CLIPP 9 - hypothyroid Flashcards
1
Q
How much weight do babies lose in the first few days of life?
A
Average = 5.8% 2SD = 11-12%
2
Q
Signs of hunger in infants (4)
A
- increased alertness
- increased physical activity
- mouthing
- rooting
3
Q
suggested frequency of breastfeeding
A
every 2-3 hours
4
Q
Assessing feeding adequacy (3)
A
- weight gain
- wet diapers (3-5voids per day by 3-5 days of age)
- every 2-3 hours for 10-15 minutes per side
5
Q
Which babies get vitamin D?
A
-all breastfed infants, regardless of formula supplementatin
6
Q
lethargy signs
A
- failure of child to recognize parents or interact with environment
- significant sluggishness
7
Q
listlessness signs
A
-no interest in what is happening around them
8
Q
toxic appearing signs
A
appearance of pending physiologic collapse
9
Q
distress signs
A
working hard to maintain physiologic stability
10
Q
Large fontanel DDX (5)
A
- skeletal disorders (rickets, osteogenesis imperfect)
- chromosomal abnormalities (T21)
- hypothyroidism
- malnutrition
- increase ICP (NAT)
11
Q
Small fontanel DDX (4)
A
- microcephaly
- craniosynostosis
- hyperthyroidism
- normal variant
12
Q
sunken fontanel DDX (1)
A
-dehydration
13
Q
Bulging fontanel DDX (4)
A
- meningitis
- hydrocephalus
- subdural hematoma
- lead poisoning
14
Q
DDX infant poor feeding, decreased activity (10)
A
- CAH
- congenital hypothyroidism
- shaken baby syndrome
- T21
- sepsis
- inborn error of metabolism
- botulism
- HIE
- polycythemia
- hyperbilirubunemia
15
Q
Causes of congenital hypothyroidism (6)
A
- aplasia
- hypoplasia
- ectopic gland
- maternal autoimmune thyroiditis
- maternal antithyroid drug use (PTU)
- iodine deficiency
