Peds Intro Flashcards
What are the most common reasons of death in peds?
1) unintentional injuries
2) assault (homicide)
3) cancer
4) suicide
5) congenital malformations
what is late pre term
34-36 6/7 weeks
what is term
37-41 6/7 weeks
what is post term
42 weeks
Why do you want to know the rupture of membrane time?
because it can effect infection risk for baby
Apgar Score Categories
HR, Respiration, Muscle Tone, Reflex irritability, Color
SGA- Small for gestational age. Weight that is <10%tile for a particular gestational age. Can be caused by?
placental problems, maternal hypertension, illicit drug usage.
some moms may just have small babies
LGA- Large for gestational age. Weight that is >90%tile for a particular gestational age associated with?
gestational diabetes, although some mom’s may just have small babies
Vitamin K deficiency etiology
Poor liver synthesis in the new born
Breast milk is a poor vitamin K source
Erythromycin eye ointment used for?
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
Chlamydia trachomatis
causes what in newborns?
nasal congestion, conjunctival edema, discharge, pneumonitis
Chlamydia trachomatis is treated with?
systemic erythromycin
Neisseria Gonorrhoeae causes what in newborns?
severe conjunctivitis with copious eye discharge
eye emergency
Neisseria Gonorrhoeae Tx?
parenteral third-generation cephalosporin
If mom has active Hep B or is high risk then what other medication will need to be given?
HBIG
A caput is between which layers
skin and epicranial aponeurosis
crosses suture lines
MC, benign, and resolves in days
Cephalohematoma
Between periosteum and skull
Stops at suture lines
Generally benign and will resorb
Puts baby at risk for high bilirubin
Subgaleal
Between the periosteum and the aponeurosis
Can cause large volume blood loss
Rare and dangerous
Club foot
Foot is excessively plantar flexed, with the forefoot swung medially and the sole facing inward
Metatarsus Adductus
Most common
Medial deviation of the forefoot while hind foot is in neutral position
90% self correct
Milia
normal finding
blocked sebaceous follicles
white bumps involving nose and cheeks
resolve without intervention
Nevus Simplex
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
erythema toxicum
<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
How much weight should newborns gain per day
30g
