NEONAT Flashcards
Anemia in a newborn is defined as:
a. Hbg below normal values in healthy individuals
b. RBC below normal values in healthy individuals
c. Platelets below normal values in healthy individuals
d. RBC as well and destruction of WBC
Hbg below normal values in healthy individuals
When does physiologic anemia of infancy occur?
6-8 weeks
What is the manifestation of anemia in the newborn period?
Pallor
In patient with anemia, at what hemoglobin level do clinical findings become apparent?
<7
Patient is lethargic, anorexic and systolic murmur. Most likely the hemoglobin levels dropped to what level?
5
What is the condition in which a patient compulsively eats items that have no nutritional value seen in patients with iron deficiency anemia (IDA)?
pica
Louie, who has iron deficiency anemia, is irritable and has poor appetite, his Pediatrician gave iron oral supplements, when will his condition improve?
12-24 hours
What is the normal survival time of red blood cells?
110-120 days
Which of the following best describe as an early onset of neonatal infection?
a. Occurs in the first week of life
b. Organism acquired in the hospital
c. Present with candidemia
d. Manifest with malignant hyperthermia
Occurs in the first week of life
Which of the following best describe as an late onset of neonatal infection?
a. Occurs around 6 weeks of hospital stay
b. Occurs in the organism acquired in the post natal period
c. Included organism acquired transplacentally
d. Infection can be acquired from maternal UTI
Occurs in the organism acquired in the post natal period
What are considered sensitive indications of sepsis tend to be late findings?
Poor perfusion and hypotension
Most effective prevent strategy for prevention of NEC.
Human Milk
Which is diagnostic radiologic finding for NEC?
Pneumatosis intestinalis
A 3 day old infant was transferred and room in with the mother from NICU after observation for TTN. Her condition improved and now for room in with the mother. The pediatrician now requests direct breastfeeding as shown below. How will you assess the attachment?
Poor attachment
A Filipino newborn baby boy 38 weeks neonatal age delivered via CS from an uncontrolled diabetic mother. He weighs 4000g, length of 52cm and head circumference of 40, has ____. (Plot the anthropometric measurements to the chart)
Large for gestational age
Correct positioning of breastfeeding will be:
a. Ear, shoulder and hip will be straight line
b. Baby’s head facing mothers arm
c. Tummy of mother touches with chest of baby
d. Mothers breast is well supported
Ear, shoulder and hip will be straight line
Newborn baby born from a low risk mother. What should be the appropriate procedure to performfirst health worker /physicians do after birth.
Put the baby on mother’s chest and dry the baby
According to EINC program when is the best time to cut or clamp the umbilical cord of the newborn without complications?
when cord pulsation stops
All of the following are early cues for early feeding, EXCEPT
a. Stirring
b. Rooting
c. Mouth opening
Stirring
A senior medical clerk attended a delivery of full term neonate due to cephalopelvic disproportion. After immediate and thorough drying. What will be the next step in EINC guidelines?
Cord clamping
Baby girl c born in an uncontrolled diabetic mother. What are the laboratory parameters monitored with infant with diabetic mother.
Capillary blood glucose
Route of administration of BCG Vaccine
Intradermal
An intern assisted the resident pediatrician in receiving a normal spontaneous vaginal delivery. The mother had no maternal illnesses and comorbidities. The newborn neonate had a good cry but was noted to have tachypnea and subcostal retraction shortly after birth. The ballard score was at 32 weeks AOG. What was the cause of the respiratory distress of the neonate?
RDS
Where is the most ideal site to administer the Hepatitis B vaccine in newborns?
anterolateral aspect of the vastus lateralis muscle