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SD: Peds > Peds: Neontal birthing trauma > Flashcards

Peds: Neontal birthing trauma Flashcards

1
Q

What is a cephalohematoma?

A

swelling over one or both parietal bones that is contained within the suture lines

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2
Q

What is a caput succedaneum?

A

condition involving a serosanguinous, subcutaneous, extraperiosteal fluid collected w/ poorly defined margins

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3
Q

What does a caput succedaneum look like?

A

edema of the scalp over the present part that crosses suture lines

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4
Q

What are some S/S of a fractured clavicle?

A

decreased spontaneous movement of the arm

local tenderness & crepitus

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5
Q

What is Erb Palsy?

A

brachial plexus injuries may result from traction as the head is pulled away from the shoulder during delivery

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6
Q

Erb Palsy is injury to what nerve roots?

A

C5-C6

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7
Q

What are some S/S of Erb Palsy?

A

limp arm

adducted & internally rotated

extended & pronated at the elbow

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8
Q

Is the grasp present in Erb Palsy?

A

yes

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9
Q

What is neonatal abstinence syndrome?

A

maternal history of opiate medications/products

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10
Q

What are some S/S of neonatal abstinence syndrome?

A

feeding concerns

jitteriness

restlessness

sxs most commonly seen within the first 5-7 days of life

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11
Q

How is neonatal abstinence syndrome diagnosed?

A

meconium & urine collection

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12
Q

What is the treatment for neonatal abstinence syndrome?

A

supportive

oral morhpine, methadone, phenobarbital

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13
Q

What are some examples of non-accidental traumas?

A

shaken baby

SIDS

domestic violence

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14
Q

What is toxoplasmosis caused from?

A

maternal exposure to cats

raw meat

immunosuppression

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15
Q

What are some S/S of toxoplasmosis?

A

hydrocephalus

intracranial calcifications

chorioretinitis

jaundice

HSM

fever

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16
Q

What are some S/S of syphillis in a newborn?

A

prematurity

anemia

neutropenia

thrombocytopenia

HSM

17
Q

What are some late signs of syphilis in a newborn?

A

snuffles

rash

keratitis

18
Q

What are some late late signs of syphilis in a newborn?

A

hutchinson teeth

bone abnormalities

19
Q

What is the treatment for syphilis?

A

penicillin

20
Q

When is rubella passed to a newborn?

A

if the mother is unvaccinated

21
Q

What are some S/S of rubella in a newborn?

A

IUGR

microcephaly

eye issues

HSM

jaundice

deafness

blueberry muffin rash

B&T cell deficiency

22
Q

What is the treatment for rubella in a newborn?

A

none

prevent but vaccinating the mother

23
Q

What are some S/S of herpes in a newborn?

A

intrauterine- chorioretinitis, skin lesions

postnatal- encephalitis, skin lesions

24
Q

There is a risk for what if a pregnant woman has Parvovirus B19?

A

risk of fetal loss

25
Q

What is the most common cause of sepsis?

A

Group B strep

26
Q

What are some S/S of a chlamydia infection in a newborn?

A

conjunctivitis

pneumonia

27
Q

What are some S/S of sepsis in a newborn?

A

fever

temperature instability

respiratory difficutly

poor feeding

28
Q

What RR is considered tachypnic in newborns?

A

RR > 60

29
Q

What are some signs of respiratory distress in newborns?

A

intercostal & sternal retractions

expiratory grunting

cyanosis on room air

30
Q

What is transient tachypnea?

A

respiratory distress typically present at birth

usually associated w/ mild to moderate oxygen requirement

31
Q

What is the pathogenesis of transient tachypnea?

A

related to delayed clearance of fetal lung fluid via the circulation & pulmonary lymphatics

32
Q

What is the treatment for transient tachypnea?

A

none

resolution usually occurs within 12-24 hrs

33
Q

How does hyperbilirubinemia present?

A

jaundice

scleral icterus

34
Q

What is the treatment for hyperbilirubinemia?

A

treat cause

phototherapy

exchange transfusion

35
Q

What type of bilirubin is pathological & when does it often present?

A

direct (conjugated)

often presents in first 24 hrs

SD: Peds (11 decks)

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