Peds Intro

Question 1

What are the most common reasons of death in peds?

Answer 1

1) unintentional injuries
2) assault (homicide)
3) cancer
4) suicide
5) congenital malformations

Question 2

what is late pre term

Answer 2

34-36 6/7 weeks

Question 3

what is term

Answer 3

37-41 6/7 weeks

Question 4

what is post term

Answer 4

42 weeks

Question 5

Why do you want to know the rupture of membrane time?

Answer 5

because it can effect infection risk for baby

Question 6

Apgar Score Categories

Answer 6

HR, Respiration, Muscle Tone, Reflex irritability, Color

Question 7

SGA- Small for gestational age. Weight that is <10%tile for a particular gestational age. Can be caused by?

Answer 7

placental problems, maternal hypertension, illicit drug usage.
some moms may just have small babies

Question 8

LGA- Large for gestational age. Weight that is >90%tile for a particular gestational age associated with?

Answer 8

gestational diabetes, although some mom’s may just have small babies

Question 9

Vitamin K deficiency etiology

Answer 9

Poor liver synthesis in the new born

Breast milk is a poor vitamin K source

Question 10

Erythromycin eye ointment used for?

Answer 10

prophylaxis, prevents gonococcal ophthalmia

does not prevent chlamydial conjunctivitis

prevents infection by other bacteria than GC and CT

*less irritating than previously used silver nitrate

Question 11

Chlamydia trachomatis

causes what in newborns?

Answer 11

nasal congestion, conjunctival edema, discharge, pneumonitis

Question 12

Chlamydia trachomatis is treated with?

Answer 12

systemic erythromycin

Question 13

Neisseria Gonorrhoeae causes what in newborns?

Answer 13

severe conjunctivitis with copious eye discharge

eye emergency

Question 14

Neisseria Gonorrhoeae Tx?

Answer 14

parenteral third-generation cephalosporin

Question 15

If mom has active Hep B or is high risk then what other medication will need to be given?

Answer 15

HBIG

Question 16

A caput is between which layers

Answer 16

skin and epicranial aponeurosis
crosses suture lines
MC, benign, and resolves in days

Question 17

Cephalohematoma

Answer 17

Between periosteum and skull
Stops at suture lines
Generally benign and will resorb
Puts baby at risk for high bilirubin

Question 18

Subgaleal

Answer 18

Between the periosteum and the aponeurosis
Can cause large volume blood loss
Rare and dangerous

Question 19

Club foot

Answer 19

Foot is excessively plantar flexed, with the forefoot swung medially and the sole facing inward

Question 20

Metatarsus Adductus

Answer 20

Most common
Medial deviation of the forefoot while hind foot is in neutral position
90% self correct

Question 21

Milia

Answer 21

normal finding
blocked sebaceous follicles
white bumps involving nose and cheeks
resolve without intervention

Question 22

Nevus Simplex

Answer 22

a.k.a. salmon patch, pink macular hemangioma, or capillary malformation

occur over the nape of the neck, eyelids, forehead

resolve over the first two years of life

Question 23

erythema toxicum

Answer 23

<3 cm red macules with small yellow papule in the center

evanescent over the course of hours in any one spot

resolve without intervention over 2-4 weeks

Question 24

How much weight should newborns gain per day

Answer 24

30g