EINC II & Physical Examination of the Newborn Flashcards

1
Q

3 Things to do upon arrival of Mother in the ER

A

CET

Antenatal counseling
Equipment check
Room temperature check (25-28 deg Celsius)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the STABLE program stand for?

A

blood Sugar
Temperature
Airway
Blood pressure
Labs
Emotional support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What should the newborn’s blood sugar be prior to rooming-in?

A

> 50 mg/dL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much water should be given to the newborn to achieve appropritate blood sugar level?

A

80cc/kg/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the allowable range of temperature for newborns?

A

36.5 to 37.5 deg Celsius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

True or False:

Infant must not be wearing any clothing during the exam

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the three factors to determine infant size?

A

Weight, Length, Head circumference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This is the most important factor to determine infant size

A

Weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Normal weight of a Filipino baby

A

2500 to 4000g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Normal length of a newborn

A

50 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the normal head circumference of a newborn?

A

35 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the normal head and chest circumferential difference in newborn?

A

±2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A newborn is said to be small for gestational age if he’s weight is:

A

less than the 10th percentile for infant’s gestational age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or False:

A newborn that is small for gestational age is at high risk of hypoglycemia due to less glucose stores since glucose
storage happens during the 3rd trimester

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 types of Intrauterine Growth Restriction?

A

Symmetric and Asymmetric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

This type of intrauterine growth restriction happens at the beginning of pregnancy (1st or 2nd trimester)

A

Symmetric

  • head of infant is proportional to its body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

This type of intrauterine growth restriction still allows the infant to have a head circumference larger than the body

A

Asymmetric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The brain becomes fully developed at which trimester of pregnancy?

A

Second trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Infants who are large for gesational age weigh:

A

greater than the 90th percentile for gestational age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following is not characteristic of an infant that is Large for Gestational age?
A. usually seen in infants of a diabetic mother
B. from those with family that is genetically bigger than most average people]
C. observed in infants with hypertensive mothers
D. High risk for hypoglycemia due to increased ulitization and demand for glucose
E. NOTA

A

C. is characteristic of small for gestational age babies

21
Q

These are twins with one bigger than the other due to twin-to-twin transfusion

A

Discordant twins

> 20% weight difference and >20% hemtocrit difference

22
Q

An infant should be presumed to be at high risk for mortality or morbidity if a discrepancy exists between the estimation of gestational age by:
A. PE
B. Mother’s LMP
C. fetal US evaluation
D. Both A and C
E. All of the above

A

E. All of the above

23
Q

This is the most comonly used to in assessing the gestational age at birth

A

Ballard scoring system

24
Q

The New Ballard Score is used to determine the gestational age at birth through _____________________ and ____________________ of a newborn infant

A

Neuromuscular and Physical assessment

25
The New Ballard Scoring system is most reliable when performed before the ______________ hour of life, although the test can still be done after.
before the 12th hour of life
26
What are the Physical components under the Physical Maturity of the Ballard Exam?
"So Long, Pork & BEEF Meat" Skin Lanugo Plantar surface Breast Ears Eyes Female genitals Male genitals
27
This protective covering of newborns normally thickens, dries, and becomes wrinkled and/or peels, and may develop rashes as featl maturation progress
vernix caseosa
28
Lanugo begins to appear at ________ week of gestation?
24-25th week
29
The first appearance of a crease appears on the _______ sole at the ________ of the foot
anterior sole at the ball of the foot
30
How to measure the heel-toe distance?
Place the infant’s foot on a metric tape measure and note the distance from the back of the heel to the tip of the great toe.
31
What is the Ballard score for a heel-toe distance of less than 40 mm?
-2
32
What is the score for thinning lanugo?
2
33
What is the score for plantar surface with anterior transverse crease
2 *32 weeks; crease at anterior 1/3
34
Breast tissue is stimulated to grow by which hormones?
maternal estrogens
35
Fatty tissue of the breast is dependent upon fetal __________ status
nutritional status
36
This condition of enlarged breast in neonates presenting on the 2md to 4th day of extrauterine life due to maternal estrogen effect
Neonatal Gynecomastia
37
What is the score for Flat areola with no bud?
1
38
In addition to the cartilage and stiffness of the ear pinnae, the state of ______ development is also an indicator of fetal maturation
eyelid
39
Score for loosely fused eyelids
-1
40
Score for a formed and firm pinnae with instant recoil
3
41
Which parts of the female genitalia are noted for the Ballard scoring?
Clitoris Labia minor Labia majora
42
Degree of hip abduction when checking for the appearance and size of female genitalia
45 degrees
43
Ballard score for Major covering clitoris and minora
4
44
When does the fetal testicles begin to descend from the peritoneal cavity into the scrotal sac?
30th week of gestation
45
The left testicle precedes the right and usually enters the scrotum during the _____ week of gestation
32nd
46
Testicles found inside the ______________ zone are considered descended
rugated zone
47
This is the most common genital problem encountered in pediatrics
cryptorchidism
48
Total Body Muscle Tone is reflected in: A. the infant's preferred posture at rest B. resistance to stretch of individual muscle group C. resistance to force onto gross muscle groups D. A and B E. All of the above
D. A and B