CPS- NICU

Question 1

what is the lifetime prevalence of MDD

Answer 1

11%

Question 2

what are impacts of maternal depression.anxiety on bb

Answer 2

SGA, preterm, increased NICU admission, lower rates of breastfeeding

Question 3

what has paroxetine been associated with

Answer 3

anencephaly, ASD, RVOT, gastroschisis and omphalocele

Question 4

what has fluoxetine been associated with (birth defects)

Answer 4

RVOTO and craniosynostosis

Question 5

what CHD is associated with SSRI use

Answer 5

TOF and ebsteins

Question 6

kernicterus

Answer 6

pathologyical findings of deep yellow staining of neurons and neuronal necrosis of the basal ganglia

Question 7

acute bilirubin encephalopathy

Answer 7

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

Question 8

chronic bilirubin encephalopathy

Answer 8

clinical sequelae of acute encephalopatht with athetoid cerebral palsy, with or without seizures, developmental delay, hearing deficit, oculomotor disturbances, dentla dysplasia and metanl deficiency

Question 9

severe hyperbili cut off

Answer 9

bili over 340 anytime during first 38d

Question 10

critical hyperbili cutoff

Answer 10

425

Question 11

what percent of term newborns develop jaundice

Answer 11

60%

Question 12

What % of infants born to moms with GBS + without antibiotic phorphylaxis will get sepsis

Answer 12

1-2%

Question 13

what is alternative to pen for allergy for GBS prophylaxis

Answer 13

clinda if GBS is suceptible to it, vanco if resitant
These are NOT adequate prophylaxis because they haven’t been studies

Question 14

what is adequate GBS proph

Answer 14

1 dose 4h before delivery of pen or amo
cefazolin if soft allergy

Question 15

do you need gbs proph for c section

Answer 15

no

Question 16

does gbs proph decrease late onset sepsis

Answer 16

NO

Question 17

what white count is abnormal in CSF for term infants

Answer 17

20-25<

Question 18

should you do urine cultures for neonates with sepsis work up

Answer 18

no, low yield same for gastric aspirates and body surface cultures

Question 19

what on cbc is most associated with sepsis

Answer 19

low WBC
high or high IT ratio less so
likelihood of detecting sepsis based on WBC count improves after 4h of life

Question 20

what is the incidence of early onset sepsis in term infants with risk factors

Answer 20

1%

Question 21

when can you discharge a bb whose mom was GBS + and received adequate proph

Answer 21

Anytime after 24h, no work up required

Question 22

how to manage bb whose mom was GBS positive and received inadquate prophylaxis

Answer 22

risk is 1-2%
watch closely
discharge between 24-48h
CBC not helpful

Question 23

what to do for bb whose mom had chorio

Answer 23

Monitor closely for 24h
used to say all should have cultures and antibiotics but moving away from that

Question 24

how long to monitor late preterm before discharge home

Answer 24

48h