2week old w/ lethargy

Question 1

How do you know if a baby is getting enough milk

Answer 1

8-12 breast feedings and 6 heavy wet diapers

Question 2

vitamin K: fat-soluble vitamin needed for coagulation to prevent

Answer 2

hemorrhaghic disease of the newborn (GI/ CNS bleeding)

Question 3

a large fontanelle could be associated with what conditions

Answer 3

skeletal disorders
chromosomal abnormalities
hypothyroidism
malnutrition
increased intracranial pressure

Question 4

A small fontanelle could be associated with what conditions

Answer 4

microcephaly
craniosynostosis
hyperthyroidism
normal variant

Question 5

Classic congenital adrenal hyperplasia presents with what lab values?

Answer 5

low Na, high potassium

Question 6

When does congenital hypothyroidism typically present and why?

Answer 6

usually around 6 weeks old presents w/ feeding problems, large fontanelles, hypotonia, large tongue, coarse cry, and frequently w/ an umbilical hernia. Also constipation. This is because around 6 weeks the circulating maternal thyroid hormone is depleted.

Question 7

OTC deficiency is detected with what lab test

Answer 7

elevated urine orotic acid and elevated ammonia in the blood

X-linked

Hepatomegaly, mental status changes, hyperammonemia