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Flashcards in Neonate Lecture Deck (40):
1

What was/is the concern with having a vaginal delivery after a cesarian section?

Uterine rupture--not actually

2

What is macrosomia?

Large for gestational age

3

What is the major concern with HELLP syndrome?

Thrombocytopenia

4

What is the definition of a term infant?

37 (2/7) to 47 and (6/7) weeks

5

What is late preterm?

34 (2/7) 35-36 (6/7) weeks

6

What is post-term?

More than 42 2/7

7

What are the five major concerns with preterm infants?

1. NRDS
2. Jaundice
3. Hypoglycemia
4. Hypothermia
5. Feeding difficulties

8

When are the lungs fully developed?

35 weeks gestation

9

When is the sucking coordination present?

***

10

Do preterm infants develop sepsis more often that term?

Admitted more often, but unknown about culture proven

11

What are cephalohematomas? What can this lead to?

Subperiosteal hematomas

This may lead to neonatal jaundice, shock

12

What is a subgaleal space?

potential space between the skull periosteum and the scalp galea aponeurosis.

13

How do you differentiate subgaleal and cephalohematomas?

Cephalohematomas will not get bigger after birth, whereas subgaleal hematomas will.

14

What are the possible complications of using forceps for delivery?

Scarring
Facial nerve

15

What is the treatment for facial nerve palsy 2/2 forceps delivery?

Usually self limited-- wait 2 weeks

16

What is the cutoff for prolonged rupture of the membranes? What is the major complication from this?

18 hours
Infection

17

What is chorioamnionitis?

Sepsis 2/2 infection of the placenta

18

What hematological abnormality may lead to spontaneous abortions?

Factor V leiden

19

What is the most common ABO complication in birth?

Mother is O, baby is A. Causing hemolytic jaundice

20

When is GBS checked for?

35-36 weeks

21

What is the treatment for GBS? How long does this take to take effect?

IV PCN per mom

4 hours

22

What is the treatment for Hep B sAg positive mothers?

-Hep B IG
-Vaccinate with Hep B w/in 12 hours

23

What is the chance that Hep B contracted by the fetus develops into chronic cirrhosis?

80%

24

What happens with Herpes?

1. Disseminated disease
2. Meningitis
3. ***extremities

25

When should ART begin with HIV positive mothers?

12 hours

26

What is the treatment for syphilis?

PCN

27

What are the neonatal concerns with Chlamydia? Treatment?

Conjunctivitis
Pneumonia

Erythromycin

28

What defines late prenatal care?

After 20 weeks

29

How do you check for neonatal drug exposure?

Check the cord

30

In whom should BG be checked?

Maternal DM
Preterm

31

What happens to the weight early in the neonate?

Initially goes down in the first three days, but should not be more than 10% in three days.

Day 4-5 should go up.

32

What is transient tachypnea of the newborn? Is there respiratory distress/hypoxemia?

a period of rapid breathing (higher than the normal range of 40-60 times per minute). It is likely due to retained lung fluid. It is most often seen in 35+ week gestation babies who are delivered by caesarian section without labor.

Usually not

33

What is the Ortolani maneuver?

***

34

What is the Barlow maneuver?

***

35

What are the benign heart murmurs that will resolve in neonates?

Tricuspid regurg
Closing PDA

36

What is the treatment for brachial plexus injury?

PT consult

37

What is a CCHD screening?

Screening for the heart diseases

38

What is the feeding intervals in the first week of life?

every 2-3 hours

39

What is the typical f/u for a normal infant?

2-3 days then 2 weeks

40

What is the vitamin that is started in neonates?

Vit D to encourage bone growth