Newborn

Question 1

DEFINE: caput succadaneum

Answer 1

Diffuse superficial soft tissue swelling of the scalp; possible bruising; usually CROSSES SUTURE LINES; resolved in first few days after birth

Question 2

DEFINE: cephalohematoma

Answer 2

Deep collection of blood in subperiosteal area; DOES NOT CROSS SUTURE LINES; MONITOR for HYPERBILIRUBINEMIA; resolves weeks to months

Question 3

DEFINE: craniotabes

Answer 3

Thinning of bone of scalp; normal variation of parietal bone; resolves spontaneously; INVESTIGATE (e.g. rickets) if PERSISTENT

Question 4

DEFINE: nonphysiologic (pathological) jaundice

Answer 4

Jaundice that occurs too early (w/in 1st 24h), lasts too long (beyond 10-14d), or involves bilirubin levels that are too high

Question 5

Peak age range for SIDS

Answer 5

1-4 months

Question 6

Newborn skin conditions that require intervention

Answer 6

HSV

Nevus sebaceous

Question 7

DEFINE: nevus sebaceous

Answer 7

Yellowish, hairless demarcated smooth plaque usually on head and neck

Question 8

Why does nevus sebaceous require a referral to pediatric dermatology prior to adolescence?

Answer 8

Recommendation for total excision prior to adolescence as lesions are complicated by secondary malignancies during adulthood (mostly basal cell carcinoma)

Question 9

At what age does an infant’s birth weight double?

Answer 9

6 months

Question 10

What is the rate of growth over the first 6 months of life?

Answer 10

1 inch per month

Question 11

When does the posterior fontanel close?

Answer 11

Between 6-8 weeks

Question 12

Normal infant heart rate

Answer 12

80-160 bpm

Question 13

DEFINE: breast milk physiologic jaundice

Answer 13

Elevated serum indirect bilirubin concentration with peak level occurring during 1st week of life in an infant drinking an adequate amount of breast milk (no other liver abnormality)

Question 14

DEFINE: breastfeeding jaundice

Answer 14

Occurs in 1st 2-7 days of life in an infant with low levels of intake

Question 15

How soon should a newborn pass meconium?

Answer 15

Within 48 hours

Question 16

What does APGAR stand for?

Answer 16

Activity (muscle tone)
Pulse
Grimace (reflex irritability, response of skin stimulation to feet)
Appearance (skin color)
Respiration (effort)

Question 17

When are APGAR scores taken?

Answer 17

1 minute and 5 minutes after birth

Question 18

What is the tool used to estimate an infant’s gestational age after birth?

Answer 18

New Ballard Score

Question 19

Name of suture between front of head and top of head

Answer 19

CORONAL SUTURE

Question 20

Name of suture between left and right sides of head

Answer 20

SAGITTAL SUTURE

Question 21

How fast do infants grow in length?

Answer 21

1 inch per month up to 6 months

Question 22

How fast does head circumference increase?

Answer 22

1.5 cm per month up to 6 months,

then 0.5cm per month

Question 23

How fast does weight increase?

Answer 23

5-7oz per week during first 6 months
weight doubles from birth by 6 months
slows over the next 6 months
weight triples from birth by 12 months