Perinatal/Newborn Health Screening

Question 1

What is the name for the meds mom took during pregnancy?

Answer 1

Xenobiotic

Question 2

What % is appropraite for gestational age (AGA)?

Answer 2

weight between the 10th and 90th percentile

Question 3

What % is large for gestational age (LGA)?

Answer 3

weight > 90th percentile

Question 4

What % is small for gestational age (SGA)?

Answer 4

weight < 10th percentile

Question 5

What are the five areas of assessment in the APGAR score?

Answer 5

appearance, pulse, grimace, activity, and respiration

Question 6

How many points total can a neonate get in the APGAR score?

Answer 6

10 points (3 points possible for each - scored 0, 1, or 2)

Question 7

Which form of cyanosis is NEVER normal?

Answer 7

circumoral or circumorbital

Question 8

Which form of cyanosis may improve with oxygen therapy?

Answer 8

central cyanosis

Question 9

Which form of cyanosis may improve with warmth?

Answer 9

peripheral cyanosis

Question 10

What are pinpoint white papules that can be seen on cheeks, nose, chin, and forehead and typically disappear by 3-4 weeks of life?

Answer 10

milia

Question 11

What are obstructed sweat (eccrine gland) ducts and is sometimes referred to as “prickly heat?”

Answer 11

miliaria

Question 12

What is characterized by blotchy red spots on the skin with overlying white or yellow papules and is the most common newborn rash?

Answer 12

erythema toxicum

Question 13

When does erythema toxicum typically appear and disappear?

Answer 13

appears between 2 and 5 days after birth and disappears by the 14th day

Question 14

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?

Answer 14

cafe au lait spots

Question 15

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?

Answer 15

neurofibromatosis

Question 16

What are benign, flat, congenital birthmarks w/ wavy borders and irregular shapes that almost always disapper by puberty?

Answer 16

mongolian spots

Question 17

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?

Answer 17

port wine stain

Question 18

What disorder should be ruled out if a port wine stain involves the eye and comes to the midline of the face and stops?

Answer 18

Sturge-Webber

Question 19

When does the placing/stepping reflex disappear?

Answer 19

1-2 months

Question 20

When does the rooting, sucking, moro, and palmar refelx typically disappear?

Answer 20

3-4 months

Question 21

head shape where fluid under the skin crosses the midline

Answer 21

caput succedaneum

Question 22

blood under periosteum that does NOT cross the midline

Answer 22

cephalohematoma

Question 23

When does the anterior fontanel close?

Answer 23

by about 18 months

Question 24

When does the posterior fontanel close?

Answer 24

by 2-3 months

Question 25

What is the term used to describe different eye colors on one person?

Answer 25

heterochromia

Question 26

What is the term used to describe salt-and-pepper speckling on the iris that is associated with down syndrome?

Answer 26

brushfield spots

Question 27

What is the term used to describe a narrowing or blockage of the nasal airway by tissue that is present at birth?

Answer 27

choanal atresia

Question 28

What are calcium deposits on the gum line which will go away on their own?

Answer 28

epstein pearls

Question 29

What respiratory findings are never normal in a newborn?

Answer 29

retractions, stridor, grunting

Question 30

When assessing for developmental hip dysplasia, this term is used to describe a “click” that is heard or felt as dislocation is reduced.

Answer 30

Ortolani’s click

Question 31

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.

Answer 31

Barlow’s maneuver

Question 32

The term used to describe a result where if the child has the disorder, you want the test result to be positive

Answer 32

sensitivity

Question 33

The term used to describe a result where if the child doesn’t have the condition, you want the test result to be negative

Answer 33

specificity