Well Baby Care Flashcards
List 6 things to ask about for counselling parents on safety for children
No honey until 1 year Choking haxards VIT D for baby and Mom Fed is best Button battery ingestion-Give honey Guns Carbon monozide Electric plugs Car seats Poison storage and phone number
What should babies be able to do by 2 month
Coo
What should babies be able to do by 4 months
Hold an object and hold their head study
What should kids be able to do by 4 years
Stand on one foot
What should kids be able to do at 6 months
Sit up
What should kids be able to do at 8 months
Pincer grasp
What should kids be able to do at one year
Walk
Say a few words
What should kids be able to do at 2 years
Run
Say 2 word sentences
What should kids be able to do at 3 years
Follow 3 step directions
Speak in sentences
How long should you breast feed for
At least 2 years
With Vit D
BUT FED IS BEST
List four types of formulas you can use for cows milk protein allergy
Hydrolyzed cows milk
Hydrolyze rice milk (not as easy to get)
Soy milk
Amino acid-based formula
DDX for kid who is fussy after meals
GERD Pyloric stenosis Cows milk allergy Gastroenteritis Hiatus hernia Hydrocephalus
List 5 pros and 4 cons of circumcision
- Reduced penile cancer
- Reduced phimosis
- Reduced UTI
- Reduced HPV
- Reduced HIV
- Reduces HSV
- Reduced cervial cancer and STI in partner
- Risk of infection
- Risk of bleeding
- Meatal stenosis
- Ethical concerns
NNT Jfor the pros are generally high
What kind of milk should a baby be drinking
Formula or breast until 1 year
Homo milk at 1 year
Transition to 1-2% by 2-3 years
Discontinue bottle by 18 months
When can you buy your kid an ipad
Not before 2 years
What should you include in a physical exam
Height Weight Head circumfrence BMI (at 16) Fontanelles Eyes Hearing Heart Lungs Abdomen Skin Hips until walking Genital (Testes)
When and how to introduce real food
6 months
One food per 3 days to check for any reaction
Don’t avoid allergens
Choking safe foods
Risks of undescended testes
Torsion Trauma Tumor Hernia Infertility
Score to diagnose testicular torsion
TWIST Absent cremateric refelx N+V High riding testicle Testicular swelling Hard testicle
ANY =Ultrasound
If they have all of them can skip the ultrasound and just refer to surgery
List four basic concepts of NRP
PPV is the mainstay
Limit suctioning
Skin 2 skin
Use O2 judiciously
What medication should you consider giving in a new born who is less responsive than you would like with a slow breathing rate
Naloxone if possible opioids
How many breaths per minute if CPR on a new born
20-30 with a rescue airway
List 5 risks for sepsis
Chorioamnionitis Fever <37 weeks Rupture >18 hours GBS +
What are the bugs that can cause sepsis in the new born
Listeria
E. Coli
GBS
List 7 symptoms of hypoglycemia
Jittery Lethargic Homotonic Sweating Weak cry Tachypnea Seizures
How to treat hypoglycemia in the new born
Feed
If can’t feed give D10 W IV and recheck glucose q 30 minutes
What drug may a mother be on that increases risk of hypoglycemia complications in a new born
Beta blocker, because it can mask symptoms
What tests should you get to investigate hyperbilirubinemia
Hemoglobin Group and Screen Conjugated bilirubin Coombs (Direct looks for antibodies on the baby's red blood cells, indirect looks for antibodies in the serum) Peripheral smear
List the 3 rules of 1 for downs syndrome
1 palmar crease
1% recurrence
1st toe web space
List 5 risks for hip dysplasia
Female First born Feet first (breech) Fluid low (Oligo) Family history
So you diagnose a baby with a simple URTI. In your discussion with a parent when are you going to tell them to come back
Fever >24 hours
Fluid ins and outs inadequate
Fatigued/Lethargic
Fearful symptoms (LOC, Respiratory distress etc.)
In this case specifically resp distress, indrawing, retractions, wheezing, unable to play
List three vitals we can get to look for congenital hear disease
Pulse ox at 24-36 hours to check for congenital heart disease
>95% in the right foot and <3% difference between hand and foot
BP-If 6-9 mmHg less in the calf could be coarctation
HR-ausculation more improtant to listen for murmurs
List 5 features of down syndrome
Hypotonia Large tongue and small mouth Short neck Flattened nasal root Epicanthal folds Up slanted fissures Third fontanelle Rounded head Wide gab between 1st and 2nd toe
List 5 features of fetal Alcohol syndrome
Smooth philtrum Thin vermilion border of the upper lip Short palperbral fissures Strabismus Ptosis Midface hypoplasia Cleft palate Irritability Hearing loss Post natal growth deficience
Important questions to ask on new born history (List 7)
Screening during pregnancy Drugs and medication during pregnancy GBS status APGARS Meconium ROM Gestational diabetes Family history Need for resuscitation
List three features of a pathalogical murmur
Grade 3+
Holosystolicc
Diastolic
