Perinatal/Newborn Health Screening Flashcards
What is the name for the meds mom took during pregnancy?
Xenobiotic
What % is appropraite for gestational age (AGA)?
weight between the 10th and 90th percentile
What % is large for gestational age (LGA)?
weight > 90th percentile
What % is small for gestational age (SGA)?
weight < 10th percentile
What are the five areas of assessment in the APGAR score?
appearance, pulse, grimace, activity, and respiration
How many points total can a neonate get in the APGAR score?
10 points (3 points possible for each - scored 0, 1, or 2)
Which form of cyanosis is NEVER normal?
circumoral or circumorbital
Which form of cyanosis may improve with oxygen therapy?
central cyanosis
Which form of cyanosis may improve with warmth?
peripheral cyanosis
What are pinpoint white papules that can be seen on cheeks, nose, chin, and forehead and typically disappear by 3-4 weeks of life?
milia
What are obstructed sweat (eccrine gland) ducts and is sometimes referred to as “prickly heat?”
miliaria
What is characterized by blotchy red spots on the skin with overlying white or yellow papules and is the most common newborn rash?
erythema toxicum
When does erythema toxicum typically appear and disappear?
appears between 2 and 5 days after birth and disappears by the 14th day
What term describes a subtle shade discoloration located on either flank and may not be present at birth but will increase in size with age?
cafe au lait spots
What should you suspect if there are many large spots or more than 6 cafe au lait spots in a child over the age of 5?
neurofibromatosis
What are benign, flat, congenital birthmarks w/ wavy borders and irregular shapes that almost always disapper by puberty?
mongolian spots
What is a vascular birthmark consisting of superficial and deep dilated capillaries in the skin, which produces a reddish to purplish discoloration of the skin?
port wine stain
What disorder should be ruled out if a port wine stain involves the eye and comes to the midline of the face and stops?
Sturge-Webber
When does the placing/stepping reflex disappear?
1-2 months
When does the rooting, sucking, moro, and palmar refelx typically disappear?
3-4 months
head shape where fluid under the skin crosses the midline
caput succedaneum
blood under periosteum that does NOT cross the midline
cephalohematoma
When does the anterior fontanel close?
by about 18 months
When does the posterior fontanel close?
by 2-3 months
What is the term used to describe different eye colors on one person?
heterochromia
What is the term used to describe salt-and-pepper speckling on the iris that is associated with down syndrome?
brushfield spots
What is the term used to describe a narrowing or blockage of the nasal airway by tissue that is present at birth?
choanal atresia
What are calcium deposits on the gum line which will go away on their own?
epstein pearls
What respiratory findings are never normal in a newborn?
retractions, stridor, grunting
When assessing for developmental hip dysplasia, this term is used to describe a “click” that is heard or felt as dislocation is reduced.
Ortolani’s click
When assessing for developmental dysplasia, this term is used to describe the feeling of a slip as the femoral head slips away from the acetabulum causing dislocation.
Barlow’s maneuver
The term used to describe a result where if the child has the disorder, you want the test result to be positive
sensitivity
The term used to describe a result where if the child doesn’t have the condition, you want the test result to be negative
specificity
