newborn Flashcards
reasons for high AFP
renal abdominal neural tube incorrect dates multiple fetuses
reasons for low AFP
chromosomal abnormalities (13, 18)
what is the contraction stress test measuring
uteroplacental insufficiency and tolerance of labor
how to treat SVT in fetus
give antiarrhythmics to mother
avoid CHF and hydrops
band to neutrophil ratio indicating sepsis
> 0.2
L:S ratio
used to suggest risk of RDS
L:S > 2 suggests low risk
(not accurate in maternal diabetes)
criteria for CLD
oxygen after 28 DOL or at 36 wks CGA
indications for ECMO
reversible lung disease < 10-14 days
failure of other methods
no bleeding or congenital heart disease
white nodules on placenta
Listeria
risk factors for EOS
GBS colonization < 37 wks ROM > 18 hrs chorio multiple gestations intrapartum fever use of intrauterine monitoring
causes of Erb’s palsy
clavicular fractures
brachial plexus injury
Klumpke
ability to grasp LOST
can be associated with Horner
single umbilical artery
get renal US
SGA definition
< 10th percentile or < 2500g
LGA definition
> 90th percentile or >3900g
VLBW definition
< 1500g
preemie MAP
> = GA
how long NPO after NEC
3 weeks
long term complication of NEC
strictures
bronze baby syndrome
side effect of PTX (maybe in elevated direct bili)
effect of tocolytics on infant
stimulate fetal insulin –> hypoglycemia
manifestations of infants of diabetic mothers
LGA
hypoglycemia
polycythemia
hypoplastic lelft colon
what cutoff for tx of polycythemia
70
apt test
tests neonatal gastric juice for maternal vs neonatal blood
which contains organs - gastroschisis or omphalocele
omphalocele
prenatal steroids effect on fetus
decreased risk of IVH, NEC, RDS
neonatal alcohol withdrawal
hyperactivity, irritability, hypoglycemia
prenatal cocaine exposure risks
impaired uteroplacental circulation
cerebral infarction, limb anomalies, urogenital defects
placental abruption
neonatal barbiturate withdrawal
hyperphagia, irritability, poor suck/swallow
when to get newborn screen
48 hrs after initiating enteral feeds
