Peds- Neonatal and Newborn Flashcards
S&S of neonatal displaced clavicular fracture
Praying with passive motion
Crepitus over clavicle
Asymmetric Moro reflex
Risk factors for neonatal displaced clavicular fracture
Birth weight >4kg Maternal gestational DM Postterm labor Vacuum delivery Shoulder dystocia
Diagnosis of neonatal displaced clavicular fracture
X-rays confirm clinical presentation
Management neonatal displaced clavicular fracture
Reassurance and Gentle handling
Analgesics (acetaminophen)
Pinning arm sleeve to shirt at 90* elbow to decrease pain.
Diagnosis: 28wk delivery, 3 day old baby, ↓ movements & tone, ↑ head circumference, lethargic, generalized seizure
Intraventricular Hemorrhage
Intraventricular hemorrhage
Rupture of fragile geminal matrix vessels. Premature and very low birth weight at risk because vasculature is fragile and more susceptible to changes in cerebral perfusion.
Presentation of intraventricular hemorrhage
First few days of life Acute neurologic changes (lethargy, hypotonia, seizures) Bulging Fontanelle Rapidly increasing head circumference Bradycardia (Cushing reflex) Apnea
Diagnosis of inttraventricular hemorrhage
Cranial ultrasound. Coagulated blood has increased echoegnicity
Organisms involved with neonatal sepsis
Group B strep
E. coli
Listeria Monocytgenes
S&S neonatal sepsis
~ < 7days olds Poor feeding Inconsolable Lethargy Respiratory Distress Abnormal Leukocyte count ( high/low)
Evaluation of neonatal sepsis
CBC
CSF analysis
UA
Cultures of all 3
Tx neonatal sepsis
Ampicillin & gentamicin
Can include acyclovir
Management of congenital umbilical hernia
Typically close spontaneously.
Surgery around age 5 for persistent hernias
Risks for congenital umbilical hernia
Hypothyroidism
EDS
Beckwith-Wiedemann Syndrome
Down syndrome
