Neonatal Care

Question 1

Vacuum assisted delivery produces what kind of head injury?

Answer 1

Cephalohematoma (subperiosteal bleed)

Question 2

Maculopapular rash that evolves into pustules on erythematous base

Answer 2

Erythema toxicum neonatorum - reassurance only

Appears at birth-3 days, resolves within a week

Question 3

Erythematous, papular rash on occluded and intertriginous areas

Answer 3

Miliaria rubra - avoid overheating

Occurs at any age but not at birth

Can use topic steroids if severe

Question 4

Firm, white papules on face at birth

Answer 4

Milia - resolves within a month on its own

Question 5

Diffuse, nonerythematous pustules -> hyperpigmented macules with collarette of scale

Answer 5

Neonatal pustular melanosis - pustules resolve in days, hyperpigmentation in months

Question 6

Erythematous papules and pustules on face and scalp only

Answer 6

Neonatal cephalic pustulosis - resolves in weeks to months

Occurs at 3 weeks of age

Can use topical steroids or ketoconazole if severe

Question 7

Where does seborrheic dermatitis appear besides scalp?

Answer 7

Eyebrows, retroauricular areas also have yellow, greasy scales

Also, confluent erythema glistening without oozing - seen in skin folds and umbilicus

Question 8

Contraindication to pertussis vaccine

Answer 8

Encephalopathy within 7 days of previous

Question 9

Rotavirus vaccine contraindication

Answer 9

Hx of intussusception and SCID

Question 10

CD4 requirement for MMR and Varicella

Answer 10

200; even if >200, do not give other live vaccinations

Question 11

Vaccine cautions with egg allergies

Answer 11

MMR, influenza - observe closely
Yellow fever also

Question 12

When to treat for lead poisoning

Answer 12

Venous blood lead 45-69 - start oral succimer and retest within 48 hours
If >70, hospitalize and start succimer + CaNa2EDTA, retest within 24 hours