Neonatalogy

Question 1

Premature labor and rupture of membranes lasting > _______ hours is risk factor for neonatal sepsis

Answer 1

18

Question 2

Work up for sepsis in neonate/infant

Answer 2

CBC, blood culture, UA and urine culture, LP for CSF cell counts, glucose, protein, and culture

Question 3

Work up for HSV

Answer 3

HSV PCR from CSF/skin and LFTs fro infants who appear toxic

Question 4

Screen mother for GBS at ________ weeks and treat with prophylactic antibiotics during delivery

Answer 4

36

Question 5

___________ displaces bilirubin from albumin and should not be used in neonates less than 28 days old

Answer 5

Ceftriaxone

Question 6

If infant has meningitis, follow up

Answer 6

Hearing and developmental tests

Question 7

If cause if sepsis is UTI, follow up by

Answer 7

Renal ultrasound and VCUG to evaluate for hydronephrosis and vesicoureteral reflux

Question 8

Initial treatment for infant/neonate sepsis

Answer 8

Begin IV ampicillin (to cover listeria) PLUS either gentamicin OR a 3rd-gen cephalosporin (cefotaxime).
Consider acyclovir if maternal history of HSV