newborn

Question 1

most accurate way to measure gestational age

Answer 1

fetal foot movement

Question 2

preemie

Answer 2

<26/27w or <5.5lb

Question 3

umbilical cord has 2 ___ and 1 ____

Answer 3

arteries

vein

Question 4

newborn loses __% of body weight in first 48-72h, should fully regain by ___-___ days

Answer 4

10%

10-14 days

Question 5

APGAR acronym

Answer 5

appearance
pulse
grimace
activity
respiration

Question 6

apgar appearance

Answer 6

2 all pink
1 blue hands/feet (HD, hypox, RDS)
0 all blue

Question 7

apgar pulse

Answer 7

2. > 100bpm
3. <100bpm
4. no pulse

Question 8

apgar grimace

Answer 8

2. grimace cry/cough
3. grimace only
4. no reaction

Question 9

apgar activity

Answer 9

2. moving actively
3. some movement
4. no movement/floppy baby

Question 10

apgar respiration

Answer 10

2. strong cry
3. weak cry
4. no cry

Question 11

normal BP within hours and 1 month

femoral most accurate

Answer 11

40-60bpm pp

20-40bpm 1m

Question 12

newborn length

Answer 12

19-21” top of head to plantar surface

Question 13

newborn weight

Answer 13

5.12 - 8.12 lb

Question 14

heard circumference newborn

Answer 14

33-38cm

13-15”

Question 15

newborn temp

Answer 15

98.6-99.6*

Question 16

newborn bp

Answer 16

30-60bpm

Question 17

MCC of increased head size

Answer 17

hydrocephalus, sunset sign

ddx: edema, inc ICP, brain bleed

Question 18

beaten metal appearance

Answer 18

thinning of cranials

risk: hispanic + euro white, fam hx of neural tube defects, folic acid deficiency, meds, diabetes, obesity, inc bod temp

Question 19

obstructive hydrocephalus MC blocked at

Answer 19

aqueduct of sylvius, or 3rd ventricle

Question 20

nonobstructive hydrocephalus aka

Answer 20

papilloma of chroid plexus

Question 21

temp is hyperthermia

Answer 21

> 106

Question 22

meningitis
bacteremia
URI
-usually ok <107, then brain dmg

All cause:

Answer 22

Elevated temp

Question 23

convulsion with fever >100.4 <6yo

Answer 23

febrile seizure, harmless if <15m

Question 24

3 causes of fever in babies

Answer 24

teething
ear infx
difficulty breathing

Question 25

involuntary hip flx with flx of pt chin to chest while supine Positive finding for:

Answer 25

Brudzinski

Question 26

severe stiffess of hams= inability to straighten leg with hip flexed

Answer 26

Kernigs

Question 27

weight loss of > ___ means dehydration, refer

Answer 27

7.5%

Question 28

cold legs altered arousal (hard to waken) dyspnea (nasal flare, chest recession, grunting) Are all red flags in a _____ with temp >101

Answer 28

Newborn

Question 29

cold legs altered arousal (hard to waken) dyspnea (nasal flare, chest recession, grunting) Are all red flags in a ______ temp >102.6

Answer 29

Toddler

Question 30

Pallor and dehydration Are red flags in a ____ with temp >106

Answer 30

Child

Question 31

weight should ___ by 5-6m, ___ by 1 yr and ___ by 2.5

Answer 31

double triple quadruple

Question 32

height at 4yo should be ___xbirth and at 13yo ___x birth height

Answer 32

2x | 4x

Question 33

primitive reflexes should start going away by

Answer 33

6 months

Question 34

pyramidal tract lesion can cause | -inc autism

Answer 34

Retained primitive reflexes

Question 35

gluteal cleft deviation -> side of

Answer 35

sacrum AI or PI | -logan basic on that side