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RNC-MNN study guide with complete solutions.

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Medication administered for meconium aspiration in neonate Beractant (survanta) Spina Bifida occulta Gap in spine, without spinal opening or sac protrusion 00:33 01:23 Craniosynostosis Premature fusion of cranial sutures. Absence of fontanels, misshapen head that doesn't resolve in a few days, and hard raised ridge along affected sutures. Diaphragmatic hernia in neonate Scaphoid abdomen and decreased left breath sounds. Tx:immediate intubation and insertion of orogastric tube to help with ventilation and decompress stomach in order to maximize lung inflation Spo2 for neonate in transition period 1 min- 60-65% increase by 5% each min until 10min 85-90% Café au lait spots Multiple flat irregular spots. Possibly indicates neurofibromatosis (genetic disease that affects skeletal/neuro development and cell proliferation involution of the uterus the uterus returns to its normal nonpregnant size HELLP syndrome hemolysis, elevated liver enzymes, low platelets (100,000) HELLP syndrome labs to determine syndrome class of 1,2,3 CBC, AST/ALT and LDH (lactate dehydrogenase) Hemolysis, elevated liver enzymes, low platelets Congenital torticollis in neonate appearance Asymmetrical face, head positioned as if infant is looking over shoulder Phenylketonuria A human metabolic disease caused by a mutation in a gene coding for a phenylalanine processing enzyme (phenylalanine hydroxylase), which leads to accumulation of phenylalanine and mental retardation if not treated; inherited as an autosomal recessive phenotype. PKU diet restrictions Low protein, no artificial sweeteners, limited breastfeeding Desquamation post term infant Peeling, cracking, dry skin Calorie requirements neonate 100 kcal/kg/day (premature 120-150) Absent moro reflex Indication of bilirubin encephalopathy (kernicterus) Change of lochia Rubra, serosa, alba Closure of PDA (Pulmonary ductus arteriosus) 24 hours. infants with transposition of great arteries, pda may need to be kept open TTN (transient tachypnea of the newborn) respiratory distress in a term infant related to to delayed absorbtion of fluid in lungs from delivery. Should not last more than 6hrs Lab indicates fetal lung maturity Lecithin-sphingomyelin (L/S) ratio of 2:1 they are components of Lin surfactant Cause of neonatal/congenital pneumonia Staphylococcus epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv) Risk for abo incompatibility Mom o, infant a or b puerperal infection infection of the reproductive tract at any time during the 6 weeks following birth Para delivery of a live/stillborn fetus 20wks nullipara a woman who has not given birth to a viable offspring, 20wks HCG human chorionic gonadotropin gestational sac can be seen 5-6 weeks transabdominally, 3-4 transvaginally Maternal Weight Gain Healthy weight BMI: 25 to 35 lb 1st trimester: 3.5 to 5 lb 2nd & 3rd trimesters: 1 lb/week BMI 19.8: 28 to 40 lb 1st trimester: 5 lb 2nd & 3rd trimesters: 1+ lb/week BMI 25: 15 t

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RNC-MNN
Absent moro reflex - Answer Indication of bilirubin encephalopathy (kernicterus)

Achondroplasia - Answer A form of human dwarfism caused by a single dominant allele;
the homozygous condition is lethal

Aldomet - Answer Methyldopa
Antihypertensive

amenorrhea - Answer absence of menstruation

amniocentesis - Answer the sampling of amniotic fluid using a hollow needle inserted
into the uterus, to screen for developmental abnormalities in a fetus. 15-20wks for
genetic diagnosis, 30-35 wks for lung maturity.

Antibiotic to avoid while pregnant and breastfeeding - Answer Tetracyclines due to teeth
staining and enamel defects in newborns after extended use while breastfeeding. While
pregnant can retard skeletal growth and dental problems

Antidepressant safe for pregnant women with severe depression - Answer Celexa

Apgar scale - Answer appearance, pulse, grimace, activity, respiration
1,5,10min

Arthrogryposis - Answer Born with joint contractures, don't move as normal and may be
stuck in one position

assisted reproductive technology (ART) - Answer any infertility treatment in which the
egg is fertilized outside the womb

atelectasis - Answer collapsed lung; incomplete expansion of alveoli

Avg chest circumference - Answer 30-36 cm (12-14 in)

avg head circumference - Answer 32-38 cm (13-15 in) usually 2cm more than chest circ

avg length of newborn - Answer 45-55 cm (18-22 in)

Barlow test - Answer Test for a hip that is dislocatable but not dislocated in infants. With
infant supine and hip and knees flexed, push posteriorly in line with the shaft of femur.
An unstable femoral head will dislocate posteriorly from acetabulum.

, Biophysical Profile (BPP) - Answer Method for evaluating fetal status during the
antepartum period based on five variables originating with the fetus: fetal heart rate,
breathing movements, gross body movements, muscle tone, and amniotic fluid volume.

Bladder exstrophy - Answer Eversion of the posterior bladder through the anterior
bladder wall and Lower abdominal wall

blepharoptosis - Answer drooping eyelid

Blueberry muffin rash - Answer Description of rash characteristic of congenital rubella.
Multiple blue/purple marks modules on skin in clusters

bounding pulses in newborn indicates - Answer too much blood coming from the aorta-
PDA, aortic insufficiency, shunts

breastmilk storage - Answer -room temperature for 8 hours
-refrigerated for 8 days
-freezer for 6 months
-deep freezer 1 year

brick dust urine - Answer normal if within 48hrs, urate deposits

Café au lait spots - Answer Light-brown birthmarks. more than 3 could be
neurofibromatosis type 1 (usually will have freckles on armpit and inguinal area)

Café au lait spots - Answer Multiple flat irregular spots. Possibly indicates
neurofibromatosis (genetic disease that affects skeletal/neuro development and cell
proliferation

Calcium recommendations in pregnancy - Answer 1 gram/day, peak calcium transfer in
3rd trimester

Calorie requirements neonate - Answer 100 kcal/kg/day (premature 120-150)

Cause of neonatal/congenital pneumonia - Answer Staphylococcus epidermidis, group
b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv)

CCHD - Answer Critical Congenital Heart Defect

cerbral palsy - Answer lack of muscle control and partial paralysis, caused by a brain
defect or lesion present at birth or shortly after

CF symptoms in babies - Answer affects sodium chloride movement in cells. meconium
ileus, failure to thrive at 4-6 wks, may develop cough/wheezing

Change of lochia - Answer Rubra, serosa, alba

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