Lab 9/27 Flashcards
Which of the following isn't typically a problem of term infants? A- jaundice B- NEC C- Pneumonia D- Birth Trauma
B- NEC
Infant presents with SGA, microcephaly and a large liver on palpation. You see severe anemia on the infants lab. What do you suspect A. VZV B. CMV C. Syphilis D. Parvo B19
D. Parvo B19 (unique for having anemia)
What does CMV have that other TORCH infections don’t?
calcifications in the brain
For TORCH infections what lab should you get?
IgM
For CMV how could you test for it?
Urine test
Why don’t you do IgG’s for infants?
IgG means you had it previous (and these cross the placenta).
IgM means you are currently experiencing it, only made by the baby
Lack of red reflex on right eye, notice a grayish white opacity of the lens on the right. What does this most likely represent? A. congenital cataract B. retinoblastoma C. papilledema D. coloboma
A. a congenital cataract
What reflex does retinoblastoma give you?
White reflex
What is a coloboma?
Pupil is misshapen, looks like a cat’s eye
When considering a workup for early onset sepsis in a newborn, which of the following is least likely? A. GBS sepsis B. GBS meningitis C. E. Coli Sepsis D. E. Coli UTI
D. E. Coli UTI (gut and urine are sterile at birth, takes about a week to colonize)
Which of the following difficulties w/ delivery may result in facial nerve injury or paralysis? A. Vacuum injury B. Forceps injury C. Shoulder distocia D. Breech delivery
B. Forceps injury
What is the palsy name for when the brachial plexus is injury
Erb’s palsy
From shoulder distocia what nerves can it affect?
Vagus
Left recurrent laryngeal
phrenic
Which of the following teratogens leads to withdrawal symptoms in an exposed fetus/ infant? A. Opioids (heroin, methadone B. Alcohol C. Cocaine D. Methamphetamines
A. Opioids (heroin, methadone)
Breast milk lacks which of the following nutrients A. Vit K B. Iron C. Protein D. Vit D
Vit D (have breast fed babies take supplements)
The AAP recommends formal vision and hearing testing at what age? A. 6 mo B. 2 years C. 4 years D. 6 years
C. 4 years
Which of the following development findings is abnormal?
A. 5 months old that can’t sit up w/o support
B. A 16 month old that is not yet walking
C. A 24 month old that says 2-4 word phrases
B. A 16 month old that isn’t walking yet (causes- cerebral palsy, being carried everywhere, lack of vision)
What is Synagis for?
RSV; it is an immunoglobulin (give it preventively)
only given during RSV season and people at high risk of developing RSV w/ moderate to severe symptoms (normal newborn baby doesn’t need this)
What babies need Synagis?
Heart problems
Cystic fibrosis
other high risk problems
Is Synagis a treatment?
No, it helps prevent RSV
8 hour old term infant with "lethargy, poor feeding, irritability". Find a pink, well developed female /w low tone, reactivity, and mild tachypnea. These symptoms are common with A. jaundice B. hypoglycemia C. PDA D. NEC
B. Hypoglycemia (have no energy)
30 min old term infant w/ respiratory distress (tachypnea, grunting, retractions)
Born to a 25 yo mom G2 P2 w/ PROM x 24 and fever during labor
bradycardia on baby during labor
Stat C-section
prenatal labs all negative/ normal
Prenatal vitamins, good prenatal care
What is the differential?
Pneumonia Pneumothorax TTN (transient tachypnea of newborn) sepsis (GBS, E.Coli) Meconium aspiration Pulmonary hypertension
What labs would you order for the infant w/ respiratory distress?
Chest X-Ray ABGs CBC Blood culture possible CSF blood sugar Urinalysis (older baby) Chem 7 (older baby)
Normal ABGs in infants?
pH 7.35
CO2- 40
O2- 52
Bicarb- 23
What does acidosis do?
heart weak
blood vessels clamping down
When a baby has pneumonia on 100% oxygen, should their SaO2 be really low?
No, it should be closer to normal
List some risk factors in an infant for pulmonary HTN.
sepsis
pneumonia
Which head injury is under the periosteum of the skill?
Cephalohematoma
Where is Caput succedaneum?
subcutaneous tissue
Does cephalohematoms or caput succedaneum resolve faster? Why?
Caput succedaneum because cephalohematoma is deeper, poorer blood supply
