Perinatal and Newborn Health Flashcards Preview

AANP FNP: Pediatrics > Perinatal and Newborn Health > Flashcards

Flashcards in Perinatal and Newborn Health Deck (28):
1

Newborn screening tests for hearing

BAER test (Brainstem auditory evoked response)
observe response to loud voice/noise

2

When would you want to repeat the newborn screening blood tests?

- If the baby was initially screened before 24 hours of age
- If the infant appears symptomatic

3

Newborn screening exam includes

PKU
Galactosemia
Hemoglobinopathies
Congenital hypothyroidism

4

Barlow and Ortolani

- Used to check for hip dysplasia
- Barlow: femoral head slips/dislocates during ADDUCTION
- Ortolani: click felt as joint relocates during ABDUCTION

5

How many blood vessels in the umbilical cord?

2 arteries and 1 vein

6

What disorders could macroglossia suggest?

Hypothyroidism
Down's syndrome
Mucopolysaccharoidosis

7

Choanal atresia

Narrowing or blockage of the nasal airway by tissue

8

What could it mean if sclera is blue?

osteogenesis imperfecta
may appear bluish in premies

9

Common causes of wide fontanels?

- premie, IUGR
- hypothyroidism
- hydrocephalus
- Down Syndrome

10

When does the posterior fontanel close?

May not be palpable at birth but should definitely be closed by 2-3 months

11

How big is the anterior fontanel?
When does it close?

2-5cm
by 18 months

12

Bossing

- Protuberant forehead
- Suggests Rickets, prematurity

13

Cephalohematoma

Does NOT cross the midline (blood is under periosteum)

14

Caput succadeneum

Cone head, crosses midline. Resolves in 2-3 days.

15

Hemangioma

"Strawberry mark"
shrink and fade after 6 months old, benign

16

What should be ruled out with port wine stain?

Sturge-Webber (seizures and glaucoma), especially if they come to the midline and go over the eye

17

Erythema toxicum neonatorum

- Most common newborn rash
- Blotchy red spots with overlying white or yellow pustules
- Appears at day 2-5, resolves by 2 weeks
- Benign

18

Miliaria

Obstructed sweat glands, "prickly heat", benign

19

Newborn vital signs

Temp ≤ 100.4F
Pulse 120-170 BPM
Respirations 30-70 breaths per minute
BP less than 112/74 mmHg (systolic no less than 60)

20

What is asymmetric IUGR?

head circumference and length are normal, but weight is less than 10th percentile

21

What is symmetric IUGR?

head circumference, length, and weight are all less than 10th percentile

22

Definition of "term" baby

Born 37-41 weeks

23

Average newborn head circumference, weight, and length

13-14 inches head circumference
7 pounds
20-21 inches in length

24

Age of newborn viability?
Age of newborn viability PLUS lung maturity?

24 weeks
34 weeks

25

APGAR

Appearance, Pulse, Grimace, Activity, Respirations
Scored at 1 and 5 minutes

26

How can hypothyroidism affect infants?
What are some physical signs of hypothyroidism?

- mental retardation, neurologic and metabolic abnormalities
- macroglossia, wide fontanels

27

plethora

ruddy/blotchy skin associated with too many RBCs (polycythemia)

28

How many newborns have heart murmurs?

Up to 85 percent