newborn Flashcards

1
Q

reasons for high AFP

A
renal
abdominal
neural tube
incorrect dates
multiple fetuses
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2
Q

reasons for low AFP

A

chromosomal abnormalities (13, 18)

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3
Q

what is the contraction stress test measuring

A

uteroplacental insufficiency and tolerance of labor

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4
Q

how to treat SVT in fetus

A

give antiarrhythmics to mother

avoid CHF and hydrops

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5
Q

band to neutrophil ratio indicating sepsis

A

> 0.2

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6
Q

L:S ratio

A

used to suggest risk of RDS
L:S > 2 suggests low risk
(not accurate in maternal diabetes)

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7
Q

criteria for CLD

A

oxygen after 28 DOL or at 36 wks CGA

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8
Q

indications for ECMO

A

reversible lung disease < 10-14 days
failure of other methods
no bleeding or congenital heart disease

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9
Q

white nodules on placenta

A

Listeria

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10
Q

risk factors for EOS

A
GBS colonization
< 37 wks
ROM > 18 hrs
chorio
multiple gestations
intrapartum fever
use of intrauterine monitoring
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11
Q

causes of Erb’s palsy

A

clavicular fractures

brachial plexus injury

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12
Q

Klumpke

A

ability to grasp LOST

can be associated with Horner

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13
Q

single umbilical artery

A

get renal US

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14
Q

SGA definition

A

< 10th percentile or < 2500g

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15
Q

LGA definition

A

> 90th percentile or >3900g

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16
Q

VLBW definition

17
Q

preemie MAP

18
Q

how long NPO after NEC

19
Q

long term complication of NEC

A

strictures

20
Q

bronze baby syndrome

A

side effect of PTX (maybe in elevated direct bili)

21
Q

effect of tocolytics on infant

A

stimulate fetal insulin –> hypoglycemia

22
Q

manifestations of infants of diabetic mothers

A

LGA
hypoglycemia
polycythemia
hypoplastic lelft colon

23
Q

what cutoff for tx of polycythemia

24
Q

apt test

A

tests neonatal gastric juice for maternal vs neonatal blood

25
which contains organs - gastroschisis or omphalocele
omphalocele
26
prenatal steroids effect on fetus
decreased risk of IVH, NEC, RDS
27
neonatal alcohol withdrawal
hyperactivity, irritability, hypoglycemia
28
prenatal cocaine exposure risks
impaired uteroplacental circulation cerebral infarction, limb anomalies, urogenital defects placental abruption
29
neonatal barbiturate withdrawal
hyperphagia, irritability, poor suck/swallow
30
when to get newborn screen
48 hrs after initiating enteral feeds