PEDS Review Cards Flashcards

1
Q

Eval and Management of a newborn during immediate perinatal period

A
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2
Q

Neonatal resuscitation

A

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!

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3
Q

ApGAR scale

1 and 5 minutes

A

At one minute reflect the birthing process

At 5 reflects adaptation to environment

If less than 8 repeat at 5 min intervals

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4
Q

Neonatal examination prior to discharge IAW NEP and BATES

A
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5
Q

Normal and AbNML findings on a neonate phys exam IAW NEP

A
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6
Q

NEONATAL jaundice

NML vs ABNML

A
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7
Q

Neonatal sepsis

A
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

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8
Q

Neonatal Resp Distress

A

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

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9
Q

Neonatal hypoglycemia

A
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10
Q

Standard vaccines Neonate

A
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11
Q

Eyes/Thighs Neontate

A
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12
Q

Hearing Screen Neonate

A
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13
Q

CV screen Neonate

A
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14
Q

Newborn reflexes

A
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15
Q

Transient tachypnea of the newborn

A
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16
Q

Mecanismo aspiration

A
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17
Q

Newborn anemia

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18
Q

Growth metrics Lecture 3

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19
Q

Growth patterns

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20
Q

Biometric measurements IAW NEP

A
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21
Q

Breast vs Bottle feedings

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22
Q

Contradictions for Immunizations

A
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23
Q

immunization schedules

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24
Q

Time intervals for well baby checks

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25
Q

Cradle cap

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26
Q

Thrush

A
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27
Q

Diaper rash

A
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28
Q

When to start solids

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29
Q

When to start cows milk

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30
Q

When to avoid honey

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31
Q

When to avoid juice

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32
Q

Allergies in growth and development

A
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33
Q

Standard development screening

A
34
Q

Screening for Autism

A
35
Q

Screening for lead

A
36
Q

Screening for anemia

A
37
Q

Gross motor development to age 5

Major red flags?

A
38
Q

Development of communication to age 5

Red flags?

A
39
Q

Back to sleep and Sid’s counseling

A
40
Q

Gen water safety for kids

A
41
Q

Gen fire safety for kids

A
42
Q

Child proofing and avoiding ingestions

A
43
Q

School readiness

A
44
Q

Bicycle safety

A
45
Q

Car seat/ booster seat

A
46
Q

Define growth deficiency

A
47
Q

Patterns for Failure to thrive

A
48
Q

Follow up and Treatmetn for failure to thrive

A
49
Q

Down syndrome

A
50
Q

Fetal alcohol syndrome

A
51
Q

Fragile X syndrome

A
52
Q

Turner Syndrome

A
53
Q

Klinefelters Syndrome

A
54
Q

Marfan syndrome

A
55
Q

Cerebral palsy

A
56
Q

Intellectual disability

A
57
Q

Autism spectrum d/o

A
58
Q

ADHD

A
59
Q

Conduct Disorder

A
60
Q

Oppositional Defiant Disorder

A
61
Q

Crying/ Colic

A
62
Q

Temper tantrums

A
63
Q

Proper techniques for interviewing adolescents

HEADSS exam

A
64
Q

Tanner staging

A
65
Q

Basic elements for the sports physical

A
66
Q

Acne

A
67
Q

Gynecomastia

A
68
Q

GYN d/o

A
69
Q

Depression

A
70
Q

Suicide

A
71
Q

Substance abuse

A
72
Q

Obesity

A
73
Q

SMR staging

A
74
Q

Findings of neglect

A
75
Q

Physical abuse vs non abusive trauma

A
76
Q

Family dynamics that lead to child abuse

A
77
Q

Abuse vs neglect

A
78
Q

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

A
79
Q

Long term complications of child abuse

A
80
Q

Shaken baby syndrome

A