Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Phase 2 PEDs > 2nd through > Flashcards

2nd through Flashcards

1
Q

Warning to f/u café-au-lait macule criteria?

A

> = 6
5mm
Not confined to single segment/region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pre-term infant defined?

Low vs Very low birth weight defined?

A

<38wk ga
LBW - <2500g
VLBW - <1500g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

APGAR stands for?

A 
Appearance/Pulse/Grimace/Activity/Resp
H - HR
R - RR
M - Musc
R - Reflex
C - Color
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Care for newborn based upon Heart rate?

A

HR
>100 - Routine care
60-99 - Ventilation
<60 - Ventilation + Chest compressions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is normal response of neonate to hypoxia?

A

Tachypnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nursery care vitamins supplementation?

And breast vs formula?

A

Vit D - 400/d for Breast fed infants

Iron - Breast fed - Begin at 4mo and Formula fed - none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Neck cysts/bulges?

A

Anterior midline = thyroid
Anterior to SCM = brachial cleft cyst
Posterior to SCM = cystic hygroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Weak pulses may indicate what cardiac finding?

A

Aortic stenosis - low CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bounding pulses may indicate what cardiac finding?

A

PDA - high CO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pathologic murmurs?

A

Holosystolic - continuous - harsh murmur
Grade 3 or higher murmur
Diastolic murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Congenital hip dysplasia screening?

A

U/S of hips after 6wk

  • Girls w/ positive family Hx
  • Breech presentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Elevated pulse pressure >40mmHg of newborn
OR
Decreased pulse pressure indicates?

A

PDA - Elevated

COA - Decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Reflexes gone by?

A 
Fencer - 3mo
Galant - 4mo
Rooting/placing - 4-6mo
Moro/Grasp - 6mo
Babinski - 12-18mo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Jaundice during 1st 24hr of life is normal? Y/N

A

NO!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

GBS positive mother - discharge protocol?

A
    • Infant have S/S of sepsis/infx? NO otherwise TXT
    • <35wks EGA? Yes = Eval+48d hold
    • Mom Abx 2 doses? Yes - no eval/48h - eval/48h
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TXT of Neonatal sepsis? Rx/duration?

A

(IV) Ampicillin+Gentamicin or Cefotaxime
+ Vancomycin - If late onset sepsis and/or meningitis
+ Acyclovir - If HSV

TXT until
1. Cx = 2. Sepsis - 14d 3. Meningitis - 21d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Attributes/Pathophys of Respiratory distress syndrome

A 
AKA - Hyaline membrane disease 
Insufficient surfactant by T-II pneumatocytes >
End-expiration atelectasis
MC - <34wk premmie
CXR - Bilateral ground glass
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PVT before birth AND TXT after birth for RDS?

A

Maternal CCS 32-34wks

Intubate AND artificial surfactant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Complications of RDS?

A

PDA - PG - Indomethacin/IBPRF to close
PTX - chest tube
Bronchopulm dysplasia- Vent-O2 toxicity/barotrauma
Retinopathy of prematurity - O2 toxicity on eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Apnea of maturity causes?

A

Central - Medulla/Pons don’t stimulate phrenic nerve

Periph - AW obstruction - malformation or positioning

21
Q

TXT of Apnea of maturity ?

A

O2
Stimulants - caffeine OR theophylline
Trxf - if anemic

22
Q

Breath sound of Tracheomalacia?

A

High pitch or Rattling/noisy breath sounds

23
Q

Meconium present during delivery indicates?

A

Stressed baby - (+- suction/intubation or PPV w/ PPV)

24
Q

CXR of Meconium aspiration syndrome?

A

Coarse irregular infiltrates

25
Q

CXR of Transient tachypnea of newborn?

A

Fluid in fissures

26
Q

MC population to see Transient tachypnea of newborn?

A

C-section or LGA

27
Q

Causes of respiratory distress in newborn?

A

Sepsis/Pneumonia
MAS > PTX
Transient tachypnea
CHD - (PDA)

28
Q

Pulm HTN classifications/causes?

A

Primary - Hypoxia w/ ABNL heart/lungs
Non-primary - L>R shunt (PFO/PDA)
Inherited, autoimmune, Rx

29
Q

Hyperbilirubinemia is defined as?

A

> 5mg/dL

30
Q

Kernicturus Bilirubin levels?

A

Nl Term infant >20-25

Premmie or Stessed term infant (sepsis etc. +- <20

31
Q

ABNL levels of Bilirubin during 1st days of life?

A

> 13mg/dL 1st day of life in term infants
Rate rise >0.5/h –OR– >5mg/dL/d
Onset of jaundice during 1st/24h of life

32
Q

NL bilirubin levels during 1st days of life?

A

TERM - <12 on day 3 –OR– up to 17 if breast fed

PRE-T - <15 on day 5

33
Q

When does jaundice become evident per bilirubin levels?

A

5-6mg/dL

34
Q

1st areas jaundice begins?

A

1st - Under tongue > Sclera

35
Q

F/U timing per discharge of jaundice infant?

A

Discharged - F/U
<24h - 72h
24-48h - 96h
48-72h - 120h

36
Q

Difference between -
B. feed Jaundice
vs
B. milk Jaundice

A

B. feed Jaundice
- supply issue (synth/intake) 1st wk but also decreases gut motility - MC in 1st time mom

B. milk Jaundice

  • Fatty acid unconjugates bili from albumin +- increases intestinal bili reabsorption occurring after 1st week lasting 1-2w
  • labs - increased unconj bili <20 - W/OUT hemolysis
37
Q

Gross motor - red flags of development?

A

Hypertonia = Rolling prior to 3mo
Hypotonia = Poor head control at 5mo / cant sit 7mo
Neuro d/o contralateral side = Hand dominance <18mo

38
Q

Language - red flags of development?

A 
Cant vary voice @ 4mo
Cant babble/localize sound @ 6mo
No true words/gestures by 15mo
No pointing by 18mo
<50% intelligible speech by 2yr
39
Q

Anemia screening is at what age?

A

4mo - high risk

12mo

40
Q

Lead screening is at what age?

A

12 and 24mo

41
Q

When is immunizations post-poned in premature infants?

A

Hep B - <2000g and mom is HBsAg NEG > Give Hep B at 1mo

42
Q

Counterindications of Immunizations?

A

Hx of anaphylaxis
No live vaccines: x-imm states or pregnancy
Mod to Severe illness (Not related to previous imms)
Egg Allergy (flu or yellow fever)

43
Q

Car safety age?

A

2yr > front facing > booster seat at 4ft 9in and 8-12yo

<13yo = in backseat

44
Q

When to refer child for plagiocephaly?

A

No improvement by 4-6mo

45
Q

Nutrition in infants? stool habits.

A

Breast milk - only source until 6mo - 8-12 feeds/d

6-8 wet diapers, >=4 loose stools/day

46
Q

Aboslute CI to breastfeeding

A

Lithium, radioactive compounds,
Anti-cancer/immune/thyroid
ETOH/Drugs
Infections - HIV, Active TV, varicella, H1N1, HSV of tit

47
Q

When should a child be a diet for obesity?

A

> 3yo

48
Q

Teeth grow in what order?

A

Low, up, lateral incisors

49
Q

Max amount of cow milks/day?

A

24oz/d

Phase 2 PEDs (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions