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Flashcards in Most commons: Jaundice & Neurology Deck (20)
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1

Physiologic jaundice Neuro exam components Level of alertness, posture & muscle tone, spontaneous mvmt, muscle strength, cranial nerves, DTR [check masseter reflex, moro/startle reflex, sucking reflex, tonic neck reflex, grasp reflex], sensory, behavior [habituation, consolability]

Not visible until after 24 hrs of age East Asian newborns bilirubin peaks higher and later than others

2

When newborn jaundice requires tx

Direct hyperbilirubinemia always! - no phototherapy! → bronze baby! lolol & when total bilirubin is at or w/in 3 pts of phototherapy threshold

3

How long O2 takes to reach nml lvls

10 min to get to 95% O2 *don’t give 100% O2 to newborn

4

The ___ Estimates gestational age based on 6 physical and 6 neuro criteria

New Ballard Score

5

New Ballard Score: the higher the score, the (closer/further) the baby is to full term?

The higher the score, the CLOSER to full term the baby is

6

What are the Neuro criteria of the New Ballard Score?

posture square window arm recoil popliteal angle scarf sign heel to ear

7

With increasing gestational age, there is: (↓/↑) translucency and (↓/↑) wrinkling of the skin (↓/↑) lanugo hair (More/less) creases on the sole of the foot (Larger/Smaller) and more well-defined breast tissue (Loss/gain) of eyelid fusion, (firming/smoothing) of pinna of the ear (↓/↑) rugae and pendulousness of the scrotum (as the testes descend) Formation of labia (Majora/Minora), then labia (Majora/Minora)

↓ translucency and ↑ wrinkling of the skin ↓ lanugo hair MORE creases on the sole of the foot LARGER and more well-defined breast tissue LOSS of eyelid fusion FIRMING of pinna of the ear ↑ rugae and pendulousness of the scrotum (as the testes descend) Formation of labia Minora, then labia Majora

8

When hemolysis presents in pathologic jaundice

< 24 hrs

9

Risk factors for hemolysis in pathological jaundice

newborns who weigh > 9 lbs often have polycythemia or ineffective erythropoiesis

10

What are the componenets of the APGAR score

Appearance, Pulse, Grimace, Activity, Respirations

11

The APGAR score doesnt predict ____, _____, or make _____

Doesn’t predict morbidity/mortality or make dx

12

What is a good APGAR score

7-10

13

When do you perform the APGAR score?

1 min and 5 min of life And every 5 min if CPR is occurring.

14

Small for gestational age - SGA is considered at ___ percentile weight

< 10th percentile weight

15

large for gestational age: LGA ] is considered at ___ percentile weight What predisposes a child to this?

> 90th percentile weight Gestational diabetes

16

____ is defined as; < 10th percentile in head circumference and can signal a problem with _____

microcephaly problem w/ brain growth

17

___ is defined as; > 90th percentile in head circumference

macrocephaly

18

____ is defined as; birth weight < 10% but everything else is normal

asymmetric IUGR (intra-uterine growth restriction)

19

___ is described as; < 10% percentile in all 3 growth parameters - could be genetic syndrome, not good prognosis

Symmetric IUGR (intra-uterine growth restriction)

20

Cranial nerves needed for successful feeding (5)

5 [trigeminal] 7 [facial] 9 [glossopharyngeal] 10 [vagus] 12 [hypoglossal]