Lisa Nicu 3 - 13

Front 1

this head bleed causes edema to CRoss suture lines, overlie occipital bones and portions of parietal bones bilaterally
Palpation: non-pitting swelling; whats dx and tx?

Back 1

Caput Succednaeum: crosses sutures
-no therapy, spontaneous resolution w/ in few days

Front 2

collection of blood within scalp extending under epicranial aponeurosis (sandwiched b/w Epicranial aponeurosis and periosteum)
-Palpation: boggy due to palpated clotted blood under epicranial aponeurosis

Back 2

Subgaleal hematoma; most dangerous; watch for hypovolemia, check for serial hct/ monitor blood los

Front 3

head bleed under periostom, usually U/L, can b B/L;
borders are limited by suture lines
Palpation: border may feel elvated, center depressed (2 bumps )
risk of ?

Back 3

cephalhematoma;
-slow course; risk of jaundice, from breakdown/resorption of blood
complx: cysts

Front 4

bleed under skill

Back 4

extradural

Front 5

how do you treat a fractured clavicle in NB?

Back 5

immobilize ipsilateral limb and shoulder w/ elbow flexed 90 degrees and dc when callus is palpable at 8-10 days

Front 6

most common N. damage due to forceps trauma or compression, decreased facial movement on side of palsy, eyelid elevation, flat nasolabial folds, drooped side

Back 6

U/L facial N palsy

Front 7

wiater's tip; baby's arm hangs limply adducted, internally rotated, what nerves?

Back 7

C5,6,7; upper spinal segments, Erb's; good prognosis

Front 8

claw hand,

Back 8

worse prognosis; Klumpke's C7,8, T1

Front 9

what defect is ~ with posterior parietal scalp; "punched out" lacks normal dermal elements ~ chromosomal anomalies ~ T13, but can be in normal infant

Back 9

ectodermal dysplasia

Front 10

F> M; breech, oligo, 1st born, superior capsular laxity, shalow acetubulum; what test? but not before ?

Back 10

hip dislocations; not before 2 wks; ortho consult 1 st 6 mo life

Front 11

when do u do surgery for hydrocele?

Back 11

> 6 mo or w/ inguinal hernia (communicating hydrocele)

Front 12

when do you repair umbilical hernia?

Back 12

u don't; spont resolution in first few yrs of life; > 3 yrs of life, then repair

Front 13

what factors r in Breast milk?

Back 13

Ig MAGD, immune modulating factors (lactoferrin, lysozyme, lactoperioxidase)

Front 14

why give supplemental formular w/ BM to premie?

Back 14

need increased protein

Front 15

what's most common complx of IDM? and others?

Back 15

septal defects;
-septal hypertrophy, coarc, truncus, TGA
-Others: small L colon, duodenal atresia, hdyronephrosis, NTD;
-low Ca, Mag, polycythemia; increased risk of cong anomolies
-no risk of neonatal sepsis

Front 16

IDM baby w/ tacypnea and hypoglcyemia, what do you do?

Back 16

CXR + pulse ox, r/o RDS

Front 17

asymptomatic infant of + GBS mom, who spikes a Fever postpartum, what do you do?

Back 17

nothing to baby since asymp

Front 18

symptomatic infant of + GBS mom, who spikes a Fever postpartum, what do you do?

Back 18

CBC, blood cx, and antbx

Front 19

what's def of PROM?
how many hrs is considered significant?

Back 19

ruptured amniotic sac not followed by onset of labor w/in 8 hrs;
- significant if > 18 hrs

Front 20

risk of ? if PROM > 36 wks vs ? risk < 36 wks

Back 20

chorioamniotis: PROM > 36 wks; GBS risk if < 36 wks

Front 21

short palpebral fissures, flat nasal bridge w/ epicanthal folds, microphtalmia w/ short palpebral fissures, thin vermillino border of upper lip, long upturned lip, smooth philtrum,

Back 21

Fetal alcohol syndrome

Front 22

hairy, microcephaly, hyperactive, developmental delay, septal defects

Back 22

Fetal alcohol syndrome

Front 23

CNS abnl, vasoconstriction-->placental abruption, PVL (periventricular leukomalacia);
SIDS, neurobehavioral probs
-vascular obstruction --> cerbral infarction, urogenital anomlies, limb reduction defects

Back 23

Cocaine

Front 24

Low BW baby ~ ;
and it's w/drawal sx in baby: poor feeding, increased tone, and sleep abnl****

Back 24

methamphetamines

Front 25

IUGR, decreased wt, increased risk of placental abruptino/insufficiency, misscarriage;
-increased risk: asthma, OM, HTN, sids, premie, cleft lip/palate, CV defects

Back 25

Smoking

Front 26

preterm abruptino, IUGR, preterm labor

Back 26

opiates

Front 27

w/drawal of this drug causes tremulsousness, convulsions, sz, shrill cry and what's tx?

Back 27

opiates (mophine);
-tx: long acting opiates weaned over wks

Front 28

Seizures, stippled epiphyses of axial skeleton, smashed nose, nasal hypoplasia, IUGR, MR ~ upper airway obstruction--> trach

Back 28

Warfarin (S "WAR): sz, stippled, smashed nose

Front 29

hypertelorism, low nasal bridge, low set ears, epicanthal folds
Cardiac: PDA,
ext: SHORT fingers, NAIL HYPOPLASIA, hip dislocation

Back 29

Phenytoin (funny facies); Fetal anti-convulsant sondrome; -carbamezapine;
PHB

Front 30

myelomeningocele, midface abnl, narrowed bifrontal diameter; hi forehead w/ epicanthal folds, midface hypoplasia w/ small mouth w/ risk of cleft lip/eye probs

Back 30

Valproic acid: cardiac, limb, renal, NTD

Front 31

ebstein's anomaly; hypothroid goiter, cyanosis, hypotonia, nephorgenic DI

Back 31

lithium

Front 32

thymic and aortic probs; CNS abnl, ear/clefting abnl

Back 32

Vitamin A tox/retinoids

Front 33

vaginal/cervical adnocarcinoma

Back 33

DES

Front 34

Rental tubular dysplasia, IUGR

Back 34

ACEI

Front 35

bone/teeth stianing

Back 35

tetracyclines

Front 36

limb abnl, phocomelia/ear hypoplasia; deafness

Back 36

thalidomide

Front 37

goiter, aplasia cutis

Back 37

thyroid meds: methimazole, PTU, iodine def

Front 38

which drug causes increased tremulous activity, decreases bili concentration

Back 38

Phb

Front 39

craniofacial : depressed nasal bridge, b/l microtia, ocular hypertelorism;
Cardiac: T. arteriosus
CNS: hdyrocephalus
Face: cephaly, cleft palate

Back 39

retinoic acid : accutane embryopathy

Front 40

lethagy, hypotonia, resp depression ;risk for meconium plug syndrome (decreased GI motility)

Back 40

increased Magnesium (mag sulfate used in pregnant mom for HTN)