Neonatology Flashcards
[Neo/Basic]
Preterm/term baby differentiating gestational week
37 week
(≥ 37 weeks term, ≤36 weeks and 6 days preterm)
[Neo/Basic]
Categories and gestational ages for preterm baby?
Extreme: ___
Very: ___
Moderate: ___
Late: ___
Extreme preterm: < 28 weeks
Very preterm: 28 weeks ≤ and < 32 weeks
Moderate preterm: 32 weeks ≤ and < 34 weeks
Late preterm: 34 weeks ≤ and < 37 weeks
[Neo/Basic]
Categories and gestational age for term baby?
Early: ___
Full: ___
Late: ___
Post: ___
Early term: 37 weeks ≤ and < 39 weeks
Full term: 39 weeks ≤ and < 41 weeks
Late term: 41 weeks ≤ and < 42 weeks
Post term: ≥ 42 weeks
[Neo/Basic]
Categories for low birth weight?
Extremely low: ___
Very low: ___
Low: ___
Extremely low birth weight: < 1000 g
Very low birth weight: 1000 g ≤ and < 1500 g
Low birth weight: 1500 g ≤ and < 2500 g
[Neo/Basic]
Dates of cleavage and chorion/amnion structures of twin
Morula (___ days) -> chorion/amnion (fraternal/identical)
Blastocyst (___ days) -> chorion/amnion (identical)
Implanted blastocyst (___ days) -> chorion/amnion (identical)
Formed embryonic disc (___ days) -> chorion/amnion (identical)
Morula (1-3 days) -> Dichorion/Diamnion (fraternal/identical)
Blastocyst (4-8 days) -> Monochorion/Diamnion (identical)
Implanted blastocyst (8-13 days) -> Monochorion/Monoamnion (identical)
Formed embryonic disc (13-15 days) -> cojoined twins (identical)
[Neo/Prenatal]
Prenatal schedule and purpose:
6-8 weeks: ___
10-14 weeks: ___
16-20 weeks: ___
22-26 weeks: ___
28 weeks: ___
32 weeks, 36 weeks, weekly after: ___
Prenatal schedule and purpose:
6-8 weeks: 1st prenatal visit and labs
10-14 weeks: fetal heart tones
16-20 weeks: blood work for NTD and chromosomal abnormalities, anatomic scans
22-26 weeks: routine return visit
28 weeks: glucose tolerance test, repeat CBC, Rh immunoglobulin
32 weeks, 36 weeks, weekly after: GBS at 36w ≤ < 38w
[Neo/Prenatal/GBS]
Prophylaxis indication for GBS (6)
- Previous history of infant with invasive GBS disease
- Positive GBS bacteriuria during any trimester of current pregnancy
- Positive GBS culture or NAAT positive (unless C-section before labor)
- < 37 weeks of gestation (Before GBS test at 36)
- ≥ 18 hours of rupture of membrane
- Mother fever 100.4 F
[Neo/Prenatal/GBS]
Prophylaxis choice if allergic to penicillin for GBS prophylaxis?
Low risk for anaphylaxis: ___
High risk for anaphylaxis: ___
High risk and resistant: ___
Low risk for anaphylaxis: Cefazolin
High risk for anaphylaxis: Clindamycin
High risk and resistant to clindamycin: Vancomycin
[Neo/Prenatal/PROM]
Delivery is recommended in PROM
if ____ is confirmed
and
gestational age is ___
Delivery is recommended in PROM
if _FETAL LUNG MATURITY _is confirmed
and
gestational age is ≥ 34 WEEKS
[Neo/Prenatal/Preeclampsia]
Symptoms of hypermagnesemia in newborn (4)
Lab value Mg > ___ mg/dL
Lab value Mg > 5 mg/dL
- Respiratory depression
- Failure to pass meconium
- Lethargy, flaccidity, hyporeflexia
- Poor feeding
[Neo/Prenatal/Preeclampsia]
Treatment of hypermagnesemia in newborn
IV Ca2+ and diuresis
[Neo/Prenatal/Preeclampsia]
Laboratory findings of newborn from preeclampsia mother (3)
- Hypermagnesemia
- Low WBC
- Low Platelet
(all three are often transient)
[Neo/Prenatal/BPP]
Biophysical profile measurements at 32 and 36 weeks
Mneumonic:
M
R
H
A
T
Movement
Respiration
Heart rate reactivity
Amniotic fluid volume
Tone
[Neo/Delivery]
Weight and endotracheal tube size
< 1 kg: __
1-2 kg: __
> 2 kg: __
Weight and endotracheal tube size
< 1 kg: 2.5 mm
1-2 kg: 3.0 mm
> 2 kg: 3.5 mm
[Neo/Delivery]
Formula for length of tube to the baby’s lip
6 + weight in kg
[Neo/Delivery]
Epinephrine dose for neonatal resuscitation
IV: __
ET: __
IV: 0.02 mg/kg, 0.2 ml/kg of 1:10,000 epinephrine
ET: 0.1 ml/kg
[Neo/Delivery]
Which GA to use plastic wrap for resuscitation
< 29 weeks
[Neo/GA]
180 degree heel to ear
Sticky, friable, transparent skin
No lanugo
Imperceptible breast
Flat, smooth scrotum or prominent clitoris, flat labia
20 weeks
[Neo/GA]
Posture limbs extended
Gelatinous, red, translucent skin
Sparse lanugo
No plantar crease
Empty scrotum, faint rugae, or prominent clitoris and small labia minora
24 weeks
[Neo/GA]
Posture flexed on wrists and knees
Skin smooth, pink, visible veins
Abundant lanugo
Faint plantar crease
Flat areola, no bud
Slow recoil of ears
Tests in upper inguinal canal, rage rugae, or prominent clitoris, enlarging minora
28 weeks
[Neo/GA]
Posture flexed mildly on elbows and knees
Positive scarf sign, elbow at the midline
Skin superficial peeling, few veins
Thinning of lanugo
Plantar anterior transverse crease only
Stippled areola, no breast buds
Well curved pinna, soft, ready recoil ears
Testes descending, few rugae or majora and minora equally prominent
32 weeks
[Neo/GA]
Posture flexed
Negative scarf sign
Skin cracking pale areas, rare veins
Bald areas of lanugo
Plantar creases anterior 2/3
Raised areola, 1-2 mm breast buds
Formed and firm ears, instant recoil
Testes descended, good rugae, or majora large, minora small
36 weeks
[Neo/GA]
Posture flexed
Skin with parchment, deep cracking, no vessels
Almost no lanugo
Plantar creases over the entire sole
Full areola, 7-10 mm breast buds
Thick cartilage, stiff ears
Deep rugae or majora covers clitoris and minora
40 weeks
[Neo/Neonatal conjunctivitis]
Neonatal conjunctivitis usual onset and its treatment?
Neisseira: ___ days, treatment: ___
Chlamydia: ___ days, treatment: ___
Neisseria: 3-5 days, treatment: 3rd gen cephalosporin, prevented by topical erythromycin ointment
Chlamydia: 5-12 days, treatment: PO erythromycin or azithromycin
