Newborns

Question 1

What is the difference in presentation of newborns between those whose moms had Type I DM and gestational DM?

Answer 1

• type I: small, hypoglycemic

- GDM: large, hypoglycemic

Question 2

How does a septic infant appear?

Answer 2

pale, lethargic, febrile

Question 3

Infants born to diabetic moms are more likely to be (hypo/hyperglycemic), (thrombocytopenic/polycythemic), have (hypo/hyperbilirubinemia), (hypo/hypercalcemia), and respiratory distress

Answer 3

• hypoglycemic
• polycythemic
• hyperbilirubinemia
• hypocalcemia

Question 4

What is the best position for breastfeeding?

Answer 4

belly-to-belly (better latch than side-lying)

Question 5

What two hormones have to decrease before milk production is fully able to start?

Answer 5

estrogen and progesterone

Question 6

What is the diagnosis?

Pink, shiny nipples with peeling at periphery while breastfeeding

Answer 6

candida

Question 7

What are signs that a baby is getting sufficient milk when breastfeeding?

Answer 7

• 3-4 stools in 24 hr
• 6+ wet diapers in 24 hr
• sounds of swallowing
• wt gain

Question 8

(Oxytocin/prolactin) is responsible for milk production and (oxytocin/prolactin) is responsible for letdown

Answer 8

oxytocin (production), prolactin (letdown)

Question 9

The most common brachial plexus injury, C5-6, decreased or absent Moro reflex, intact grasp reflex

Answer 9

Erb-Duchenne palsy

Question 10

Brachial plexus injury, C8-T1, hand paralysis, ipsilateral Horner syndrome

Answer 10

Klumpke palsy

Question 11

What is the best method to suppress lactation?

Answer 11

breast binding, ice packs, analgesics

Question 12

Midfacial hypoplasia, microcephaly, cleft lip and palate, digital hypoplasia, hirsutism, and developmental delay in an infant suggest that mom might have used ________ in pregnancy

Answer 12

phenytoin

Question 13

U/S showing polyhydramnios, fetal ascites, and skin thickening suggest what infection?

Answer 13

parvovirus B19