CPS- NICU Flashcards
what is the lifetime prevalence of MDD
11%
what are impacts of maternal depression.anxiety on bb
SGA, preterm, increased NICU admission, lower rates of breastfeeding
what has paroxetine been associated with
anencephaly, ASD, RVOT, gastroschisis and omphalocele
what has fluoxetine been associated with (birth defects)
RVOTO and craniosynostosis
what CHD is associated with SSRI use
TOF and ebsteins
kernicterus
pathologyical findings of deep yellow staining of neurons and neuronal necrosis of the basal ganglia
acute bilirubin encephalopathy
clinical syndrome in the presence of high bili with lethargy hypotonia and poor suckj that may progress to hypertonia with opisthotonos and retrocollis with high pitched cry and fever and eventually to seizures and coma
chronic bilirubin encephalopathy
clinical sequelae of acute encephalopatht with athetoid cerebral palsy, with or without seizures, developmental delay, hearing deficit, oculomotor disturbances, dentla dysplasia and metanl deficiency
severe hyperbili cut off
bili over 340 anytime during first 38d
critical hyperbili cutoff
425
what percent of term newborns develop jaundice
60%
What % of infants born to moms with GBS + without antibiotic phorphylaxis will get sepsis
1-2%
what is alternative to pen for allergy for GBS prophylaxis
clinda if GBS is suceptible to it, vanco if resitant
These are NOT adequate prophylaxis because they haven’t been studies
what is adequate GBS proph
1 dose 4h before delivery of pen or amo
cefazolin if soft allergy
do you need gbs proph for c section
no
does gbs proph decrease late onset sepsis
NO
what white count is abnormal in CSF for term infants
20-25<
should you do urine cultures for neonates with sepsis work up
no, low yield same for gastric aspirates and body surface cultures
what on cbc is most associated with sepsis
low WBC
high or high IT ratio less so
likelihood of detecting sepsis based on WBC count improves after 4h of life
what is the incidence of early onset sepsis in term infants with risk factors
1%
when can you discharge a bb whose mom was GBS + and received adequate proph
Anytime after 24h, no work up required
how to manage bb whose mom was GBS positive and received inadquate prophylaxis
risk is 1-2%
watch closely
discharge between 24-48h
CBC not helpful
what to do for bb whose mom had chorio
Monitor closely for 24h
used to say all should have cultures and antibiotics but moving away from that
how long to monitor late preterm before discharge home
48h
