Newborn Care

Question 1

Newborn with severe thrombocytopenia. Diagnosis?

Answer 1

Neonatal alloimmune thrombocytopenia (NAIT) - maternal antibodies to newborn’s platelets containing paternal antigens

Question 2

TORCH most likely to cause hearing loss

Answer 2

CMV

Question 3

TORCH with cardiac defects

Answer 3

Rubella

Question 4

Opisthotonus (neck/trunk arching) and high-pitched cry

Answer 4

Think severe bilirubin encephalopathy

Question 5

Caput succedaneum versus cephalohematoma on examination?

Answer 5

Caput crosses suture lines (like “putting on a cap”)

Cephalohematoma does not cross

Question 6

How do you manage respiratory distress in a newborn with congenital diaphragmatic hernia?

Answer 6

Intubate (do not bag-mask ventilate!),
Place NG tube for decompression

Question 7

Abdominal wall defect to the right of umbilical cord

Answer 7

Gastroschisis

Question 8

Corrective steps if neonate not responding to PPV in delivery room

Answer 8

MRSOPA (mask, reposition airway, suction, open mouth, increased pressure, advanced airway)

Question 9

Risk factors for neonatal hypoglycemia

Answer 9

SGA
late preterm > LGA
diabetic mother

Question 10

Drug exposures that improves with time

Answer 10

Toxicities (methamphetamines, cocaine)

Compared to:
Withdrawals that worsens with time (opiates, barbiturates)

Question 11

Newborn conjunctivitis within hours

Answer 11

Chemical conjunctivitis

Question 12

Newborn conjunctivitis within days

Answer 12

Gonococcal conjunctivitis

Question 13

Newborn conjunctivitis within weeks

Answer 13

Chlamydial conjunctivitis

Question 14

First-line treatment for neonatal abstinence syndrome

Answer 14

“Eat, sleep, console”