Neonataology, Nutrition Flashcards

1
Q

Cocaine & Pregnancy

A

Premature delivery

Miscarriage, stillbirth, placental abruption, ICH

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2
Q

Fetal Tachycardia

A

> 160

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3
Q

Klumpke Palsy

A

damage to brachial plexus

paralysis of right arm and hand; claw-like pasturing

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4
Q

Apnea of Prematurity occurs

A

<32 weeks

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5
Q

Vitamin C / Scurvy

A

gingivial bleeding
corkscrew hairs
anemia
easy bone fractures

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6
Q

LBW =

A

<2500g

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7
Q

Caput Succedanaum

A

above the periosteum

crosses suture lines

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8
Q

Surfactant in fetus =

A

pulmonary alveolar epithelial type II cells

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9
Q

Single Umbilical Artery associated with

A

Trisomy 18

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10
Q

Placenta for Identical Twins

A

diaminotic, monochorionic

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11
Q

Goat Milk is deficient in

A

folate and B6

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12
Q

History of meconium aspiraition
acute respiratory distress
displaced point of maximal cardiac impulse, think…

A

pneumothorax

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13
Q

ACEI inhibits cause what fetal defects

A

renal dysgenesis
oligohydraminos
skull ossification defects

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14
Q

Cigarette smoking associated with what in babies

A

low birth weight

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15
Q

DES & birth defects

A

vaginal adenocarcinomas

uterine/Gu defects

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16
Q

GBS screen between

A

35 & 37 weeks

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17
Q

Formula for infants with galactomsemia

A

soy

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18
Q

Infant with scaphoid abdomen, displaced cardiac PMI, decrease breath sounds

A

congenital diaphragmatic hernia

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19
Q

Infant with Anihidrosis, miosis, ptosis

A

Horner Syndrome

damage to first thoracic nerve

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20
Q

Rickets - Symptoms

A

weak bones
teeth and bone abnormalities
short stature

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21
Q

Microcolon is associated with maternal

A

Diabetes

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22
Q

Thiamine Deficiency

A

Parathesias
foot and wrist drop
ataxia

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23
Q

SGA =

A

Birth Weight <10th percentile

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24
Q

Subgaleal Hemorrhage

A

bleeding behind the scalp aponeurotica

firm, flutcuant

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25
Q

Mean Pulmonary Artery Pressure & Birth

A

decreases

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26
Q

Mean Pulmonary Blood Flow & Birth

A

increases

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27
Q

Pulmonary Vascular Resistance & Birth

A

decreases

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28
Q

Thalidomide & Birth Defects

A

missing arms, legs, deafness/ear abnormalities

29
Q

Fetal Bradycardia =

A

<120

30
Q

Late Decelerations

A

fall in HR at beginning/peak of contraction
return to normal when contraction is over
check fetal pH

31
Q

LGA =

A

BW at >90th percentile

32
Q

Infant that is cyanotic except when crying, think

A

bilateral choanal atresia

33
Q

Erb Palsy

A

paralysis of R shoulder and arm
Right arm held in internal rotation (waiters tip)
upper brachial plexus, 5-6th roots

34
Q

Medications that breastfeedings is contraindicated with

A

chemotherapy
statin
amphetamines
ergotamines

35
Q

Introduce a cup at

A

6-9 months

36
Q

VLBW =

A

less than 1500 grams

37
Q

abnormal scalp pH value of

A

7.20

38
Q

Holiday-Seegar Equation for Calories

A

100kcal for first 10kg
50kcal for second 10kg
20kcal for remainder
1500 + 20x(weight -20)

39
Q

colobloma, think

A

CHARGE

40
Q

Prolonged use of hot tubs during pregnancy causes..

A

NTDs

41
Q

PPHN neonate presentation

A

differential cyanosis
split S2
TR murmur

42
Q

Carbamazepine and VPA can cause

A

spina bifida

43
Q

Cephalehematoma

A

under periosteum, doesn’t cross suture lines

commonly in parietal area

44
Q

Hypoglycemia values in infants

A

<40 in first 24 hours of life

<50 after first 24 hours of life

45
Q

Breast fed preterm infants should start iron supplemental at

A

1 month of life

46
Q

Virus associated with HF in inants

A

parvovirus

47
Q

Cheliosis & Sore Tongue

A

Riboflavin/B2 deficiency

48
Q

Niacin/B3 Deficiency

A

Diarrhea, Dermatitis, Dementia

49
Q

Medicine Associated with Vitamin K Bleeding in first 24 hours of life

A

phenytoin

50
Q

Warfarin & Birth Defects

A

Nasal Hypoplasia

51
Q

RVT triad

A

gross hematuria
flank mass
thrombocytopenia

52
Q

Erb palsy at risk of …

A

phrenic nerve damage

53
Q

Surgery for umbilical hernia if

A

persists past age 5-6

increases in size between age 1-2

54
Q

Ranula

A

translucent to bluish bulge under the tongue

pseudocyst due to salivary glands

55
Q

Alcohol as a teratogen

A

septal defects

56
Q

Consideration if extensive fat necrosis of infants

A

check calcium

57
Q

infants should be checked for HbSAg at

A

9-12 months of life

58
Q

Caudal Regression Syndrome

A

defects of sacrum, lumbar vertebrae

associated with diabetic mothers

59
Q

soap bubble

A

meconium ileus

60
Q

Symmetric IUGR

A

affected early in gestation

alcohol, cigarette smoking

61
Q

Ground Glass Appearance of Bones

A

Scurvy

62
Q

Bitot Spots

A

Vitamin A > D, E, K

build up of keratin in the eye, associated with dryness

63
Q

Deficiency associated with cardiomyopathy

A

thiamine

64
Q

How much formula do infants need to drink to get adequate Vitamin D?

A

33 oz

65
Q

Maximum amount of milk for infants to drink

A

16-24 oz

66
Q

Protein energy malntrution without edema

A

Marasmus

67
Q

Kwashiorkor

A

insufficient protein intake

edema

68
Q

Kwashiorkor skin rashes

A

hyperkeratosis, pigmentation changes

yellowish-gray hair