newborn exam trigger

Question 1

what is the name of the assessment that looks at the plantar creases of the little baby feets

Answer 1

ballard postnatal assessment

performed at 30-42 hrs of birth.

Question 2

Waxy/cheesy film present on newborn to protect from infection.

Answer 2

vernix caseosa

(caseosa kinda looks like caso = cheese)

Question 3

Small vesicular rash commonly due to eosinophils that resolves within weeks.

Answer 3

erythema toxicum

Question 4

Closed comedones that resolve on their own commonly caused by maternal hormones

Answer 4

acne neonatorium

Question 5

Epstein’s pearl on the roof of the mouth is considered what

Answer 5

milia

Question 6

Tiny, white, epidermal cysts made of keratin, MC on face, resolving in 2-4 weeks.

Answer 6

milia

Question 7

Large vascular birth marks that grow rapidly but tend to resolve by age 9

Answer 7

hemangiomas

Question 8

light red macule found on neck

Answer 8

nevus simplex

(also super common on upper eyelid and between eyebrows)

Question 9

dark red macule on the body with thick and dilated vessels. if found on ophthalmic branch there is an increased risk of which problem?

Answer 9

this is a nevus flammeus /port wine stain

If found on ophthalmic branch of Trigeminal, 25% have sturge weber syndrome

Question 10

this is associated with vision problems and brain angiomas

Answer 10

sturge weber syndrome

Question 11

darkish blue birthmark on lower back/butt that is found on darker skin babies and tends to last for years

Answer 11

congenital dermal melanocytosis

Question 12

what is the diagnostic skin criteria that we know for NF1

Answer 12

more than 6 cafe au lait spots that are >.5cm

Question 13

Enlargement of ventricles due to increasing ICP

Answer 13

hydrocephalus

Question 14

Dandy walker malformation and Arnold chiari malformations are associated with what

Answer 14

hydrocephalus

Question 15

sunsetting eyes

Answer 15

hydrocephalus

also see enlarged head measuremnts

Question 16

tx is VP shunt

Answer 16

hydrocephalus

Question 17

which fontanelle closes first

Answer 17

posterior at 2-3 months

anterior closes at 9-24 months

Question 18

extends past suture lines and presents as squishy edema. usually due to swelling of scalp after increased pressure in vaginal birth

Answer 18

caput succedaneum

resolves in 2-3 days

Question 19

soft like a cyst but does not cross suture lines. takes weeks to resolve

Answer 19

cephalohematoma (subperiosteal hemorrhage)

Question 20

abnormal thinning of parietal bones in preterm babies

Answer 20

craniotabes

Question 21

Complication during vacuum assisted delivery that is due to rupture of emissary veins and accumulation of blood in the epicranial aponeurosis.

Answer 21

subgaleal hematoma (can pass suture lines)

Question 22

Short jaw, cleft palate, airway obstruction due to Failure of mandible growth

Answer 22

pierre robin syndrome

Question 23

crying w an asymmetric face may suggest what

Answer 23

facial nerve palsy

Question 24

this finding at birth suggests that a baby may have metabolic disease, thyroid issues, or congenital infection

Answer 24

cataracts

Question 25

tearing, tight eyes, photophobia

Answer 25

glaucoma

Question 26

Rapidly developing eye tumor due to immature retinal cells

Answer 26

retinoblastoma

Question 27

presence of leukoria suggests what

Answer 27

possible retinoblastoma

Question 28

MCC of tearing and discharge from eye

Answer 28

dacryostenosis

Question 29

redness, warmth and swelling of the eye

Answer 29

dacryocystitis

Question 30

MCC of dacryocystitis

Answer 30

staph A

Question 31

Back of nose is not connected to pharynx, so they can only breathe through their mouth.

Answer 31

choanal atresia

Question 32

what in this powerpoint may suggest the need for a renal ultrasound

Answer 32

preauricular pits in the presence of other craniofacial abnormalities

Question 33

tachypnea, tachycardia and cyanosis are all signs of what compilcation

Answer 33

diaphragmatic hernia

Question 34

omphalitis

Answer 34

infected umbilical cord

Question 35

MC in african americans

Answer 35

umbilical hernia (also congenital dermal melanocytosis)

Question 36

when does a umbilical hernia require surgery

Answer 36

if not resolved within 3 years

Question 37

Friable granulation tissue commonly seen at belly button, cauterized w silver nitrate

Answer 37

umbilical granuloma

Question 38

MC in girls, firstborn, FMHx, breech and multipls

Answer 38

congenital hip dysplasia

Question 39

adduct hip and push

Answer 39

barlow

Question 40

abduct hip and pull

Answer 40

ortolani

Question 41

pavlick harness

Answer 41

congenital hip dysplasia

Question 42

Turning of head will cause extension of ipsilateral leg and arm.

Answer 42

tonic neck reflex (gone by 8 months)

Question 43

what is this reflex called

Answer 43

traction reflex