Neonate Lecture

Question 1

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

Answer 1

Uterine rupture–not actually

Question 2

What is macrosomia?

Answer 2

Large for gestational age

Question 3

What is the major concern with HELLP syndrome?

Answer 3

Thrombocytopenia

Question 4

What is the definition of a term infant?

Answer 4

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

Question 5

What is late preterm?

Answer 5

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

Question 6

What is post-term?

Answer 6

More than 42 2/7

Question 7

What are the five major concerns with preterm infants?

Answer 7

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

Question 8

When are the lungs fully developed?

Answer 8

35 weeks gestation

Question 9

When is the sucking coordination present?

Question 10

Do preterm infants develop sepsis more often that term?

Answer 10

Admitted more often, but unknown about culture proven

Question 11

What are cephalohematomas? What can this lead to?

Answer 11

Subperiosteal hematomas

This may lead to neonatal jaundice, shock

Question 12

What is a subgaleal space?

Answer 12

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

Question 13

How do you differentiate subgaleal and cephalohematomas?

Answer 13

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

Question 14

What are the possible complications of using forceps for delivery?

Answer 14

Scarring

Facial nerve

Question 15

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

Answer 15

Usually self limited– wait 2 weeks

Question 16

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

Answer 16

18 hours

Infection

Question 17

What is chorioamnionitis?

Answer 17

Sepsis 2/2 infection of the placenta

Question 18

What hematological abnormality may lead to spontaneous abortions?

Answer 18

Factor V leiden

Question 19

What is the most common ABO complication in birth?

Answer 19

Mother is O, baby is A. Causing hemolytic jaundice

Question 20

When is GBS checked for?

Answer 20

35-36 weeks

Question 21

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

Answer 21

IV PCN per mom

4 hours

Question 22

What is the treatment for Hep B sAg positive mothers?

Answer 22

• Hep B IG

- Vaccinate with Hep B w/in 12 hours

Question 23

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

Answer 23

80%

Question 24

What happens with Herpes?

Answer 24

1. Disseminated disease
2. Meningitis
3. ***extremities

Question 25

When should ART begin with HIV positive mothers?

Answer 25

12 hours

Question 26

What is the treatment for syphilis?

Answer 26

PCN

Question 27

What are the neonatal concerns with Chlamydia? Treatment?

Answer 27

Conjunctivitis Pneumonia Erythromycin

Question 28

What defines late prenatal care?

Answer 28

After 20 weeks

Question 29

How do you check for neonatal drug exposure?

Answer 29

Check the cord

Question 30

In whom should BG be checked?

Answer 30

Maternal DM | Preterm

Question 31

What happens to the weight early in the neonate?

Answer 31

Initially goes down in the first three days, but should not be more than 10% in three days. Day 4-5 should go up.

Question 32

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

Answer 32

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

Question 33

What is the Ortolani maneuver?

Answer 33

***

Question 34

What is the Barlow maneuver?

Answer 34

***

Question 35

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

Answer 35

Tricuspid regurg | Closing PDA

Question 36

What is the treatment for brachial plexus injury?

Answer 36

PT consult

Question 37

What is a CCHD screening?

Answer 37

Screening for the heart diseases

Question 38

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

Answer 38

every 2-3 hours

Question 39

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

Answer 39

2-3 days then 2 weeks

Question 40

What is the vitamin that is started in neonates?

Answer 40

Vit D to encourage bone growth