newborn

Question 1

reasons for high AFP

Answer 1

renal
abdominal
neural tube
incorrect dates
multiple fetuses

Question 2

reasons for low AFP

Answer 2

chromosomal abnormalities (13, 18)

Question 3

what is the contraction stress test measuring

Answer 3

uteroplacental insufficiency and tolerance of labor

Question 4

how to treat SVT in fetus

Answer 4

give antiarrhythmics to mother

avoid CHF and hydrops

Question 5

band to neutrophil ratio indicating sepsis

Answer 5

> 0.2

Question 6

L:S ratio

Answer 6

used to suggest risk of RDS
L:S > 2 suggests low risk
(not accurate in maternal diabetes)

Question 7

criteria for CLD

Answer 7

oxygen after 28 DOL or at 36 wks CGA

Question 8

indications for ECMO

Answer 8

reversible lung disease < 10-14 days
failure of other methods
no bleeding or congenital heart disease

Question 9

white nodules on placenta

Answer 9

Listeria

Question 10

risk factors for EOS

Answer 10

GBS colonization
< 37 wks
ROM > 18 hrs
chorio
multiple gestations
intrapartum fever
use of intrauterine monitoring

Question 11

causes of Erb’s palsy

Answer 11

clavicular fractures

brachial plexus injury

Question 12

Klumpke

Answer 12

ability to grasp LOST

can be associated with Horner

Question 13

single umbilical artery

Answer 13

get renal US

Question 14

SGA definition

Answer 14

< 10th percentile or < 2500g

Question 15

LGA definition

Answer 15

> 90th percentile or >3900g

Question 16

VLBW definition

Answer 16

< 1500g

Question 17

preemie MAP

Answer 17

> = GA

Question 18

how long NPO after NEC

Answer 18

3 weeks

Question 19

long term complication of NEC

Answer 19

strictures

Question 20

bronze baby syndrome

Answer 20

side effect of PTX (maybe in elevated direct bili)

Question 21

effect of tocolytics on infant

Answer 21

stimulate fetal insulin –> hypoglycemia

Question 22

manifestations of infants of diabetic mothers

Answer 22

LGA
hypoglycemia
polycythemia
hypoplastic lelft colon

Question 23

what cutoff for tx of polycythemia

Answer 23

70

Question 24

apt test

Answer 24

tests neonatal gastric juice for maternal vs neonatal blood

Question 25

which contains organs - gastroschisis or omphalocele

Answer 25

omphalocele

Question 26

prenatal steroids effect on fetus

Answer 26

decreased risk of IVH, NEC, RDS

Question 27

neonatal alcohol withdrawal

Answer 27

hyperactivity, irritability, hypoglycemia

Question 28

prenatal cocaine exposure risks

Answer 28

impaired uteroplacental circulation
cerebral infarction, limb anomalies, urogenital defects
placental abruption

Question 29

neonatal barbiturate withdrawal

Answer 29

hyperphagia, irritability, poor suck/swallow

Question 30

when to get newborn screen

Answer 30

48 hrs after initiating enteral feeds