Newborn screening

Question 1

which of the following are NOT associated with wide fontanels?
a) prematurity b) IUGR c) hypothyroidism d) hyper thyroidism

Answer 1

hyperthyroid does not case wide fontanels

also associated with wide. font= downs and hydrocephalus

Question 2

What are 4 most important disorders that are tested on newborn screening that a PNP should be aware of

Answer 2

PKU, galactosemia, sickle cell and hypothyroidism

Question 3

What position is used to treat dev. hip dysplasia

Answer 3

abduction of the hips

pavlik harness

Question 4

what is sensitivity and what is specificity?

Answer 4

sensitivity is POS when you have is

specific is neg when you don’t have the condition

Question 5

why are newborn screens done AFTER 24 hours of age?

Answer 5

because many disorders have a metabolic component and you need to wait 24 hours to see how things are broken down.

Question 6

hyperoxygenation affects what development?

Answer 6

visual development

Question 7

5 or more cafe au lait spots almost diagnostic of what disorder?

Answer 7

neurofibromatosis

Question 8

Port wine stain 70% of patients have what 2 kind of deficits? what disease should be considered?

Answer 8

nerologic= seizure like activity or occular problems like glaucoma

sturge-webber

Question 9

when would you expect erythema toxicum to begin and role by?

Answer 9

begins at day 2-5, resolves by day 14.