Pediatrics: Newborn Nursery

Question 1

What is given to newborns for eye care

Answer 1

Erythromycin ophthalmic ointment

Question 2

What does Erythromycin Opthalmic Ointment prevent

Answer 2

Gonococcal Eye infection

Question 3

What are the most common causes of Neonatal Conjunctivitis in days 0-1

Answer 3

Chemical irritation from eye ointment

typically Silver nitrate: not used in the US

Question 4

How to treat Neonatal Conjunctivitis in days 0-1

Answer 4

Self-limited

Question 5

What are the most common causes of Neonatal Conjunctivitis on days 2-5

Answer 5

Gonococcal: G- Diplococci

Question 6

How does Neonatal Conjunctivitis on days 2-5 presents

Answer 6

Purulent exudates

eyelid swelling

Question 7

How to treat Neonatal Conjunctivitis on days 2-5

Answer 7

IM Ceftriaxone

Question 8

What are the major causes of Neonatal Conjunctivitis on days 5-14

Answer 8

Chlamydial

HSV

Question 9

How does Chlamydial Neonatal Conjunctivitis present

Answer 9

Watery, mucopurulent discharge

Question 10

How to treat Chlamydial Neonatal Conjunctivitis

Answer 10

Oral (PO) Erythromycin

Question 11

How does HSV Neonatal Conjunctivitis Present

Answer 11

Serous (Pale-Yellow) discharge

Question 12

How to treat HSV Neonatal Conjunctivitis

Answer 12

Acyclovir

Question 13

How is vitamin K given at birth

Answer 13

1x dose IM

Question 14

Why is vitamin K given at birth

Answer 14

Prevention of Vit-K Deficient bleeding
-sterile GI tract at birth
-Insufficient Vit K in breast milk

Question 15

What is the only vaccine given in the first 24 hours of life

Answer 15

Hepatitis B Vaccine

Question 16

What is Omphalitis

Answer 16

Infection of the umbilicus and surrounding tissue

Question 17

How to treat Omphalitis

Answer 17

IV Broad-spectrum Antibiotics (Abx)

Question 18

What is the most common cause of an umbilical Mass

Answer 18

Umbilical Granuloma

Question 19

How does an Umbilical Granuloma appear

Answer 19

Soft
Moist
Pink

Question 20

How to treat an Umbilical Granuloma

Answer 20

Topical Silver Nitrate

Question 21

How much birth weight do babies typically lose

Answer 21

up to 10%

Question 22

How long does it take babies to regain lost birth weight

Answer 22

10-14 days

Question 23

How long does it take to double birth weight

Answer 23

4 months

Question 24

How long does it take to triple birth weight

Answer 24

1 year

Question 25

What are the benefits of breastfeeding for the child

Answer 25

Lowers risk of infant infections Reduced allergies Reduced DM Reduced Obesity

Question 26

What are the benefits of breastfeeding for the mother

Answer 26

Decreased risk of breast and ovarian cancer bonding decreased risk of CVD enhanced weight loss longer postpartum anovulation

Question 27

What are the contraindications to breastfeeding

Answer 27

Herpetic Breast lesions HIV infection HTLV infections Chemo or radiation Drug of alcohol use Galactosemia in infant

Question 28

What typically causes Food protein-Induced Enterocolitis Syndrome

Answer 28

Hypersensitivity to protein in cow's milk or soy

Question 29

How does Food Protein-Induced Enterocolitis Syndrome present

Answer 29

Vomit and Diarrhea -dehydration -failure to thrive

Question 30

How to treat Food Protein-Induced Enterocolitis Syndrome

Answer 30

Eliminate the trigger substance usually resolves by age 3

Question 31

What Causes Food Protein-Induced Proctocolitis

Answer 31

Hypersensitivity to Cow's milk -1/2 of pt are exclusively breast fed

Question 32

How does Food Protein-Induced Proctocolitis Present

Answer 32

Infant appears well with blood-streaked loose stools

Question 33

How to treat Food Protein-Induced Proctocolitis

Answer 33

Eliminate the trigger substance