Neonatology: PE + EINC + Breastfeeding Flashcards

1
Q

Perinatal period

A

28th week gestation to 7th day of life

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2
Q

Neonatal period

A

Day 1-28

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3
Q

Infancy

A

Birth to 1 year

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4
Q

Gestational Age: Pre-term

A

34-36 6/7 weeks

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5
Q

Gestational Age: Term

A

37-41 6/7 weeks

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6
Q

Gestational Age: Post term

A

≥ 42 weeks

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7
Q

Normal Vital signs of the neonate:
HR

A

120-160 bpm

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8
Q

Normal Vital signs of the neonate:
RR

A

30-60 bpm

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9
Q

Normal Vital signs of the neonate:
Temp

A

36.5-37.5ºC

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10
Q

APGAR Score components

A

Appearance
Pulse
Grimace
Activity
Respirations

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11
Q

APGAR score of a newborn with peripheral cyanosis, hr < 100, grimacing, full flexion of upper and lower ex, loud cry

A

7/10

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12
Q

Use of the APGAR Score

A

Predicts the need for newborn resuscitation

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13
Q

2 parameters of the ballard score for maturity

A

Physical maturity
Neuromuscular maturity

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14
Q

Classification of BW:
- Low BW
- Very Low BW
- Extremely Low BW

A
  • Low BW: < 2500g
  • Very Low BW: <1500g
  • Extremely Low BW: <1000g
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15
Q

Definitions/measurements of BW:
- SGA
- AGA
- LGA

A
  • SGA: < 10th percentile BW
  • AGA: 10 < BW < 90
  • LGA: > 90th percentile
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16
Q

Hydrocephalus the does not cross suture lines. Blood collection in the subperiosteum. Resolves in 2-3 weeks

A

Cephalhematoma

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17
Q

Hydrocephalus that crosses suture lines, underneath the scalp, lasts 2-3 days

A

Caput succedaneum

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18
Q

Hydrocephalus with due to damage to emissary veins, resulting in fluid collection in the epicranial aponeurosis, may present with racoon eyes, and resolves in 2-3 weeks

A

Subgaleal hemorrhage

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19
Q

A finding of bounding pulses and a wide pulse pressure suggests the following cardiac pathology

A

Patent ductus arteriosus

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20
Q

A finding of strong pulses in upper vs lower extremities suggests the following cardiac pathology

A

Coarctation of the Aorta

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21
Q

A finding of weak peripheral pulses in both upper and lower extremities suggests the following cardiac pathology

A

HLHS or Aortic Stenosis

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22
Q

A finding of Webbing of the neck suggests which pathology in females

A

Turner syndrome

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23
Q

Inability to pass a feeding tube through the nares

A

Choanal atresia

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24
Q

Congenital malformation of the eye causing defects in the iris, lens,
or retina (small notch to a large cleft)

A

Coloboma

25
Q

White pupillary reflex

A

Leukocoria

26
Q

Temporary accumulations of epithelial cells on the hard palate or either side of the rap he

A

Epstein pearls

27
Q

Bowel sounds auscultated on the chest wall suggests the following:

A

Diaphragmatic Hernia

28
Q

herniation of abdominal contents into base of umbilical cord, abdominal contents covered by a protective membrane

A

Omphalocele

29
Q

Full thickness abdominal wall defect, extruded intestine not covered by membrane. Defect is usually located on the right side.

A

Gastroschisis

30
Q

Intraabdominal contents protrude through a fascia! defect at the umbilicus that is covered by skin

A

Umbilical Hernia

31
Q

Urethral orifice located on the glans or ventral surface
of the shaft

A

Hypospadias

32
Q

Caudal curvature of the penis due to incomplete
development of the foreskin

A

Chordee

33
Q

2 conditions caused by a Patent Processus Vaginalis

A

Inguinal hernia
Hydrocele

34
Q

Finding of an arm adducted and pronated, forearm internally rotated. Absent moro reflex

A

Erb duchenne palsy of the Brachial plexus

35
Q

Nerve involvement in Erb Duchenne Palsy

A

C5-C6

36
Q

Findings of Claw hand, no wrist movement, absent grasp relex

A

Klumpke Palsy

37
Q

Nerve involvement in Klumpke Palsy

A

C7-C8

38
Q

Syndrome associated with the Extension of Klumpke Palsy to involve T1

A

Horner Syndrome (Ptosis, Miosis, Enophthalmos)

39
Q

Age of Appearance and Disappearance of the Rooting Reflex

A

32 weeks AOG –> 1 month AOG

40
Q

Age of Appearance and Disappearance of the Palmar Reflex

A

28 weeks AOG –> 2-3 months

41
Q

Age of Appearance and Disappearance of the Moro Reflex

A

28-32 weeks –> 5-6 months

42
Q

Age of Appearance and Disappearance of the Fencing Reflex

A

35 weeks AOG –> 6-7 months

43
Q

Age of Appearance of the Parachute Reflex

A

4-9 months

44
Q

EINC Core steps

A
  1. Immediate and thorough drying
  2. Skin-to-skin contact
  3. Properly timed Cord Clamping
  4. Non-separation of mother and baby
45
Q

Eye prophylaxis given to prevent gonococcal ophthalmia neonatorum

A

Erythromycin ointment 0.5% or Tetracycline 1%

46
Q

Given to prevent hemorrhagic disease of the newborn

A

Vitamin K 0.5-1.0mg IM

47
Q

Vaccinations at birth

A

> BCG 0.05ml intradermally

> Hep B Vaccine 0.5mL IM

48
Q

Conditions for giving HB Ig IM vaccine to neonates

A

Mother with (+) HBsAg or Mother with unknown HBsAg and BW < 2kg

49
Q

RA 9288 is also known as the following

A

The Newborn Screening Act of 2004

50
Q

Timing of newborn screening for the ff:

  1. Term neonate
  2. Preterm neonate
  3. Intensive care neonate
A
  1. 24 hours to 3 days
  2. 5-7 days
  3. 7 days
51
Q

Enzyme deficiency in Congenital Adrenal Hyperplasia

A

21-hydroxylase

51
Q

6 Diseases included in the NBS Act of 2004

A
  1. Congenital Hypothyroidism
  2. Congenital Adrenal Hyperplasia
  3. G6PD Deficiency
  4. Galactosemia
  5. Phenylketonuria
  6. Maple Syrup Urine Disease
52
Q

Most common cause of Congenital Hypothyroidism

A

Thyroid dysgenesis

53
Q

Hormonal levels of Cortisol and ACTH in CAH

A

low Cortisol
high ACTH

54
Q

Most common Enzyme deficiency in Galactosemias

A

Galactose-1-phosphate uridyltransferase (GALT)

55
Q

Enzyme deficiency in Phenylketonuria

A

Phenylalanine hydroxylase

56
Q

Most common manifestation of Phenylketonuria

A

Developmental Delay (due to brain damage from increased phenylalanine)

57
Q

Enzyme deficiency in Maple Syrup Urine Disease

A

Alpha-keto acid dehydrogenase complex

57
Q

Characterstics of Foremilk vs Hindmilk

A

Foremilk: Released at the start of feeding, watery, high lactose and protein

Hindmilk: Released towards the end of feeding, thick, high fat