1 - Neonatology Flashcards
(48 cards)
EINC
• Immediate drying
• Uninterrupted skin-to-skin contact
• Delayed cord clamping
• Non-separation of mother and baby
Target temperature for newborns
36.5-37.5°C
Room temperature at birth
25-28°C
Low birth weight
<2,500g
Very low birth weight
<1,500g
Extremely low birth weight
<1,000g
Estimated birth anthropometrics (Lt, Wt, HC)
Lt: 50cm
Wt: 3.5kg
HC: 33-35cm
Small for gestational age
BW <3rd percentile for calculated gestational age
Large for gestational age
BW >90th percentile for gestational age
APGAR
• Activity
• Pulse
• Grimace (reflex irritability)
• Appearance
• Respiration
APGAR interpretation
0-3 severely depressed
4-6 moderately depressed
7-10 excellent condition
APGAR score that is a valid predictor of neonatal mortality
5-minute score
Newborn screening ideally when for term
48 hours of life
Newborn screening ideally when for preterm
5-7 days
Expanded NBS covers how many diseases
28
Most common cause of congenital hypothyroidism
Thyroid dysgenesis
Most common enzyme deficiency in congenital adrenal hyperplasia
21-hydroxylase
Physiologic weight loss in during first 10 days for term and 2 weeks for preterm
5-10%
Vaguely demarcated pitting edema that extend across sutures; maximal size at birth; resolves in 48-72 hours
Caput succedaneum
Blood collection with distinct margins and does not cross suture lines; increases size after birth for 12-24 hours; resolves over 2-3 weeks
Cephalhematoma
Firm to fluctuant blood collection with ill-defined borders located beneath the epicranial aponeurosis; progressive after birth; resolution over 2-3 weeks; may be massive if there is associated coagulopathy
Subgaleal hemorrhage
Most common Tracheoesophageal Fistula (TEF)
Type C
(Esophageal Atresia (EA) with distal TEF)
Most common type of congenital diaphragmatic hernia
Bochdalek hernia
Extrusion of abdominal viscera covered with sac
Omphalocele
