NARM (Newborn)
What does Opiate abuse in newborn looks like - answer newborn is irritability, tremors,
high- pitched cry, hyperstimulablitity, tachypenea, tachycardia, disorganized feeding,
hyperthermia , vasomotor instablitily
What does prematurity look like in newborn – answer Translucent skin, sparse lanugo,
flat areolae, prominent clitoris and labia minora, highly felxible, non recoiling ear tissue-
Newborn gestational age instrument - answer Ballard Scale
Fetal circulation after birth - answer an increase in pressure in the left atrium facilitating
closure of the foramen ovale, - low pulmaonary resistance- increased oxygenation of
circulating blood through ductus arteriosus.
Findings for newborn with maternal gestational diabetes - answer Weak cry, jitteriness,
cyaosis, apenea, poor feeding and lethargy- serum glucose leve below 40mg'dl, absent
moro relfex
meningocele - answera defect in the vertebral column resulting in extrusion of the
meninges and cerebrospinal fluid
tracheoesophageal malformation - answernewborn will drool, feed porrly , excessive
refulx, turns bluish -gray while feeding,
cold stress of newborn looks like - answerincreaed o2, hypoglycemia, hypoxia, acidosis,
respiratory distress
Patent urachus - answerdrainage of urine from the stump of umbilical cord of in male
newborn
first breaths of newborn - answerfetal to extrauterine circulation, initial breathing serves
to clear the lungs of fluid, the first breath establishes lung volume and epand the alveoli
Normal Birth Weight - answernormal weight for a term newborn is 2501- 4000g
Low birth weights - answerExtremely low birth weight- less than 1000g - Very low birth
weight -1000-1500g - low birth weight 1501-2500g
Asymmetric growth restriction - answeris associated with acute insults in late pregnancy
and has poor long term outcomes. An infant with a head circumference above the 45%
percentile and birth weight below the 10% - has asymmetrically growth restricted
, Describe microcephaly of newborn - answerhead circumference is smaller than the
average, caused by PKU, drugs, infections, decresased o2 , genetic and enviromental
factos, toxoplasmosis, HIV, hepatitis B normal head cir- 33-35cm chest 30 to 33cm 2 to
3 less than head
newborn metabolic disorders - answermost are characterized by enzyme deficiency ,
resulting in toxic accumulation of metabolites
PKU - answerdeficiency of phenylalanine hydroxylase, resulting in inability to
metabolize phenylalanine
Having PKU in newborn = - answerresulting in toxic accumulation of abnormal
metabolities of Ph eventually leading to CNS danmage- should be identified and treated
before 3 weeks of age
Treatment of PKU - answerdietary restrictions of food high in phenylalanine-
Glactosemia - answerinability to convert galactose to glucose- retuts in toxic
acccumulation in blood stream, treatment- dietary restruction
interpartum factor and neonatal findings - answerforceps deliverty= cephalohematoma
shoulder dystocia= asymmetric moro reflex breech presentation= positive ortalani sigh -
( hip clicks)
pyloric stenosis - answerwhen the pylorus valve between the stomach and small
intestine does not close due to thikening of the muscle- causing vomiting, dehydration
and weight loss
abnormal respiratory findings in newborn - answernasal flaring, expiratory grunting and
retractions, respiratory rate 40-80 bpm, ventilation primarily though the mouth
Erythromycin ointment - answerfor gonorrhea and chlamydia prophylazix- amount .5% ,
1/2 inch placed at apex of eye and moves outword
Chlamydia in newborn - answermost common cause of blindness worldwide-
interapartum transmission results in conjunctivities, pneumonia, otitis media
Rubella in newborn - answercauses IUGR, cardiac anomalies, feafness blindness,
mental retardation- depends on gestational age at transmission and duration of infection
chlamydia in pregnancy - answermost common STD- s/sx urethritis, mucopurulent
cervicitis, acute salpingitits, Treatment- azithromycin orally for 7 days- repeat testing 3
weeks after treatment
What does Opiate abuse in newborn looks like - answer newborn is irritability, tremors,
high- pitched cry, hyperstimulablitity, tachypenea, tachycardia, disorganized feeding,
hyperthermia , vasomotor instablitily
What does prematurity look like in newborn – answer Translucent skin, sparse lanugo,
flat areolae, prominent clitoris and labia minora, highly felxible, non recoiling ear tissue-
Newborn gestational age instrument - answer Ballard Scale
Fetal circulation after birth - answer an increase in pressure in the left atrium facilitating
closure of the foramen ovale, - low pulmaonary resistance- increased oxygenation of
circulating blood through ductus arteriosus.
Findings for newborn with maternal gestational diabetes - answer Weak cry, jitteriness,
cyaosis, apenea, poor feeding and lethargy- serum glucose leve below 40mg'dl, absent
moro relfex
meningocele - answera defect in the vertebral column resulting in extrusion of the
meninges and cerebrospinal fluid
tracheoesophageal malformation - answernewborn will drool, feed porrly , excessive
refulx, turns bluish -gray while feeding,
cold stress of newborn looks like - answerincreaed o2, hypoglycemia, hypoxia, acidosis,
respiratory distress
Patent urachus - answerdrainage of urine from the stump of umbilical cord of in male
newborn
first breaths of newborn - answerfetal to extrauterine circulation, initial breathing serves
to clear the lungs of fluid, the first breath establishes lung volume and epand the alveoli
Normal Birth Weight - answernormal weight for a term newborn is 2501- 4000g
Low birth weights - answerExtremely low birth weight- less than 1000g - Very low birth
weight -1000-1500g - low birth weight 1501-2500g
Asymmetric growth restriction - answeris associated with acute insults in late pregnancy
and has poor long term outcomes. An infant with a head circumference above the 45%
percentile and birth weight below the 10% - has asymmetrically growth restricted
, Describe microcephaly of newborn - answerhead circumference is smaller than the
average, caused by PKU, drugs, infections, decresased o2 , genetic and enviromental
factos, toxoplasmosis, HIV, hepatitis B normal head cir- 33-35cm chest 30 to 33cm 2 to
3 less than head
newborn metabolic disorders - answermost are characterized by enzyme deficiency ,
resulting in toxic accumulation of metabolites
PKU - answerdeficiency of phenylalanine hydroxylase, resulting in inability to
metabolize phenylalanine
Having PKU in newborn = - answerresulting in toxic accumulation of abnormal
metabolities of Ph eventually leading to CNS danmage- should be identified and treated
before 3 weeks of age
Treatment of PKU - answerdietary restrictions of food high in phenylalanine-
Glactosemia - answerinability to convert galactose to glucose- retuts in toxic
acccumulation in blood stream, treatment- dietary restruction
interpartum factor and neonatal findings - answerforceps deliverty= cephalohematoma
shoulder dystocia= asymmetric moro reflex breech presentation= positive ortalani sigh -
( hip clicks)
pyloric stenosis - answerwhen the pylorus valve between the stomach and small
intestine does not close due to thikening of the muscle- causing vomiting, dehydration
and weight loss
abnormal respiratory findings in newborn - answernasal flaring, expiratory grunting and
retractions, respiratory rate 40-80 bpm, ventilation primarily though the mouth
Erythromycin ointment - answerfor gonorrhea and chlamydia prophylazix- amount .5% ,
1/2 inch placed at apex of eye and moves outword
Chlamydia in newborn - answermost common cause of blindness worldwide-
interapartum transmission results in conjunctivities, pneumonia, otitis media
Rubella in newborn - answercauses IUGR, cardiac anomalies, feafness blindness,
mental retardation- depends on gestational age at transmission and duration of infection
chlamydia in pregnancy - answermost common STD- s/sx urethritis, mucopurulent
cervicitis, acute salpingitits, Treatment- azithromycin orally for 7 days- repeat testing 3
weeks after treatment
