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Newborn 1
Pediatrics
| Question | Answer |
|---|---|
| What defines the newborn period | First 28 days of life |
| Term infants are those that are born when? | Between 38-42 weeks |
| What is the post-natal period? | 28th day to end of 1st year |
| Most babies will lose __% of their birth weight in first 24 hours | 8-10 |
| Most babies will regain their birth weight by: | 2 weeks |
| Normal vital signs for newborns | HR-120-160, RR-30-60, BP 50-70 systolic; Record & plot Ht, Wt, HC |
| When does the anterior fontanelle usually close | 4-24 months, average 1 year |
| When does the posterior fontanelle usually close | 2-4 months |
| Newborns are obligate __ breathers | Nose |
| Hearing is fully developed by: | 1 month |
| Umbilical cord should have this ratio of arteries to veins | 2:1 |
| Eye prophylaxis to prevent GC | Silver nitrate; Erythromycin ointment within 1 hour of birth for GC/CT |
| What is given 1mg IM within 4 hours of birth to prevent hemorrhagic newborn disease | Vitamin K |
| What tests are done on the cord blood? | Type, Coombs test, Newborn screening, Hct, glucose |
| Normal newborn HR | 120-160 |
| Normal newborn RR | 30-60 |
| Normal newborn BP | 50-70 systolic |
| Birth weight decreases by what percent in the first 24 hours? | 8-10 |
| Prophylaxis against gonococcal ophthalmia neonatorum = | erythromycin ophthalmic ointment at time of delivery |
| Barlow sign | clunk represents hip dislocatability in posterior-superior direction |
| Ortolani | clunk represents relocation into joint |
| Primitive reflexes | Moro, Babinski, palmar grasp, sucking, rooting, stepping, abdominal reflexes |
| What comprises the newborn evaluation in the nursery? | Skin, auscultation of heart and lungs, palpate abdomen, HEENT, genitalia, hips, Neurologic (tone, reflexes, symmetry of movements) |
| What comprises initial care of the newborn? | Bulb suction oropharynx, support body temp, eye ppx to prevent GC, hep B vaccine, glucose testing, newborn screen, hearing screen, cord blood eval, vitamin K, position (supine, or R side dependent arm extended) |
| By age 3 hours, glucose should be: | 50-80 mg/dL |
| Four criteria required before discharge of a newborn in 24-36 hours | Feeds and voids well. Yellow stools. <10% weight loss. Bili levels stable. Ensure f/u in 48-72 hrs |
| Skin feature in post term infant | peeling skin |
| Neonatal vision is: | 20/200 |
Created by:
Abarnard
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