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1 Peds > Eval Newborn > Flashcards

Eval Newborn Flashcards

1
Q

Obstetric hx

A

GBS (+ PNC given at delivery)
Syphilis/HIV serology
ETOH, smoking, IVDU
HTN, DM, chronic health issues
Coombs (increase jaudice) and Rh testing
Gestation age, LNMP, GTPAL, prenatal care

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2
Q

APGAR timing

A

1 min, 5min - scoring q5 min until 20 min or score +7

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3
Q

APGAR scoring

A

8 pts - mild risk

6-8 pts - impaired

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4
Q

APGAR components

A

0-2 for each category
A - appearance (cynotic, hands/feet cynotic, pink)
P - pulse (absent, 100)
G -grimace/reflex (nothing, grimace, cry
A - activity/muscle tone (limp, extreme flexion, active motion)
R - respiration rate (absent, gasping, good)

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5
Q

PE of newborn

A

gestational age, vitals, fonanelles, clavicales, sacral dimple, hearing test, anal patency, urethral opening red reflexes,
pulse ox > 5% BP > 15mmHg diff. btw arm/leg -> ductal dependent lesion

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6
Q

Neonate resusitation

A

Thermoreg - warmer or skin to skin
Stimulate - soles or rub back for beathing
Suction - clear airway
Initiate resp - bag mask, compressions

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7
Q

Delivery care

A

cut cord, dry w/ warm clothes, assess ABC, chest, abd, skin, genitalia, APGAR
wipe mouth/nose, suction as needed, skin to skin,

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8
Q

tonic neck

A

gone by 2 mo

jaw held to one side - leg and arm on turned side will extend and opposite will flex

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9
Q

Rooting

A

gone by 4 mo

stroking face -> head turned toward stimulus

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10
Q

DTR

A

should be present at birth

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11
Q

Palmar grasp

A

gone by 4 mo

finger in infant palm -> grasp

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12
Q

Startle (Moro)

A

gone by 4 mo

Drop head suddenly -> ABduction shoulders/elbows, spreading/extending fingers followed by ADDuction

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13
Q

Sucking

A

offered a nip and suck away

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14
Q

Placing

A

gone by 4 mo

dangle feet - w/ minimal touching of surface -> flexion or stepping response

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15
Q

Traction

A

pulled to sitting position, intial head lag -> midline -> head falls forward

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16
Q

Prophylactic Tx w/in 48 hr birth

A 
erythromycin in eyes (gonococcal) 
Vit K - prevent hemorrhagic dz 
Hep B vaccination  
Cord blood - Coombs testing 
Hypoglycemic - glucose 
Hct - anemia 
Test for PKU, galactosemia, sickle cell, hypothyroid, congeintal adrenal hyperplasia, CF
17
Q

Male circumcision

A

Prevents - phimosis, paraphimosis, balanoposthitis and UTI’s, reduces risk of penile CA, STI’s, cervical CA
Risk - local infxn, bleeding, surgical error, urethral injury

18
Q

Circumcision precedure

A

dorsal nerve block
Mogen - blind approach, not prefered (amputation)
Plastibell - suture looped around and tied to cut off blood supply w/in 7-10 days
Gomco - traps foreskin and scalpel run around upper surface

19
Q

neonatal jaundice - Eti

A

increased bilirubin w/in 1 wk d/t physiologic jaundice, prematurity, breastfeeding jaudice. excess production of bilirubin or decreased rate of conjugation

20
Q

neonatal jaundice - S/Sx

A

starts head -> chest -> extremities w/ rising levels - juandice, scleral icterus, orange mucosa, splenomegaly

21
Q

neonatal jaundice - W/u

A

transcutaneous bili screen w/in 24 hrs
prenatal maternal blood type, Rh, antibody
direct/indirect bilirubin level

22
Q

neonatal jaudice - Tx

A

transfusion, phototherapy, supplement w/ formula

23
Q

common newborn resp distress

A 
●	Bronchiolitis (RSV)
●	Diaphragmatic hernia
●	Prematurity
●	Aspiration PNA (esp. meconium)
●	Other Infection
cardiac vs. non-cardiac vs. resp. tract 
bronchopulmonary dysplasia 
persistent pulmonary hypertension 
respiratory distress syndrome (lack surfactant)
24
Q

common birth trauma

A

soft tissue bruising, fractures (clavicle, humerus, femur) cerival plexus palsies

25
Q

kids born addicted

A

increased irritability, stunted growth, premature/placental abruption
Fetal alcohol syndrome
hyperacvitiy, hypertonicity, high-pitched cry, tremors, seizures, vomiting, diarrhea, et loss, poor feeding, excessive salvation , nasal stuffiness, yawning, sweating, hyperthermia

26
Q

common prematurity issues

A

poor enteral intake, delayed stooling, increased enterohepatic circulation, short RBC life, hyperbilirubinemia

27
Q

Prenatal acquired infections

A

Transplacental
Birth canal
Hematogenous

Herpes simplex, Hep B & C, enterovirus infxn, HIV infxn

1 Peds (16 decks)

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