Newborn

Question 1

DC at 24 hours, when follow up?

Answer 1

Within 48 hours, 24 hours is not normally needed

Question 2

DC at 48 hours, follow up?

Answer 2

3-5 days

Question 3

Early Onset Sepsis

Answer 3

< 7 days
1. GBS 2. Ecoli 2. Klebseilla, enterocabacter

Question 4

Hep B Unknown > 2 kg

Answer 4

Vaccine within 12 hours
Immunoglobin within 7 days

Question 5

Hep B Unknown < 2 kg or Positive

Answer 5

Vaccine AND immunoglobin within 12 hours

Question 6

Hyperbili Risk Factors: Need to monitor more

Answer 6

TCB close to tx level
Juandice in first 24 hours or need photo tx
Hemolytic disease/ABO
Cephalohematoma/bruising
Exclusive breastfeeding
Macrosomia
Down syndrome

Question 7

G6PD Risk Factors

Answer 7

Sub-Saharan Africa, Middle East, Mediterranean, Arabian Peninsula, and Southeast Asia)

Question 8

Neurotoxicity Risk Factors (for need for Tx, different curves), what 4 things?

What age less than is a risk factor

Answer 8

Isoimmune Hemolytic Disease/G6PD deficiency
Temp instability
Sepsis
Albumin < 3.0
< 38 weeks

Question 9

Bili example of 35 weeks with risk factors at 24 hours- need to treat

Answer 9

9-10.5 (risk factors 38 weeks)

Question 10

Bili example of 35 weeks without risk factors

Answer 10

10-13 (no risk factors 38 weeks)

Question 11

Low risk Bili
Mid risk Bili
High risk Bili

Answer 11

Low risk > 38 weeks
Mid risk > 38 weeks + risk factors or 35-37 weeks no risk
High risk- 35-37 + risk factors

Question 12

Elevated inflammatory markers

Answer 12

PCT > 0.5
Temp > 38.5
ANC > 4000-5000
CRP > 20 mg/L (2 mg/dL)

Question 13

Neonatal sepsis treatment

Answer 13

Amp + Ceftriaxone
Amp + Ceftaxoime or Ceftazidime

Question 14

GBS Prophylaxis

Answer 14

Prior hx of neonate with invasive diseae
+GBS CX or GBS bacteriuria at any point
Unknown + < 37 weeks, GBS prior pregnancy, > 18 hours ROM, Temp > 100,4

Question 15

Erb Palasy

Answer 15

C5-C6
waiters tip

Question 16

How long do PPV for?

Answer 16

15-30 seconds then reassess, if not improved do MRSOPA, if still not chest compressions

Question 17

NOWS how long observe?

Answer 17

72-96 hours

24-48 hours from last dose

Question 18

Kernitcus

Answer 18

Over 25

Question 19

Eat sleep console

Answer 19

Eat 1 oz
Sleep for 1 hour
Consoled within 10 mintues

Question 20

CCHD

Answer 20

Over 95% or less than 3% difference between the 2

Question 21

Contraindictions to breastfeeding

Answer 21

HIV
Untreated TB
Chicken pox or HSV lesions on breast
Galactosemia

Question 22

If HSV lesions and no maternal history

Answer 22

Swabs, maternal tigers and acyclovir

Question 23

If HSV lesions and mother hx

Answer 23

Swabs, blood culture monitor do not need to start to do start acyclovir

Question 24

HIV infant

Answer 24

Bathe
ARV PPX within 12 hours
No breastfeeding