After the test results came back, Dr. T tells Y that the kidney anomaly in her...

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Medical Sciences

After the test results came back, Dr. T tells Y that the kidneyanomaly in her fetus is likely the result of a congential defect inone kidney. However, he orders consultations with pediatriccardiologists and nephrologists to make sure there are not anyother issues related to this defect. Consensus is that the fullextent of the issue is not knowable until after the baby girl isborn. Y's water breaks at week 35 of her pregnancy. Her daughter,A, is born at 2925 grams and 47 centimeters, with a normal Apgarscore. Baby A is given urinary and renal ultrasounds, and givendaily antibiotics as prophylaxis to reduce the chance of kidney andurinary tract infections. After a few weeks, Drs. Note that baby Alikely have ureterocele. This is when the distal end of the ureterballoons into the bladder and forms a second, fluid-filledstructure within the bladder itself. If not treated, it can causeUTIs, obstruction, or in severe cases, renal failure. To treat,Drs. Recommend a transuretral puncture. Baby A undergoes toprocedure at 3 months old, but has complications resulting inkidney reflux, where some of the urine goes backwards up the uretertoward the kidney rather than into the bladder. At 3 years of age,A will need to undergo another surgery for her left (affected)kidney, to stop the kidney reflux. This surgery has a 98% successrate. Y underwent sucessful cervical conization surgery after herpregnancy.

7. What is an Apgar score? What is the scale for the score, andwhat information does it provide to medical professionals?

8. Describe the anatomy of the urinary tract from the kidney tothe urethra.

9. How common is development of ureterocele? What is the generallong-term outcome for surgical treatment to repair one?

10. How common is development of kidney reflux? What are somecauses of this issue?

Paragraph explanation for each please!

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7The Apgar score is a test given to newborns soon after birth This test checks a babys heart rate muscle tone and other signs to see if extra medical care or emergency care is neededThe test is usually given twice once at 1 minute after birth and again another at 5 minutes after birth Sometimes if there are concerns about the babys condition the test may be given again In the test five things are used to check a babys health Each is scored on a scale of 0 to 2 with 2 being the best score Appearance skin color Pulse heart rate Grimace response reflexes Activity muscle tone Respiration breathing rate and effort Doctors midwives or nurses add up these five factors for the Apgar score each from 0 to 2 The total Scores are between 10 and 0 Ten is the highest score possible but few babies get it Thats because most babies hands and feet remain blue until they have warmed upA baby who scores a 7 or above on the test is considered in good health A lower score does not mean that the baby is unhealthy It means that the baby may need some immediate medical care such as suctioning of the airways or oxygen to help him or her breathe better Perfectly healthy babies sometimes have a lowerthanusual score especially in the    See Answer
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