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How many kcal per day for term newborns? - Answer 100 kcal/kg/day
Premies 120-150 kcal/kg/day
A neonate has received 8 hours of phototherapy. What is alarming? - Answer An absent
Moro reflex, which can indicate kernicterus, also known as bilirubin encephalopathy, a
rare but life threatening condition.
Congenital Pneumonia - Answer Most cases caused by Staph. epidermidis, GBS, E.
Coli and ureaplasma urealyticum. May also be caused by HSV and HIV.
spina bifida occulta - Answer most common and least severe form of spina bifida
without protrusion of the spinal cord or meninges. A dimple or patch of hair on the back
of the infant may be the only indication.
Cafe au lait spots - Answer Multiple, flat irregular light brown skin discolorations on an
infant; have been correlated to neurofibromatosis, a genetic condition that affects
skeletal and neurological development. Also may be associated with Leguis syndrome.
Shoulder dystocia risks - Answer Fetal
Transient brachial plexus palsy (3-16.8%) Erb's and Klumpke's
Clavicular fracture (1.7- 9%)
Humerus fracture (0.1 to 4.2%)
Permanent brachial plexus palsy (0.5-1.6%)
Hypoxic-ischemic encephalopathy (0.3%)
Death (0.35%)
Maternal:
Hemorrhage (11%)
Fourth degree lacerations (3.8%)
Labs for HELLP - Answer CBC, AST, and LDH levels
HELLP affects hemolysis, clotting and liver function. Hemolysis Elevated Liver enzymes
Low Platelets
Involution - Answer Return of the uterus to a nonpregnant state after birth, about 10
days
Bilateral single palmar creases - Answer May indicate chromosomal abnormalities;
commonly associated with trisomy 21 (Down's) can also be trisomy 13 (Patau)
High risk for ABO incompatibility - Answer Mother type O, infant type A
fetal lung maturity - Answer Lecithin:Sphingomyelin ratio of 2:1 or higher in amniotic
fluid indicates fetal lung maturity
, Diaphagmatic hernia - Answer Scaphoid abdomen with decreased left sided breath
sounds
Immediate intubation and insertion of orogastric tube will provide optimal ventilation
while decompressing the stomach to maximize left sided lung inflation
Cephalohematoma - Answer Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines. Resolves in 3-4 days.
Breastfeeding diet - Answer Ridiculous. But for the test, protein, fluids, and complex
carbs.
Pathologic Jaundice - Answer Neonatal jaundice that is present in the first 24 hours of
life is considered
GBS - Answer Most common cause of neonatal sepsis
Seizures - Answer In a patient with pre-eclampsia, the development of eclampsia is
characterized by
Signs of premature infant - Answer Minimal breast bud tissue, decreased muscle tone
(less flexed resting posture), more lanugo, thinner skin, fewer plantar foot creases, less
developed ear cartilage
At risk of malignant transformation - Answer a giant nevus is the most concerning of the
congenital pigmented nevi because it is
Sheehan's syndrome - Answer Also known as postpartum pituitary gland necrosis, is
hypopituitarism (decreased functioning of the pituitary gland), caused by ischemic
necrosis due to blood loss and hypovolemic shock during and after childbirth.
Ortolani maneuver - Answer technique for checking hip integrity. unequal movement
suggests the hip is dislocated, determines if the femoral head is dislocated laterally
Brachial plexus injury - Answer After shoulder dystocia an infant exhibits limp left lower
arm and hand.
Postpartum plan for GDM - Answer Serum glucose at 6 weeks postpartum visit
Mediolateral episiotomy - Answer Blood loss is greater in which episiotomy? Midline or
mediolateral
Cardiopulmonary adaptation of newborn after delivery - Answer systemic vascular
resistance
How many kcal per day for term newborns? - Answer 100 kcal/kg/day
Premies 120-150 kcal/kg/day
A neonate has received 8 hours of phototherapy. What is alarming? - Answer An absent
Moro reflex, which can indicate kernicterus, also known as bilirubin encephalopathy, a
rare but life threatening condition.
Congenital Pneumonia - Answer Most cases caused by Staph. epidermidis, GBS, E.
Coli and ureaplasma urealyticum. May also be caused by HSV and HIV.
spina bifida occulta - Answer most common and least severe form of spina bifida
without protrusion of the spinal cord or meninges. A dimple or patch of hair on the back
of the infant may be the only indication.
Cafe au lait spots - Answer Multiple, flat irregular light brown skin discolorations on an
infant; have been correlated to neurofibromatosis, a genetic condition that affects
skeletal and neurological development. Also may be associated with Leguis syndrome.
Shoulder dystocia risks - Answer Fetal
Transient brachial plexus palsy (3-16.8%) Erb's and Klumpke's
Clavicular fracture (1.7- 9%)
Humerus fracture (0.1 to 4.2%)
Permanent brachial plexus palsy (0.5-1.6%)
Hypoxic-ischemic encephalopathy (0.3%)
Death (0.35%)
Maternal:
Hemorrhage (11%)
Fourth degree lacerations (3.8%)
Labs for HELLP - Answer CBC, AST, and LDH levels
HELLP affects hemolysis, clotting and liver function. Hemolysis Elevated Liver enzymes
Low Platelets
Involution - Answer Return of the uterus to a nonpregnant state after birth, about 10
days
Bilateral single palmar creases - Answer May indicate chromosomal abnormalities;
commonly associated with trisomy 21 (Down's) can also be trisomy 13 (Patau)
High risk for ABO incompatibility - Answer Mother type O, infant type A
fetal lung maturity - Answer Lecithin:Sphingomyelin ratio of 2:1 or higher in amniotic
fluid indicates fetal lung maturity
, Diaphagmatic hernia - Answer Scaphoid abdomen with decreased left sided breath
sounds
Immediate intubation and insertion of orogastric tube will provide optimal ventilation
while decompressing the stomach to maximize left sided lung inflation
Cephalohematoma - Answer Swelling caused by bleeding between the osteum and
periosteum of the skull. This swelling does not cross suture lines. Resolves in 3-4 days.
Breastfeeding diet - Answer Ridiculous. But for the test, protein, fluids, and complex
carbs.
Pathologic Jaundice - Answer Neonatal jaundice that is present in the first 24 hours of
life is considered
GBS - Answer Most common cause of neonatal sepsis
Seizures - Answer In a patient with pre-eclampsia, the development of eclampsia is
characterized by
Signs of premature infant - Answer Minimal breast bud tissue, decreased muscle tone
(less flexed resting posture), more lanugo, thinner skin, fewer plantar foot creases, less
developed ear cartilage
At risk of malignant transformation - Answer a giant nevus is the most concerning of the
congenital pigmented nevi because it is
Sheehan's syndrome - Answer Also known as postpartum pituitary gland necrosis, is
hypopituitarism (decreased functioning of the pituitary gland), caused by ischemic
necrosis due to blood loss and hypovolemic shock during and after childbirth.
Ortolani maneuver - Answer technique for checking hip integrity. unequal movement
suggests the hip is dislocated, determines if the femoral head is dislocated laterally
Brachial plexus injury - Answer After shoulder dystocia an infant exhibits limp left lower
arm and hand.
Postpartum plan for GDM - Answer Serum glucose at 6 weeks postpartum visit
Mediolateral episiotomy - Answer Blood loss is greater in which episiotomy? Midline or
mediolateral
Cardiopulmonary adaptation of newborn after delivery - Answer systemic vascular
resistance
