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OBGYN 2 > Obstetrics in Mangment of newborn > Flashcards

Obstetrics in Mangment of newborn Flashcards

1
Q

What are the effects of poorly controlled diabetes in gestation?

A 
HYPOGLYCEMIA
Hypocalcemia
Hypomagnesia
Polycythemia
Hyperbili
Resp Distress synd
Hypertrophic Cardiomyopathy
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2
Q

What are the symptoms of Hypoglycemia in newborn?

A

Poor feeding, poor tone, jittery

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3
Q

What are the Prevention and Tx of Hypoglycemia?

A

Prev: Early and Freq feeding (1-2 hrs)
Tx: Feeding and D10 IV

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4
Q

What are the symptoms of GBS infection in the neonate?

A 
Poor temp control (cold or hot)
Resp Distress/Apnea/hypoxemic
Poor Color
Poor Feeding
Excessive Jaundice
Dec Tone
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5
Q

What is considered Early onset disease?

A

Disease that ocurrs in the first week (GBS)

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6
Q

What is considered Late onset disease?

A

Presentation from 1 week to 3 months (Meningitis)

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7
Q

What should be done if mom tests positive for Group B strep?

A

IV Penicillin or Ampicillin at least 4 hours before delivery

Treat infant if showing symptoms

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8
Q

What is included in the workup if no source for fever is found on history and exam?

A 
CBC + BC
UA + UC
LP + CSF culture
HSV PCR of CSF
CXR
Fecal WBC if diarrhea present
(fecal lactoerrin if not BF)
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9
Q

What is the Tx of Fever of unknown source

A 
Hospitalize until cultures are pos or neg
Abtx for ABS, E. Coli, Listeria, Herpes
-Ampicillin
-Gentamycin or Cefotaxime
-Acyclovir
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10
Q

What are the common features of a Down syndrome baby?

A

Endocardial cushion defect*
Mental Retardation*
Excessive tongue protrusion
Hypotonia

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11
Q

What is the test for polyhydramnios?

A

AFI > 25 (Amniotic fluid index)

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12
Q

What is associated with Polyhydramnios

A 
Multiple Gestation
Maternal Diabetes
Anencephaly
Fetal GI abn 
Hydrops
Neural tube defects
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13
Q

What is the Tx of TE fistula?

A

Immediate Surgical Correction

VACTERL Association

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14
Q

What defines Oligohydramnios?

A

AFI

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15
Q

What is associated with oligohydromnios

A 
Potter Syndrome
Fetal Growth Retardation
Chrom Abn
Umb Cord Compression in labor
Fetal GU abn
Pulm Hypoplasia
Deformities
Flat face, beaked nose, low set ears
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16
Q

What are the causes of Oligohydramnios?

A

Defect of urinary output OR

Chronic Leakage of Amniotic Fluid

17
Q

WHat is considered Late prenatal care?

A

Care obtained after 16-20 wks gestation

18
Q

What Facial features are charicteristic of Fetal Alcohol Syndrome

A

SMOOTH PHILTRUM
THIN UPPER LIP
low nasal bridge

19
Q

When is it appropriate to discharge an infant with suspected drug use?

A 
After results of drug screen
After seen by Social Services 
Stable vitals for >12hrs
Urine and Stool output 
Feeding well
Follow up arranged

OBGYN 2 (15 decks)

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