Neonatology Flashcards
(50 cards)
T/F: Mothers with prior pregnancies with + GBS screen should be treated prophylactically automatically on current pregnancy
False- only if prior infant had invasive GBS disease
What should women receive if GBS+ and had anaphylactic response to penicillin?
Clindamycin
What is the biggest risk factor for preterm delivery?
Prior preterm delivery
What test can be done to confirm the diagnosis of premature rupture of membranes (PROM)?
Nitrazine paper test
Amniotic fluid is pH 7-7.3 compared to vaginal pH of 3.8-4.2
When should fetal pulmonary maturity testing be done?
Between the weeks of 32-39 weeks gesttaion
If a mom is PROM, what is the goal gestational age to be reached for delivery if baby’s lungs are mature?
34 weeks
What is HELLP?
Hemolysis
Elevated liver enzymes
Low platelets
What is an important measure of incidence of malformations associated with maternal DM?
Degree of hyperglycemia PRIOR TO conception
Which type of deceleration prenatally is associated with uteroplacental insufficiency?
Late deceleration
What is the only APGAR association to worsened mortality and severe neurologic sequelae?
APGAR < 3 at 15 minutes of life
How do you estimate the length of an ETT for a neonatal intubation?
6 + weight in kg
What are the stages of ear form development in the newonate?
24-33 weeks: flat, shapeless
34-35: superior incurving
36-38: upper 2/3 incurving
> 39: well defined incurving to lobe
What are the stages of sole crease development by gestational age?
24-31: no anterior sole creases 32-33: 1-2 anterior sole creases 34-35: 2-3 anterior sole creases 36-37: creases covering 2/3 of anterior sole 38-41: heel creases present > 42: deep creases on entire sole
What are the stages of lanugo presence by gestational age?
entire body: 22-32 weeks
absent from face- 33-37 weeks
present on shoulders only - 38 - 41 weeks
none present > 42 weeks
What is the name of the rash in the newborn defined as an ulcerated, noninflammatory, well-demarcated congenital absence of skin?
Aplasia cutis congenita
When does the anterior fontanelle close?
Between 9-18 months
When does the posterior fontanelle close?
By 4 months age
Which type of neonatal skull fracture has the worst prognosis?
Basilar skull fracture
What is the likely organism responsible for conjunctival purulence in the first 2-5 days of life?
Neisseria Gonorrhea
What is the likely organism responsible for conjunctival purulence in the first 5-14 days of life?
Chlamydia trachomatis
What is the treatment of chlamydia conjunctivitis?
Erythromycin x 14 days
What is the treatment of gonorrhea conjunctivitis?
3rd generation cephalosporin
What is a benign mass on the floor of the mouth due to dilatation of the salivary gland?
Ranula
T/F: Coughing int he newborn is a normal finding
False, almost never normal
