General paediatrics

Question 1

What is a normal neonatal weight loss in the 1st week of life and why?

Answer 1

10% of birth weight
Osmotic diuresis and meconium

Question 2

What is a normal weight gain/day for first 3 months of life?

Answer 2

30grams

Question 3

What is normal average intake for a neonate?

Answer 3

60-90ml/feed
OR
10mins/breast every 2-3hours

Question 4

What is a “normal” number of wet nappies and stools for a neonate?

Answer 4

10 WNs/day
1stool/day - 1 stool/week

Question 5

What are normal neonatal obs?

Answer 5

HR 160-200
SBP 60-90
Sats 94-100%

Question 6

What are the four leading causes of neonatal mortality in Australia?

Answer 6

Congenital malformations
Disorders of low birth weight/prematurity
SIDS
Maternal complications

Question 7

What are the classifications of birth weight?

Answer 7

SGA (small for gest age)
IUGR
Low birth weight <2500grams
Very low birth weight < 1500grams

Question 8

How is IUGR defined?

Answer 8

Wt <10th percentile for gest age + abdominal circumference <2.5th percentile
Has to be <2500grams
30% of IUGR is pathologic

Question 9

Which strep species causes GBS?

Answer 9

Strep agalactiae

Question 10

What are the two types of GBS?

Answer 10

Early (1st week): sepsis | pnuemonia | meningitis

Late: Meningitis more common

Question 11

What antibiotics can be used for GBS?

Answer 11

Gentamicin
+
Ampicillin