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Surgery and other stuff > Neonate Lecture > Flashcards

Neonate Lecture Flashcards

1
Q

What was/is the concern with having a vaginal delivery after a cesarian section?

A

Uterine rupture–not actually

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2
Q

What is macrosomia?

A

Large for gestational age

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3
Q

What is the major concern with HELLP syndrome?

A

Thrombocytopenia

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4
Q

What is the definition of a term infant?

A

37 (2/7) to 47 and (6/7) weeks

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5
Q

What is late preterm?

A

34 (2/7) 35-36 (6/7) weeks

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6
Q

What is post-term?

A

More than 42 2/7

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7
Q

What are the five major concerns with preterm infants?

A
  1. NRDS
  2. Jaundice
  3. Hypoglycemia
  4. Hypothermia
  5. Feeding difficulties
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8
Q

When are the lungs fully developed?

A

35 weeks gestation

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9
Q

When is the sucking coordination present?

A
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10
Q

Do preterm infants develop sepsis more often that term?

A

Admitted more often, but unknown about culture proven

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11
Q

What are cephalohematomas? What can this lead to?

A

Subperiosteal hematomas

This may lead to neonatal jaundice, shock

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12
Q

What is a subgaleal space?

A

potential space between the skull periosteum and the scalp galea aponeurosis.

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13
Q

How do you differentiate subgaleal and cephalohematomas?

A

Cephalohematomas will not get bigger after birth, whereas subgaleal hematomas will.

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14
Q

What are the possible complications of using forceps for delivery?

A

Scarring

Facial nerve

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15
Q

What is the treatment for facial nerve palsy 2/2 forceps delivery?

A

Usually self limited– wait 2 weeks

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16
Q

What is the cutoff for prolonged rupture of the membranes? What is the major complication from this?

A

18 hours

Infection

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17
Q

What is chorioamnionitis?

A

Sepsis 2/2 infection of the placenta

18
Q

What hematological abnormality may lead to spontaneous abortions?

A

Factor V leiden

19
Q

What is the most common ABO complication in birth?

A

Mother is O, baby is A. Causing hemolytic jaundice

20
Q

When is GBS checked for?

A

35-36 weeks

21
Q

What is the treatment for GBS? How long does this take to take effect?

A

IV PCN per mom

4 hours

22
Q

What is the treatment for Hep B sAg positive mothers?

A
  • Hep B IG

- Vaccinate with Hep B w/in 12 hours

23
Q

What is the chance that Hep B contracted by the fetus develops into chronic cirrhosis?

A

80%

24
Q

What happens with Herpes?

A
  1. Disseminated disease
  2. Meningitis
  3. ***extremities
25
Q

When should ART begin with HIV positive mothers?

A

12 hours

26
Q

What is the treatment for syphilis?

A

PCN

27
Q

What are the neonatal concerns with Chlamydia? Treatment?

A

Conjunctivitis
Pneumonia

Erythromycin

28
Q

What defines late prenatal care?

A

After 20 weeks

29
Q

How do you check for neonatal drug exposure?

A

Check the cord

30
Q

In whom should BG be checked?

A

Maternal DM

Preterm

31
Q

What happens to the weight early in the neonate?

A

Initially goes down in the first three days, but should not be more than 10% in three days.

Day 4-5 should go up.

32
Q

What is transient tachypnea of the newborn? Is there respiratory distress/hypoxemia?

A

a period of rapid breathing (higher than the normal range of 40-60 times per minute). It is likely due to retained lung fluid. It is most often seen in 35+ week gestation babies who are delivered by caesarian section without labor.

Usually not

33
Q

What is the Ortolani maneuver?

A
34
Q

What is the Barlow maneuver?

A
35
Q

What are the benign heart murmurs that will resolve in neonates?

A

Tricuspid regurg

Closing PDA

36
Q

What is the treatment for brachial plexus injury?

A

PT consult

37
Q

What is a CCHD screening?

A

Screening for the heart diseases

38
Q

What is the feeding intervals in the first week of life?

A

every 2-3 hours

39
Q

What is the typical f/u for a normal infant?

A

2-3 days then 2 weeks

40
Q

What is the vitamin that is started in neonates?

A

Vit D to encourage bone growth

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