Peds: Neontal birthing trauma Flashcards
What is a cephalohematoma?
swelling over one or both parietal bones that is contained within the suture lines
What is a caput succedaneum?
condition involving a serosanguinous, subcutaneous, extraperiosteal fluid collected w/ poorly defined margins
What does a caput succedaneum look like?
edema of the scalp over the present part that crosses suture lines
What are some S/S of a fractured clavicle?
decreased spontaneous movement of the arm
local tenderness & crepitus
What is Erb Palsy?
brachial plexus injuries may result from traction as the head is pulled away from the shoulder during delivery
Erb Palsy is injury to what nerve roots?
C5-C6
What are some S/S of Erb Palsy?
limp arm
adducted & internally rotated
extended & pronated at the elbow
Is the grasp present in Erb Palsy?
yes
What is neonatal abstinence syndrome?
maternal history of opiate medications/products
What are some S/S of neonatal abstinence syndrome?
feeding concerns
jitteriness
restlessness
sxs most commonly seen within the first 5-7 days of life
How is neonatal abstinence syndrome diagnosed?
meconium & urine collection
What is the treatment for neonatal abstinence syndrome?
supportive
oral morhpine, methadone, phenobarbital
What are some examples of non-accidental traumas?
shaken baby
SIDS
domestic violence
What is toxoplasmosis caused from?
maternal exposure to cats
raw meat
immunosuppression
What are some S/S of toxoplasmosis?
hydrocephalus
intracranial calcifications
chorioretinitis
jaundice
HSM
fever
What are some S/S of syphillis in a newborn?
prematurity
anemia
neutropenia
thrombocytopenia
HSM
What are some late signs of syphilis in a newborn?
snuffles
rash
keratitis
What are some late late signs of syphilis in a newborn?
hutchinson teeth
bone abnormalities
What is the treatment for syphilis?
penicillin
When is rubella passed to a newborn?
if the mother is unvaccinated
What are some S/S of rubella in a newborn?
IUGR
microcephaly
eye issues
HSM
jaundice
deafness
blueberry muffin rash
B&T cell deficiency
What is the treatment for rubella in a newborn?
none
prevent but vaccinating the mother
What are some S/S of herpes in a newborn?
intrauterine- chorioretinitis, skin lesions
postnatal- encephalitis, skin lesions
There is a risk for what if a pregnant woman has Parvovirus B19?
risk of fetal loss
