\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Dani (Dan\_Niel)}
\pdfinfo{
  /Title (at-risk-high-risk-and-sick-newborn.pdf)
  /Creator (Cheatography)
  /Author (Dani (Dan\_Niel))
  /Subject (at risk, high risk, and sick newborn Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{D90955}
\definecolor{LightBackground}{HTML}{FCEFF4}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{at risk, high risk, and sick newborn Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Dani (Dan\_Niel)} via \textcolor{DarkBackground}{\uline{cheatography.com/131883/cs/26598/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Dani (Dan\_Niel) \\
  \uline{cheatography.com/dan-niel} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 14th February, 2021.\\
   Updated 14th February, 2021.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{APGAR chart}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/dan-niel_1613213020_diagnosis-pediatrics-apgar-newborns-assessment-original.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Poor Apgar Score}}  \tn
% Row 0
\SetRowColor{LightBackground}
1st minute (9) & general condition \seqsplit{(neuro/respi/circulatory)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
5th minute (10) & Determine if neonate can adjust to extrauterine life \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
0-3 & poor: severely depressed, needs CPR \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
4-6 & fair: guarded, moderately depressed \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
7-10 & good: healthy \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Note: {\bf{Pulse}} is the most important and {\bf{Color}} is the least ({\bf{acrocyanosis}} due to extrauterine adaptation)}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Respiratory Evaluations}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/dan-niel_1613273168_86354a1d334c726a321a7d7995df4b22.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{0}} : Normal |  {\bf{1-3}} : Poor  |  {\bf{4-6}} : Moderate  |  {\bf{7-10}} : Severe}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.9954 cm} x{3.9816 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Normal Respiratory Adaptation}}  \tn
% Row 0
\SetRowColor{LightBackground}
RR & 30-60 bpm (80 bpm in 1st min) \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{Breathing} & Use of abdominal muscles \& diaphragm. Newborns are nose breathers \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Reflex & Coughing \& sneezing to clear airway \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Initiation of repirations:}}} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Chemical} & surfactant reduces surface tension \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
Thermal & sudden chilling of moist infant \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Mechanical} & compression of fetal chest at delivery \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.9954 cm} x{3.9816 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Nursing Interventions}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Assess}} & for Respiratory distress \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{Plan}} & To maintain a patent airway \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Interventions}}} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\seqsplit{Position} & Head lower \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Suction & Bulb near the head, mouth first, avoid trauma to membranes \tn 
% Row Count 7 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Evaluation}}} \tn 
% Row Count 8 (+ 1)
% Row 6
\SetRowColor{LightBackground}
RR & 30-60 bpm with no signs of distress \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{In order for the respiratory system to function the infant must have: \newline - adequate pulmonary blood flow \newline - adequate amount of surfactant \newline - strong respiratory musculature}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.34379 cm} x{3.63321 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Sepsis (blood infection)}}  \tn
% Row 0
\SetRowColor{LightBackground}
Early onset & birth to 7 days after delivery \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Late onset & 8-28 days after birth \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Nosocomial} & 1st week until discharge \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Symptoms}}} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• fever, breathing problems, lethargy} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• poor feeding, bloated abdomen. vomiting (yellowish)} \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Diarrhea, sleepiness, jaundiced, irregular HR} \tn 
% Row Count 9 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• low blood sugar and seizures} \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatment}}} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Sepsis is confirmed with culture test for 7-21 days} \tn 
% Row Count 13 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Antibiotics to be given IV} \tn 
% Row Count 14 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• IV fluids to support the infant till infection clears} \tn 
% Row Count 16 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Oxygen or ventilation to support breathing} \tn 
% Row Count 17 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Prevention}}} \tn 
% Row Count 18 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Antibiotics to control dangerous bacteria} \tn 
% Row Count 19 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Breastfeeding may help prevent sepsis} \tn 
% Row Count 20 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Providing a clean place} \tn 
% Row Count 21 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Delivery within 24 hrs after water breaks} \tn 
% Row Count 22 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hyperbilirubinemia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Physiologic Jaundice}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Increase in bilirubin by 2nd day of life, declines in 5th} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Onset and resolution delayed in premature (5-14days)} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Pathologic Jaundice}}} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Persistent jaundice may indicate hepatitis, biliar atresia, down syndrome, hypothyroidism, breast milk inhibitors} \tn 
% Row Count 9 (+ 3)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Total bilirubin increasing by \textgreater{}5mg/dl per day} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Breastfeeding Jaundice}}} \tn 
% Row Count 11 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• appear on breastfed babies after 7 days of life} \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• peak during weeks 2-3 but may last for a month} \tn 
% Row Count 14 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatment}}} \tn 
% Row Count 15 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Monitor how fast it has been rising} \tn 
% Row Count 16 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Needs to be kept hydrated with breastmilk} \tn 
% Row Count 17 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Feed baby often up to 12 times a day} \tn 
% Row Count 18 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Phototherapy: blue light} \tn 
% Row Count 19 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Blood transfusion, IV immunoglobulin} \tn 
% Row Count 20 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.69218 cm} x{3.28482 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Prematurity (before 37 wks)}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Physical Findings}} & {\emph{\textless{}2500g (5lb 8 oz)}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Sole creases, skull firmness, ear cartilage} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{mother's report of last menstrual period} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{sonographic estimation of gestational age} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Risk factors}}} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{multiple gest., history of preterm, single teen mother} \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Physical assessment}}} \tn 
% Row Count 9 (+ 1)
% Row 7
\SetRowColor{white}
AOG & less than 37 weeks \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Respiratory & Irregular \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
Digestive & bowel sounds diminished \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\seqsplit{Thermoregulatory} & hypothermia = hypoglycemia \tn 
% Row Count 14 (+ 2)
% Row 11
\SetRowColor{white}
Reflex & Poor suck, swallow, flexion \tn 
% Row Count 16 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 17 (+ 1)
% Row 13
\SetRowColor{white}
Prevention & Prevention of acquiring infection \tn 
% Row Count 19 (+ 2)
% Row 14
\SetRowColor{LightBackground}
Promote oxygenation & maintain and monitor body temp, apical pulse, respiratory rate \tn 
% Row Count 22 (+ 3)
% Row 15
\SetRowColor{white}
Provision & tactile stimulation for apnea \tn 
% Row Count 24 (+ 2)
% Row 16
\SetRowColor{LightBackground}
 & safe and effective environment \tn 
% Row Count 26 (+ 2)
% Row 17
\SetRowColor{white}
Nutrition (readiness) & respiration is \textless{}60/m | rooting, sucking and gag reflex \tn 
% Row Count 29 (+ 3)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Education of parents}}} \tn 
% Row Count 30 (+ 1)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{5.377cm}{x{1.69218 cm} x{3.28482 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Prematurity (before 37 wks) (cont)}}  \tn
% Row 19
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Handle carefully when repositioning} \tn 
% Row Count 1 (+ 1)
% Row 20
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Psychological support : sharing info, reinforce positives} \tn 
% Row Count 3 (+ 2)
% Row 21
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Share caretaking responsibilities with parents} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.84149 cm} x{3.13551 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Postmaturity (old man looking)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Problems}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Aspiration & Meconium, hypoxia \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Polycythemia & Increase number of RBC \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
Seizure activity & severe hypoxia \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Cold stress & loss of subcutaneous fat \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
Hypoglycemia & use of glucose stores, glycogen \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 9 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- may require prolonged monitoring} \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- support well being due to wasting effect} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Early detection of polycythemia \& hyperbilirubinemia} \tn 
% Row Count 13 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- Focus on prevention : due date} \tn 
% Row Count 14 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Attention to thermoregulation \& feeding} \tn 
% Row Count 15 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Common complications}}} \tn 
% Row Count 16 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• 2-3 times higher morbidity than term infants} \tn 
% Row Count 17 (+ 1)
% Row 14
\SetRowColor{LightBackground}
• Hypoglycemia & used depleted glycogen stores \tn 
% Row Count 19 (+ 2)
% Row 15
\SetRowColor{white}
• Aspiration & of meconium in response to hypoxia \tn 
% Row Count 21 (+ 2)
% Row 16
\SetRowColor{LightBackground}
• Polycythemia & Increase RBC response to hypoxia \tn 
% Row Count 23 (+ 2)
% Row 17
\SetRowColor{white}
• Seizure activity & from severe hypoxia \tn 
% Row Count 25 (+ 2)
% Row 18
\SetRowColor{LightBackground}
•Cold stress & start to lose weight in the utero \tn 
% Row Count 27 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Large for Gestational Age}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Appearance}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Possible fracture of the clavicles} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Facial head bruising and palsy} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Caput succedaneum (normal: disappear 12 018 mons)} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Cephalhematoma} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Complications}}} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Birth trauma due to cephalopelvic disproportion} \tn 
% Row Count 9 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Increased ceasarian sections} \tn 
% Row Count 10 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Hypoglycemia , hyperbilirunemia} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Polycythemia, hyperviscosity} \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• irregular HR, cyanosis} \tn 
% Row Count 13 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 14 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- Monitor for hypoglycemia} \tn 
% Row Count 15 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Screening for polycythemia (cbc, h\&h)} \tn 
% Row Count 16 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- Careful assessment for injuries \& address prenatal concerns about injuries like fractured clavicle} \tn 
% Row Count 18 (+ 2)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Monitor temp, and minimize heat loss} \tn 
% Row Count 19 (+ 1)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- Initiate early feedings, touch and cuddling} \tn 
% Row Count 20 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Support parents and teach} \tn 
% Row Count 21 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Meconium Aspiration Syndrome}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Symptoms}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Bluish skin color of the infant} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Difficult breathing (none or rapid)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Limpness in infant at birth} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatment}}} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• ET tube placement and suctioning} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Using a face mask with oxygen mixture} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Antibiotic to treat infection} \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Radiant warmer to maintain body temp} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Respiratory Distress Syndrome (copy)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Causes}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Not enough of substance called surfactants that consists of phospholipids and protein. begins to be produced at 24-28 wks. by 35 wks most have develop adequate surfactant.} \tn 
% Row Count 5 (+ 4)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Symptoms}}} \tn 
% Row Count 6 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Difficulty of breathing (tachypnea, grunting)} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Cyanosis (blue coloring)} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Flaring of the nostrils} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Chest retractions (pulling in ribs \& sternum)} \tn 
% Row Count 10 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• symptoms peak at 3rd day, diuresis dec. need of O2} \tn 
% Row Count 12 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatments}}} \tn 
% Row Count 13 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Placing an ET tube, mechanical ventilation} \tn 
% Row Count 14 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Supplemental oxygen} \tn 
% Row Count 15 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Continuous positive airway pressure (CPAP)} \tn 
% Row Count 16 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.09494 cm} x{3.88206 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Hypothermia}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Methods of Heatloss}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\seqsplit{Evaporation} & wet surface exposed to air \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Conduction} & Direct contact with cool objects \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{Convection} & surrounding cool air. Drafts \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Radiation} & Transfer of heat to cooler objects \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Manifestations}}} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
CC & cold skin on trunk \& extremities. cyanosis \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
DD & decrease in temperature \& activity \tn 
% Row Count 14 (+ 2)
% Row 8
\SetRowColor{LightBackground}
P & poor feeding in form of suckling \tn 
% Row Count 16 (+ 2)
% Row 9
\SetRowColor{white}
S & Shallow respirations \tn 
% Row Count 17 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 18 (+ 1)
% Row 11
\SetRowColor{white}
\seqsplit{Prevention} & radiant warmer. careful not to burn \tn 
% Row Count 20 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\seqsplit{Provision} & quick dry, head cap \& dry warm blankets \tn 
% Row Count 22 (+ 2)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Cold Stress}}} \tn 
% Row Count 23 (+ 1)
% Row 14
\SetRowColor{LightBackground}
R & respiratory distress \tn 
% Row Count 24 (+ 1)
% Row 15
\SetRowColor{white}
I & increased oxygen need \tn 
% Row Count 25 (+ 1)
% Row 16
\SetRowColor{LightBackground}
D & decreased surfactant production \tn 
% Row Count 26 (+ 1)
% Row 17
\SetRowColor{white}
H & hypogylcemia {\emph{(\textless{}30 mg/dl)}} \tn 
% Row Count 27 (+ 1)
% Row 18
\SetRowColor{LightBackground}
M & metabolic acidocis \tn 
% Row Count 28 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Small Gestation Age  (\textless{}10\%)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Causes}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- may be born preterm, term, post term} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- may have experienced (IUGR) or failed to grow} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Placental anomaly, poor nutrition} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{- Smoking, cocaine, teratogen exposure} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{- Severe DM, decreased blood flow to placenta} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Common complications}}} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
Perinatal asyphaxia & deficient oxygenation \tn 
% Row Count 9 (+ 2)
% Row 8
\SetRowColor{LightBackground}
Hypothermia & Inadequate surfactant \tn 
% Row Count 10 (+ 1)
% Row 9
\SetRowColor{white}
Hypoglycemia & Use of glycogen stores \tn 
% Row Count 12 (+ 2)
% Row 10
\SetRowColor{LightBackground}
Meconium aspiration & Hypoxia | RDS \tn 
% Row Count 14 (+ 2)
% Row 11
\SetRowColor{white}
Still birth & loss from death \tn 
% Row Count 15 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Nursing Care}}} \tn 
% Row Count 16 (+ 1)
% Row 13
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Maintain airway and temperature} \tn 
% Row Count 17 (+ 1)
% Row 14
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Monitor for signs of respiratory distress} \tn 
% Row Count 18 (+ 1)
% Row 15
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Monitor glucose level, or signs of hypoglycemia} \tn 
% Row Count 20 (+ 2)
% Row 16
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Minimize heat loss to prevent hypothermia} \tn 
% Row Count 21 (+ 1)
% Row 17
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Provide feeding, touch, support, teaching} \tn 
% Row Count 22 (+ 1)
% Row 18
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Evaluate Hct level : hypoxia \& polycythemia} \tn 
% Row Count 23 (+ 1)
% Row 19
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Monitor signs of sepsis, infection, malformations} \tn 
% Row Count 25 (+ 2)
% Row 20
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Fluids and frequent feedings} \tn 
% Row Count 26 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Lab findings:}} low plasma levels and high levels of RBC makes blood thick and heart to pump harder. Increases the chance of thrombosis and prolonged cyanosis}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} x{4.4793 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Low birth weight}}  \tn
% Row 0
\SetRowColor{LightBackground}
LBW & less than or equal to 2500g (5lbs 8 oz) \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
VLBW & less than or equal to 1500g (3lbs 5oz) \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
ELBW & less than or equal to 1000g (2lbs 3oz) \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Prevention}}} \tn 
% Row Count 7 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Early \& regular prenatal care} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Seek medical check uo} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Quit smoking and other teratogenic factors} \tn 
% Row Count 10 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Take multivitamin containing 400 micg of folic acid} \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.14471 cm} x{3.83229 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Failure to Thrive}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Symptoms}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• height,weight, and head do not match growth charts} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Weight is lower than 3rd percentile (20\% below ideal)} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• growth may have slowed or stop} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Delayed or slow to develop physical, mental, social} \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatment}}} \tn 
% Row Count 9 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Nutritional} & provide a well balanced diet \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
\seqsplit{Supplements} & talk to HCP first, correct deficiency \tn 
% Row Count 13 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ABO | Rh Incompatibility}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Symptoms}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Back pain, blood in urine} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Chills, fever, jaundice, impending doom} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Treatment}}} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Antihistamines to treat allergic reactions} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Steroids to treat swelling and allergies} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Fluids given intravenously} \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Medicines to raise blood pressure if drops too low} \tn 
% Row Count 9 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Rh immune globulins (Rhlg) for rh incompatibility} \tn 
% Row Count 11 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Exams and tests}}} \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Coombs' test to llok for cell destroying antibodies} \tn 
% Row Count 14 (+ 2)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Bilitubin test shows high. CBC: damage to RBC} \tn 
% Row Count 15 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Urine test shows presence of hemoglobin} \tn 
% Row Count 16 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.89586 cm} x{4.08114 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{SIDS (crib death)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Factors causing SIDS}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Brain Ab. & portion that controls sleep \& breathing doesn't work properly \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
LBW & baby's brain has not matured completely \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{infection} & contributes to breathing problems \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Sleeping} & on side, on soft surface, with parents \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Prevention}}} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Sleeping on the back} \tn 
% Row Count 11 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{• Keep the crib as bare as possible. use firm mattress} \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Don't overheat baby. blanket should be lightweight.} \tn 
% Row Count 15 (+ 2)
% Row 9
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Baby should sleep alone. baby can be rolled over by parents} \tn 
% Row Count 17 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{• Breast feed for six months lowers risk of SIDS.} \tn 
% Row Count 19 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}