5-17

Question 1

newborn w/ small gestational age, small palpebral fissures, short nose, strabismus, VSD,

Answer 1

fetal alcohol syndrome

Question 2

neonatal sepsis can do what in newborn w/ jaundice?

Answer 2

sepsis can interrupt the BBB -> bili into brain tissue -> kernicterus

Question 3

baby that becomes cyanotic during feedings, nml after

Answer 3

check for choanal atresia w/ NG tube in each nare

Question 4

tx for newborn (>2 days) w/ exposure to VZV vs <2 days

Answer 4

continue nml care vs VZIG if <2 days old

Question 5

apt-downey test

Answer 5

distinguishes maternal from fetal blood

Question 6

infant born to diabetic mother, hypoglycemia now under control, now with twitching, sweating, irritability.

Answer 6

Hypocalcemia

Question 7

findings of ABO hemolytic dz of the newborn

Answer 7

high retic count, nucleated RBCs + microspherocytes, positive direct coombs test

Question 8

newborn w/ new onset feeding intolerance, hard/distended abdomen, XR w/ distended loops of bowel + air in bowel wall

Answer 8

necrotizing enterocolitis - tx w/ bowel rest, NG decompression, abx if no bowel perf

Question 9

tx for galactosemia

Answer 9

d/c breastfeeding, initiate soy formula feedings

Question 10

tx for newborn w/ broken clavicle after forceps-assisted delivery

Answer 10

supportive care - normally heals well on its own

Question 11

large newborn w/ arm internally rotated + pronated

Answer 11

injury to C5/C6

Question 12

newborn w/ nml initial exam, followed by positive fluid wave over scalp

Answer 12

subgaleal hemorrhage - transfer to ICU