Test #2

Question 1

What bug are considered Gram + cocci?

Answer 1

Streptococcus and staphylociccus

Question 2

What bug is a gram - cocci?

Answer 2

N. Gonorrhoeae

Question 3

What type of bacteria s Listeria monocoytogenes?

Answer 3

Gram + rods

Question 4

What type of bacteria is E. Coli and Klebsiella?

Answer 4

Gram - rods

Question 5

What are the guidelines for the management of GBS screening?

Answer 5

universal screening between 35-37 weeks

Question 6

What is the highest risk for neonatal sepsis

Answer 6

Low birth weight

Question 7

What is an abnormal finding in the CSF for WBC?

Answer 7

> 32mm3

Question 8

what bug in a coagulase test shows a positive and a negative finding?

Answer 8

+: staph epi

-: staph aureus

Question 9

What is the most common bug in an UTI infections?

Answer 9

E. Coli

Question 10

What antibx is used to treat pseudomonas infections?

Answer 10

aminoglycosides

Question 11

What antibxs are used to treat gonhrrhea?

Answer 11

cefts!

Question 12

What is used to treat CMV infections because they cause less of a hearing loss

Answer 12

Ganciclovir

Question 13

What is the most common MOA of Antibx?

Answer 13

inhibition of the cell wall syntheses

Question 14

What drug is used to tx HSV for 21 days to CNS or disseminated disease

Answer 14

Acyclovir

Question 15

What disease is indicitive with baby presents with “blueberry muffin”

Answer 15

CMV

Question 16

What drug is used as a antiviral treatment that will decrease severity of deafness but won’t prevent it?

Answer 16

Gancyclovir

Question 17

Most infant acquire infections when?

Answer 17

late in 3rd trimester and also during delivery

Question 18

If the infant is + HBeAg and no antiHBe the infant has a high risk for ___

Answer 18

Infection

Question 19

If the mother is HBsAg + the infant is given what within 12 hrs after delivery.

Answer 19

Hepatitis B immune globulin 0.5mls

Question 20

What lab test is used for early diagnosis of infants born to HIV + mothers?

Answer 20

PCR

Question 21

What disease is high communicable and acquired as a fetus?

Answer 21

fetal varicella syndrome

Question 22

What is given to infants of mothers who developed a rash 5 day prior and 2 say after delivery that prevent rash development in infants at50%?

Answer 22

VZIG

Question 23

What med is used to treat gonococcal conjunctivitis?

Answer 23

Ceftriaxone 25-50 mg/kg IM or IV

Question 24

Chlamydia affects eyes and what other organ

Answer 24

lungs

Question 25

What is the antibx of choice when treating chlamydia?

Answer 25

Erythromycin and azithromycin

Question 26

In syphilis, the transplacental passage of the spirochete is what type of organism?

Answer 26

Gram -

Question 27

That is the main treatment for syphilis?

Answer 27

Penicillin

Question 28

What type of bacteria is listeria?

Answer 28

Gram + rod

Question 29

What is the Drug of Choice for listeria?

Answer 29

ampicillin

Question 30

What is described in an informed consent?

Answer 30

The risk and benefits of preforming the procedure versus not performing the procedure

Question 31

For a Bladder aspiration, where is the needle inserted?

Answer 31

0.5-1 cm above the symphysis at a 90 degree angle

Question 32

When is a lumbar puncture contraindicated?

Answer 32

When the plt count is below 30,000.

Question 33

Where should a lumbar puncture site be marked at?

Answer 33

tap at L4

Question 34

What is a complication from a lumbar puncture, when using a butterfly?

Answer 34

Intraspinal epidermoid tumor

Question 35

Which of the following are recommended for acute pain management in neonates?

Answer 35

- Therapy should begin with nonpharmacologic interventions progressing to pharmacologic interventions

Question 36

What is consequence of pain?

Answer 36

Hyperglycemia

Question 37

Sucros in hypothesized to modulate transmission or processing of nocieption through medication by the:

Answer 37

-Endogenous opioid system

Question 38

Which of the following indicators is the most specific to the pain experience?

Answer 38

-facial expressions

Question 39

Pain assessment in hospitalized neonates is best evaluated by

Answer 39

a composite neonate pain tool with established reliability and validity

Question 40

Assessing and managing pain in hospitalized neonates should be based on the knowledge that:

Answer 40

acute, episodic pain may lead to established or chronic pain

Question 41

What is the best tool for assessing sedation

Answer 41

N-PASS

Question 42

What is informed consent?

Answer 42

Written or oral description of the procedure

Question 43

What should also be a option when giving informed consent?

Answer 43

The option of NO treatment when the benefits are questionable

Question 44

A pregnant teen mother does or does not have the legal right to make medical decision for her child?

Answer 44

She does have the legal right

Question 45

When feeling for a lumbar puncture you should slide your finger across the back to ____ from the iliac crest

Answer 45

L4

Question 46

Why should you not use a butterfly needle and only a needle with a stylet in Lumbar punctures?

Answer 46

Intraspinal spidermoid tumor

Question 47

What is a major contraindication for a suprapubic bladder aspiration?

Answer 47

Uncorrected thrombocytopenia (plts <30)

Question 48

What landmark should you insert the needle for a suprapubic bladder aspiration?

Answer 48

0.5 cm above the symphysis pubis

Question 49

Routine maternal drug screening without consent is....

Answer 49

Illegal

Question 50

Testing _____ infants without parental consent may be included as part of the work up

Answer 50

Symptomatic

Question 51

Acute drug exposed infants may have symptoms that last for...

Answer 51

Weeks

Question 52

Sub-acute drug exposed infants may have symptoms that last for ... and include

Answer 52

``` 4-6 months hyperirritability feeding/gi probs sleep probs hypertonia ```

Question 53

What does carbon monoxide abd hemoglobin form with mixed?

Answer 53

carboxyhemoglobin

Question 54

What drug induced glucuronyl transferase and surfactant resulting in decreased incidences of RDS and Hyperbili in the infant?

Answer 54

Heroin

Question 55

Symptoms of W/D from heroin appear early due to..

Answer 55

short half life

Question 56

What is a synthetic long acting opiate used for treatment of heroin addiction?

Answer 56

Methadone

Question 57

What two things do babies of methadone treated mothers possess rather than heroin babies?

Answer 57

Higher birth weights and no increase in congenital anomalies

Question 58

What do methadone babies posses that heroin don't?

Answer 58

Smaller head - methadone

Question 59

ADHD incidence is higher than unexposed infants of what drug

Answer 59

Methadone and alcohol

Question 60

What type of drug causes the greatest withdrawal symptoms in NB?

Answer 60

Heroin/methadone - opiods have more!

Question 61

NAS is mostly cause by what dysfunction in the NB?

Answer 61

Autonomic - yawing, hiccups, sneezing, mottled

Question 62

When should the initial NAS scoring begin? and what is the name?

Answer 62

Finnegan - at 2 hours

Question 63

What are the 1st trimester results of Fetal alcohol syndrome?

Answer 63

Congenital defects and dysmorphology

Question 64

What is the most common cardiac defect of FAS?

Answer 64

ASD

Question 65

When is Herpes Simplex virus the highest risk to newborns

Answer 65

When the mother's primary infection occur during the pregnancy

Question 66

Herpes (HSV) presents when what kind of symptoms?

Answer 66

hepatitis, pneumonitis, encephalitis

Question 67

What virus is shed in the urine?

Answer 67

CMV

Question 68

90% of all neonates become chronic carries of Hep B with...

Answer 68

persistent (+) HBsAg (hep B surface antigen)

Question 69

What may appear years later is Hep B virus replication continues?

Answer 69

Anti-HBc-IgG

Question 70

When do most infants acquire the HBV infection?

Answer 70

late in 3rd trimester or at delivery

Question 71

What is elevates in the cord blood that suggests intrauterine acquired NON-bacterial infection?

Answer 71

IgM

Question 72

For severe chicken pox infection treat with...

Answer 72

IV acylovir to decrease viral replication, # of lesions, and infection

Question 73

When must you discharge all Chickenpox patients? or you must...

Answer 73

before 8 days post exposure | or 8-21 days isolation

Question 74

What infection causes purulent conjunctivitis 2-5 days of life?

Answer 74

neisseria gonorrhea

Question 75

What drug may cause pyloric stenosis which azithromycin can be given

Answer 75

Erythromycin

Question 76

What % mortality rate is from early onset sepsis usually from mother

Answer 76

10-30%

Question 77

What % mortality rate is from late onset (5-7 days) sepsis usually nosocomial and inversely related to brithweight

Answer 77

5-10%

Question 78

Dohle's bodies, toxic granules, and vacuolization are said on CBC results when?

Answer 78

an infection is present

Question 79

What are three components of a neg predictive WBC?

Answer 79

WBC > 5000 ANC >1750 I/T ratio <0.3

Question 80

What are two most common bugs in blood infections?

Answer 80

E. Coli and S. Aureus

Question 81

What are two most common bugs in CSF infections?

Answer 81

GBS and E. Coli

Question 82

How long should Gram - infection be treated for? Gram +?

Answer 82

Gram - = 21 days | Gram + = 14 days

Question 83

Hydrocephalus can be cause by what due to the obstruction of CSF flow?

Answer 83

Meningitis

Question 84

What antibiotic can treat E. Coli, Pseudomonas, klebsiella, serratia, and H. Flu?

Answer 84

Aztreonam

Question 85

What is not a factor for Neonatal abstinence syndrome?

Answer 85

Maternal age

Question 86

What is the most accurate to measure for Perinatal drug exposure>

Answer 86

Assess neonate for withdrawal symptoms