Newborns

Question 1

Breastfeeding jaundice

Answer 1

First week of life
Insufficient intake of breast milk results in low bilirubin elimination and increased enterohepatic circulation
Inadequate breast feeding

Question 2

Breast milk jaundice

Answer 2

Age 3-5 days peaks at 2 w
B- glucuronidase in milk deconjugate intestinal bilirubin and increase enterohepatic circulation
There is adequate breast feeding

Question 3

Breastfeeding contraindications

Answer 3

Active untreated TB need to wait 2 w 
Maternal HIV 
Herpetic breast lesion 
Active abuse of street drugs or alcohol
Chemo or radiation 
Varicella

Question 4

Routine newborn resuscitation steps

Answer 4

Dry and stimulate
Clear airway as needed
Provide warmth like skin to skin contact with mother all of this if baby is term just station and breathing or crying and appropriate tone

Question 5

Transient tachypnea of the newborn Causes, versus aspiration of infected amniotic fluid

Answer 5

Retained fetal long fluid wrist factors like cesarean delivery prematurity maternal diabetes chest x-ray hyper inflation and fluid in fissures
Treatment is supportive self resolution in 1 to 3 days
Differential diagnosis aspiration of Infected amniotic fluid but the baby will have bacteremia back to real pneumonia you will see infiltrate on chest x-ray and crackles