Pediatric Newborn FNP Certification 2023-2024 Questions
with all the correct answers
What is the most common chromosomal disorder?
Down Syndrome
Life span in down syndrome
60 years
Round face, flat, upward slanting eyes
Down Syndrome
Low set of ears commonly seen in
Down Syndrome
Open mouth caused by tongue enlargement seen in
Down syndrome
Palmar crease seen in
Down Syndrome
Risk in patients with down syndrme
cardiovascular
complications associated with down syndrome
hearing loss, visual problems, catracts, sleep apnea, early alzhaimers
education for down syndrome
increased risk for sports avoid trampolin use specially for 6 years and younger
microcephalia, palpebral fissures, epicanthic folds, flat nasal bridge, undeveloped
ears, and thin upper lip is seen in
fetal alcohol syndrome
true or false:
Fetal alcohol syndrome may not be obvious until adolescent
True
exam to identify Cryptorchidism
massage inguinal canal (exam room warm or examine after a warm bath)
when is gonoccoccal opthalmia neonatum appears?
2-4 days after birth
condition associated with gonoccoccal opthalmia neonatum
blindness
true or false
in the case of gonoccoccal opthalmia neonatum wait for cultures
false
s/s associated with gonoccoccal opthalmia neonatum
injected red conjunctiva
profuse purulent discharge
swollen eyelids
when is usually aquired gonoccoccal opthalmia neonatum
During delivery
in the case of gonoccoccal opthalmia neonatum what other test should be
performed
chlamydia, h 1erpes simplex, gonorrhea, and bacterial inf.
, tx for gonoccoccal opthalmia neonatum
Hospital and high dose of ceftriazone (IM or IV)
prophylaxis for gonoccoccal opthalmia neonatum
topical erythromycin 0.5% ointment 1 cm each eye
true or false
in the case of gonoccoccal opthalmia neonatum the mother and partner should
be tested and treated
true
when does chlamydia opthtalmia neonatum appears
4 to 10 days after birth
s/s of chlamydia opthtalmia neonatum
edemathous eyelids and red profuse watery discharge
edemathous eyelids and red profuse watery discharge
s/s of chlamydia opthtalmia neonatum
what should I sample in chlamydia opthtalmia neonatum
exudate and conjunctival cells
what should I r/o in chlamydia opthtalmia neonatum
Chlamydia Pneumonia
tx for chlamydia opthtalmia neonatum
systemic abx azitromycin or oral erythromycin x 14 days
if second course of chlamydia opthtalmia neonatum
give oral abx only
prophylaxis of chlamydia opthtalmia neonatum
topical erythromycin 0.5
is chlamydia opthtalmia neonatum reportable?
yes
should I test mother and sexual partner in chlamydia opthtalmia neonatum
yes
Chlamydia pneumonia in newborns test
obtain nasopharingeal culture
chest x ray
findings in chlamydia pneumonia
tachypnea, hyperinflation, diffuse infiltrates, bibasila rales, cough
tx for chlamydia pneumonia
erythromycin QID x 2 weeks
chlamydia is reportable?
Yes
Risks for SIDS
low birth weight, prematurity, povertry, maternal alcohol and drug use
prevention of SIDS
avoid overheating
supine to sleep
abnormal weight loss in newborns
more than 7%
eval in abnormal weight loss
dehydration and lactation difficulties
with all the correct answers
What is the most common chromosomal disorder?
Down Syndrome
Life span in down syndrome
60 years
Round face, flat, upward slanting eyes
Down Syndrome
Low set of ears commonly seen in
Down Syndrome
Open mouth caused by tongue enlargement seen in
Down syndrome
Palmar crease seen in
Down Syndrome
Risk in patients with down syndrme
cardiovascular
complications associated with down syndrome
hearing loss, visual problems, catracts, sleep apnea, early alzhaimers
education for down syndrome
increased risk for sports avoid trampolin use specially for 6 years and younger
microcephalia, palpebral fissures, epicanthic folds, flat nasal bridge, undeveloped
ears, and thin upper lip is seen in
fetal alcohol syndrome
true or false:
Fetal alcohol syndrome may not be obvious until adolescent
True
exam to identify Cryptorchidism
massage inguinal canal (exam room warm or examine after a warm bath)
when is gonoccoccal opthalmia neonatum appears?
2-4 days after birth
condition associated with gonoccoccal opthalmia neonatum
blindness
true or false
in the case of gonoccoccal opthalmia neonatum wait for cultures
false
s/s associated with gonoccoccal opthalmia neonatum
injected red conjunctiva
profuse purulent discharge
swollen eyelids
when is usually aquired gonoccoccal opthalmia neonatum
During delivery
in the case of gonoccoccal opthalmia neonatum what other test should be
performed
chlamydia, h 1erpes simplex, gonorrhea, and bacterial inf.
, tx for gonoccoccal opthalmia neonatum
Hospital and high dose of ceftriazone (IM or IV)
prophylaxis for gonoccoccal opthalmia neonatum
topical erythromycin 0.5% ointment 1 cm each eye
true or false
in the case of gonoccoccal opthalmia neonatum the mother and partner should
be tested and treated
true
when does chlamydia opthtalmia neonatum appears
4 to 10 days after birth
s/s of chlamydia opthtalmia neonatum
edemathous eyelids and red profuse watery discharge
edemathous eyelids and red profuse watery discharge
s/s of chlamydia opthtalmia neonatum
what should I sample in chlamydia opthtalmia neonatum
exudate and conjunctival cells
what should I r/o in chlamydia opthtalmia neonatum
Chlamydia Pneumonia
tx for chlamydia opthtalmia neonatum
systemic abx azitromycin or oral erythromycin x 14 days
if second course of chlamydia opthtalmia neonatum
give oral abx only
prophylaxis of chlamydia opthtalmia neonatum
topical erythromycin 0.5
is chlamydia opthtalmia neonatum reportable?
yes
should I test mother and sexual partner in chlamydia opthtalmia neonatum
yes
Chlamydia pneumonia in newborns test
obtain nasopharingeal culture
chest x ray
findings in chlamydia pneumonia
tachypnea, hyperinflation, diffuse infiltrates, bibasila rales, cough
tx for chlamydia pneumonia
erythromycin QID x 2 weeks
chlamydia is reportable?
Yes
Risks for SIDS
low birth weight, prematurity, povertry, maternal alcohol and drug use
prevention of SIDS
avoid overheating
supine to sleep
abnormal weight loss in newborns
more than 7%
eval in abnormal weight loss
dehydration and lactation difficulties
