PEDS Review Cards

Question 1

Eval and Management of a newborn during immediate perinatal period

Question 2

Neonatal resuscitation

Answer 2

Oxygen

IV fluid bolus– 10 mL/kg NS
—Indicated for hypovolemia/hypotension concerns

Epinephrine
—Asystole or bradycardia unresponsive to O2
—Prefer IV route; ET route has unpredictable results but can use

Naloxone (Narcan) - reverses narcotics/opioids given to mother during labor
If mother is narcotic/drug abuser/addict or on methadone, do NOT give to infant!
!Leads to neonatal withdrawal seizures!

Question 3

ApGAR scale

1 and 5 minutes

Answer 3

At one minute reflect the birthing process

At 5 reflects adaptation to environment

If less than 8 repeat at 5 min intervals

Question 4

Neonatal examination prior to discharge IAW NEP and BATES

Question 5

Normal and AbNML findings on a neonate phys exam IAW NEP

Question 6

NEONATAL jaundice

NML vs ABNML

Question 7

Neonatal sepsis

Answer 7

RSK Fx: Prematurity (6x greater)
Prolonged rupture of membranes
 (>24 hrs)
Maternal Group B Strep (GBS) Colonization
Maternal Fever
Amnionitis
Fetal Tachycardia—indicator of stress

Early Onset: GBS, E. Coli, Klebsiella, Listeria, Salmonella, Mycoplamsa

Late Onset: H. Flue, Staph, HSV, CMV, Enterovirus, S. Pneumo, Neisseria

Start empiric abx as soon as labs are drawn!
-IV Ampicillin & Gentamicin if <3 weeks of age
-IV Ampicillin & Cefotaxime if >3 weeks of age
Liver not functioning well until then

Consider adding Vancomycin if late onset and/or meningitis present
MRSA coverage

Consider adding Acyclovir if concern for HSV infection

Question 8

Neonatal Resp Distress

Answer 8

Grunting

Hyaline membrane Dz

Common in <34 wks (surfactant)

Preventive Treatment prior to birth
-Maternal steroids prior to delivery (32-34 wks) to mature infant lungs

Treatment after birth
Intubation & respiratory support
Artificial surfactant via ET tube

Question 9

Neonatal hypoglycemia

Question 10

Standard vaccines Neonate

Question 11

Eyes/Thighs Neontate

Question 12

Hearing Screen Neonate

Question 13

CV screen Neonate

Question 14

Newborn reflexes

Question 15

Transient tachypnea of the newborn

Question 16

Mecanismo aspiration

Question 17

Newborn anemia

Question 18

Growth metrics Lecture 3

Question 19

Growth patterns

Question 20

Biometric measurements IAW NEP

Question 21

Breast vs Bottle feedings

Question 22

Contradictions for Immunizations

Question 23

immunization schedules

Question 24

Time intervals for well baby checks

Question 25

Cradle cap

Question 26

Thrush

Question 27

Diaper rash

Question 28

When to start solids

Question 29

When to start cows milk

Question 30

When to avoid honey

Question 31

When to avoid juice

Question 32

Allergies in growth and development

Question 33

Standard development screening

Question 34

Screening for Autism

Question 35

Screening for lead

Question 36

Screening for anemia

Question 37

Gross motor development to age 5

Major red flags?

Question 38

Development of communication to age 5

Red flags?

Question 39

Back to sleep and Sid’s counseling

Question 40

Gen water safety for kids

Question 41

Gen fire safety for kids

Question 42

Child proofing and avoiding ingestions

Question 43

School readiness

Question 44

Bicycle safety

Question 45

Car seat/ booster seat

Question 46

Define growth deficiency

Question 47

Patterns for Failure to thrive

Question 48

Follow up and Treatmetn for failure to thrive

Question 49

Down syndrome

Question 50

Fetal alcohol syndrome

Question 51

Fragile X syndrome

Question 52

Turner Syndrome

Question 53

Klinefelters Syndrome

Question 54

Marfan syndrome

Question 55

Cerebral palsy

Question 56

Intellectual disability

Question 57

Autism spectrum d/o

Question 58

ADHD

Question 59

Conduct Disorder

Question 60

Oppositional Defiant Disorder

Question 61

Crying/ Colic

Question 62

Temper tantrums

Question 63

Proper techniques for interviewing adolescents

HEADSS exam

Question 64

Tanner staging

Question 65

Basic elements for the sports physical

Question 66

Acne

Question 67

Gynecomastia

Question 68

GYN d/o

Question 69

Depression

Question 70

Suicide

Question 71

Substance abuse

Question 72

Obesity

Question 73

SMR staging

Question 74

Findings of neglect

Question 75

Physical abuse vs non abusive trauma

Question 76

Family dynamics that lead to child abuse

Question 77

Abuse vs neglect

Question 78

List the legal requirements for the reporting of child abuse IAW NEP.

Question 79

Long term complications of child abuse

Question 80

Shaken baby syndrome