Neonatal sick term

Question 1

definition of neonate

Answer 1

First 28 days of life

Question 2

What is tone

Answer 2

amount of tension/resistance in the muscles

Question 3

why if mum is diabetic then the baby will likely be hypo when it is born?

Answer 3

Due to the availability of glucose when they were int he womb

Question 4

Define the apgar score

Answer 4

Appearance, pulse, grimace(reflex irritability), activity(muscle tone) , respiration

Question 5

Normal Resp rate for a baby

Answer 5

40-60 mins

Question 6

What does ABCDEFG represent in first exam of baby

Answer 6

airway, breathing, circulation, dont ever forget glucose

Question 7

What is the most likely bacteria to cause a sepsis in a neonate

Answer 7

Group B strep

Question 8

Which viral infection is important to consider in the neonate?

Answer 8

Cytomegalovirus

Question 9

What is an important sexually transmitted disease to consider

Answer 9

Syphilis (important to prevent congenital infection)

Question 10

What are some clinical signs of Resp distress?

Answer 10

Tachypnoea, recession, grunting blue, low sats

Question 11

How common is TTN?

Answer 11

Term babies that were delivered by Caesarean, due to delay in clearing lung fluid.
usually clears into intersitium then lymphatics

Question 12

What common X-ray sign is there in TTN

Answer 12

Horizontal fissure being very clear to see - on the right lung

Question 13

What is TTN dependant on?

Answer 13

Sodium channels being active (activated by adrenaline)

Question 14

What test can be done to see if there is a pneumothorax in newborn baby?

Answer 14

transillumination - light pointed at baby (light spreads too well)

Question 15

What can meconium aspiration cause?

Answer 15

airway obstruction, inflammation and surfactant destruction

Question 16

Why does therapeutic hypothermia exist?

Answer 16

To cool the baby down to limit brain damage

Question 17

What id rhesus disease?

Answer 17

mismatch between rheusus factors, mum will have antibodies that attack babies blood which leads to a haemolysis therefore increasing overall bilirubin so will be the most likely cause of jaundice that appears within the first few hours of birth

Question 18

What are some potential cardiac problems with a baby?

Answer 18

Tetralogy of fallot - big vsd - pulmonary stenosis
Tranposition of great arteries - aorta and great arteries swapped
Coarctation of aorta - narrowing in aorta
TAPVD
Hypoplastic heart