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Pediatrics > Neonatology > Flashcards

Flashcards in Neonatology Deck (42):
1

What is the order of disappearance in a sick baby?

Color
Respiration
Muscle tone
Reflex
Cardiac rate

2

What is the order of appearance in a resuscitated baby?

Cardiac rate
Color
Respiration
Reflex
Muscle tone

3

Steps in Essential intrapartum and newborn care

1. Immediate and thorough drying
2. Early skin-to-skin contact
3. Properly timed cord clamping
4. Non-separation of mother and baby

4

Benefits of early Skin-to-skin contact

BLEST

B - breastfeeding success
L - Lymphoid tissue system stimulation
E - exposure to maternal skin flora
S - sugar (protect from Hypogly)
T - thermoregulation

5

Compression rate and Breathing rate in Neonatal resuscitation

Compression rate 90bpm
Breathing rate 30cpm
Ratio of 3:1

6

Dose of Epinephrine in Neonatal resuscitation

0.1 to 0.3 mL/kg of 1:10,000 via umbilical vein,
Or 0.5-1 mL/kg endotrachial

7

Ideal time for Newborn Screening Test

48 hours

8

Ideal time for NBS for Preterms

5-7 days old

9

Newborn Screening Tests (6)

Congenital hypothyroidism
Congenital adrenal hyperplasia
Galactosemia
G6PD
Phenylketonuria
MSUD

10

Earliest sign of Congenital Hypothyroidism

Prolongation of Physiologic Jaundice

11

Most reliable test for Congenital adrenal hyperplasia

Cosyntropin test

12

Enzyme disorder in MSUD

Branches-chain alpha-ketoacid Dehydrogenase

13

Amino acids elevated in MSUD

Valine, Leucine, Isoleucine

14

Subperiosteal bleed, does NOT cross suture lines

Cephalhematoma

15

Edematous swelling of the scalp, may cross suture lines and extend across midline

Caput succadeneum

16

Collection of blood beneath the aponeurosis covering the scalp and entire length of occipitofrontalis muscle; Associated with vacuum assisted delivery

Subgaleal hematoma

17

Mechanism of injury of Subgaleal hematoma

Rupture of emissary veins

18

When does Moro reflex disappear?

4-6 months of life

19

Most commonly fractured bone during labor and delivery

Clavicular fracture

20

Herniation of abdominal contents associated with diastasis recti

Umbilical hernia

21

Herniation of abdominal contents is at the base of the umbilicus with a sac

Omphalocele

22

Herniation of abdominal contents without a sac; defect is lateral to the umbilicus

Gastroschisis

23

Communication between the abdominal and thoracic cavities with/without abdominal contents in the thorax, sometimes associated with Lung hypoplasia

Diaphragmatic hernia

24

Urethral opening on the dorsal penis

Epispadias

25

Urethral opening on the ventral penis; more common

Hypospadias

26

If the testes has not descended by ________ months, it will remain undescended.

4 months

27

Cryptorchidism is treated surgically not later than how many months? As there is a risk to develop testicular malignancy

Not later than 9-15 months

28

Low birth weight

= 2500 grams

29

Very low birthweight

<1500 grams

30

Extremely low birthweight

<1000 grams

31

"Bubbly lungs", cystic lucencies, irregularly aerated lungs

Bronchopulmonary dysplasia

32

Early onset tachypnea in a term neonate delivered by C-section

Transient Tachypnea of the Newborn

33

Tachypnea in a preterm neonate, "ground-glass" pattern and air bronchograms on CXR

Respiratory Distress Syndrome

34

Failure of normal circulatory transition that occurs after birth; "black lung"

Persistent Pulmonary Hypertension of the Newborn

35

Most common cause of Persistent Pulmonary Hypertension of the Newborn

Meconium Aspiration Syndrome

36

Neonate develops distended abdomen, bloody stool, and pneumatosis intestinalis after starting feeds

Necrotizing enterocolitis

37

Characteristic histopathologic finding in NEC

Coagulation necrosis

38

Single most common finding among infants with congenital Rubella syndrome

Sensorineural deafness

39

Most common Congenital infection

Cytomegalovirus

40

Triad of CMV

Chorioretinitis
Microcephaly
Periventricular calcifications

41

Persistent rhinitis, pseudoparalysis of Parrot (refusal to move involved extremity), Wimberger lines (metaphyseal demineralization of medial aspect of proximal tibia)

Syphilis

42

Hutchinson teeth;
Saddle nose;
Clutton joints

Late stage Syphilis