.2 Aanvullend onderzoek.....................................................................................................37
4.3 Verpleegkundige interventies..........................................................................................37
4.4 Klinisch verloop...............................................................................................................38
4.5 Nabeschouwing................................................................................................................38

6. FAS.......................................................................................................................................38
6.1 Klinisch beeld FAS..........................................................................................................38
6.2 Aanvullende onderzoek...................................................................................................39
6.3 Klinisch beleid.................................................................................................................39
6.4 Finnegan score lijst..........................................................................................................39

1. Transitiefase.........................................................................................................................42
1.1 Wet-long..........................................................................................................................42
1.2 Postnatale ontwikkeling...................................................................................................42
1.3 Postnatale onrijpheid.......................................................................................................43

2. Neonatale definities.............................................................................................................43
2.1 Verwachten problemen....................................................................................................44

3. Infecties................................................................................................................................44
3.1 Perinatale infecties...........................................................................................................45
3.2 Congenitale infecties........................................................................................................45
3.3 Uteriene infecties.............................................................................................................45
3.4 Besmetting na de geboorte...............................................................................................45
3.5 Symptomen sepsis...........................................................................................................45

4. Schedel neonaat...................................................................................................................46
4.1 Complicaties postpartum.................................................................................................46
4.2 Alarmsymptomen schedelomtrek....................................................................................46

5. Bilirubine.............................................................................................................................46
5.1 Hyperbilirubinemie..........................................................................................................46

3

, 5.2 Bilirubineproductie..........................................................................................................47
5.3 Bilirubine-uitscheiding....................................................................................................47
5.4 Fysiologische en pathologische icterus............................................................................47
5.5 Behandeling.....................................................................................................................47
5.6 Hyperbilirubinemie en borstvoeding...............................................................................47
5.7 Risico’s............................................................................................................................47
5.8 Rhesus antagonisme.........................................................................................................48

6. Onregelmatige ademhaling.................................................................................................48

7. Hypoglykemie.......................................................................................................................48
7.1 Oorzaken..........................................................................................................................49
7.2 Symptomen......................................................................................................................50
7.3 Risico’s en therapie..........................................................................................................50

1. Ziekenhuisindicatie voor pasgeborene................................................................................52
1.2 Observaties tijdens opnamen...........................................................................................52
1.3 zuurstof toediening..........................................................................................................52

2. Premature pasgeborene.......................................................................................................52
2.1 Lichaam..........................................................................................................................52
2.2 Problemen........................................................................................................................53

3. Dysmature pasgeborene.......................................................................................................53
3.1 Lichaam...........................................................................................................................53
3.2 Groeiachterstand..............................................................................................................54
3.3 Problemen........................................................................................................................54

4. Serotiene pasgeborene.........................................................................................................54
4.1 Lichaam..........................................................................................................................54

5. Macrosomie..........................................................................................................................54
1.1 Oorzaken..........................................................................................................................54
1.2 Complicaties....................................................................................................................55

6. Ademhalingsproblemen.......................................................................................................55
6.1 Respiratoire distress.........................................................................................................55

7. Wet lung...............................................................................................................................56
3.1 Risicofactoren..................................................................................................................56
3.4 Symptomen......................................................................................................................56


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