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38 Cards in this Set
- Front
- Back
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how much folic acid needed?
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4 mg
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Neuro: tremors, irritability, increased wakefulnes, hi pitched cry and M. tone, hyperactive DTR, exaggerated moro, sz, yawning, sz
Gi: poor feed, increased sweat, nasal stuffiness; temp instability; what's diagnosis |
neonatal abstinence syndrome - mom on opiates
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when do you start baby on meds for neontal abstinence syndrome?
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If finnegan score > 8; D/c home at least 5 days > birth
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mec aspiration/obstructin of airways --> hypoxemia, pulm vasc contsriction --> pulm htn; braady, perinatal asphyxia
-hypoxia w/ pre/post ductal sats (94/80%); R--> L shunting; near post term babies; cyanotic @ birth |
PPHN;
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CXR of PPHN
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CXR: hyperinflated ungs w/ patchy infiltrates, varying degrees of atelectasis
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~ PROM, chorioamnionitis w/ subsequent RDS; GBP
CXR: diffuse consilation |
PNA
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lung immaturity
h/o preterm CXR: ground glass densititeis, alveolar atelectasis, air bronchograms |
RDS - due to surfactant deficiency
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tx of RDS
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O2, ventilate; if severe --> BPD
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what's histology of BPD show?
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inflammation/fibrosis;
CXR: hyperinflation w/ atelectasis |
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most common cz of resp distress in NB
-delayed removal of fetal lung fliud ~ Csection babies CXR: streaky perihilar shadows caused by dilated lymphatics or visible fluid denisties w/in intralobar fissures |
TTNB
resolves over time |
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inlfammatory response w/in the lungs;
CXR: hyperaeration, consolidation; patchy opacification |
Mec aspiration
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what meds given to mom can lead to baby having resp depression, intubation; but improves neuro outcome?
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magnesium (tocolytic )
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waiter's tip, good grasp, what nerves/name?
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Erbs: C5,6
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clawhand, worse prognosis, no grasp ~ horner;s what nerves/name?
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Klumpke's/claw hand: C7,8,T1
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What APGAR stand for
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appearance: blue all; blue ext, all pink
Pulse: none, < 100, > 100 Grimace: none, +; cry or sneeze Activity (Tone): limp; some flexion; active Resp: none, slow irreg, good and crying |
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What fliuds do you give to premie (VLBW) to prevent hypoglycemia?
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D10 in first 24 hours, then add lytes;
- goal gluc > 50 mg/dL goal 4-6 mg/kg/min |
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extrinsic forces -->affect developement over time: called?
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deformation: twins w/ torticollis, varus feet
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destruction?
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disruption: amniotic bankds
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intrinsic porbs in developement of tissue
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malformation
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decreased fetal movement ~ CNS, neuro d/o
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fetal akineseia
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? hearing tests checks function of peripheral N.S.: deosn't detec neural dysfxn ~ auditory N and brainstem
-measures sensory hearing loss |
OAE: otoacoustic emission
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checks sensory loss and neural dysfunction;
checks neural activity in cochlea, audtiory nerve and brainstem in response to stimulus |
ABR
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cicatrix scarring, zigzag rash on dermatome
**short hypoplastic malformed extremeiteis, microcephaly, microphtlamia, cataracts, chorioretinitis, limb deformations in baby; what dx? |
cong varicicella
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what's risk of varicella transmission?
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increased risk 5 days prior to deliver until 2 days after delivery
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when is cong varicella prognosis bad?
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if mom gets varicella during active labor: increased death risk of baby
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IUGR, cataracts (no red reflex); blueberry muffin rash; N. deafness, small eyes, HPM
-microcephaly; What and how dx? |
rubella w/ serology
h/o mom had F + rash w/ pregnancy |
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most babies: asymptomatic; * intracerebral calfx
#1 cause of sensirneural hearing loss, intelectual disablity; -HPSM, jaundice, petechaie/purpura, IUGR, purpura, microcephaly; what and how DX? |
CMV; urine cx, stool, csf or urine cx
-h/o mom w/ flulike illness |
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IUGR, ANEMIA*, jaundice, intracranial calcifx, hydrocephalus, microcephaly, chorioretinits,
**NO skin lesions** |
TOxo; no skin lesions vs CMV (petechia/purpura)
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define SGA
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wt < 2500
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when is prediction of school performance better determined?
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age 5
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cracked, dry peeling skin, creases over sole, long nails, no lanugo over back, palpable breast buds, stiff ear w/ ready recoil, rugated scroums;
labia majora in girls that cover minor and clitoris ? age of baby |
post term
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sniffles, sensorineural hearing loss, shins-periostal changes of long bones, scaling of palms/soles
HPSM, jaundice, macululopap rash |
Syphyllis: SSS: sniffles, Sensorniural hearing loss; shins, scaling
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red papules, pustules, scaling; hi M/M
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candidiasis
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PNA, conjunctivitis
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Chlamydia
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early onset 1st wk > birth; septicemia; PNA, mengigits, shock, hypoxic resp failure
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GBS (s. agalactiae)
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what are risk factors for DDH?
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female, breech, + FH
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how dx baby with DDH < 6 mo, > 6 mo?
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< 6 mo: U/s
> 6 mo: xray |
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tx of DDH < 6 wks, > 6 wks?
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< 6 wks: pavlik harness; > 6 wks: sugery
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