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11 Cards in this Set
- Front
- Back
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which mothers get GBS prophylaxis? |
previous baby with GBS disease GBS any time during current preg GBS + screen at 35-37 wks unknown GBS at labor + <37wk, fever, ROM>18h, or intrapartum NAAT + FOR gbs |
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nonreassuring fetal patterns |
fetal tachycardia fetal bradycardia saltatory variability (oscillations >25bpm) variable decels associated with nonreassuring pattern late decels with preserved beat to beat variability |
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ominus fetal patterns |
persistent late decels with loss of variability nonreassuring araible decels with loss of variability prolonged severe brady sinusoidal pattern
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what causes early decels? variable? late? |
early - fetal head compression during uterine contraction variable - compression of umbilical cord late - ominous! uteroplacental insufficiency |
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size of ETT based on weight |
<1.5kg - 2.5 1.5-2.5kg - 3 >2.5kg - 3.5 |
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difference between caput succedaneum and cephalohematoma |
caput - will cross suture lines because external to periosteum, nonpitting, edema and fluid from labor
cephalohematoma: blood under periosteum, does not cross suture lines |
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firm fluctuant swelling over scalp extending posteriorly to the neck or front of ears |
subgaleal hemorrhage; bleeding beneath scalp aponeurotica |
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what is choanal atresia associated with? |
CHARGE syndrome
coloboma heart disease atresia chonae retarded growth and development genital anomalies ear anomalies |
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protruding tongue with small mouth +/- cleft palate |
pierre robin |
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differential cyanosis, greater o2 sat in upper body |
classic for PPHN due to right to left ductus arteriosus shunting |
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contraindications for indomethacin use in treatment of PDA |
nec Cr > 1.6 UOP <1ml/kg/hr bleeding (h/o IVH okay) platelets <50k |
