PEDS 204 FINAL EXAM LATEST
2021
Advanced Maternal Age is what?
Correct answer- 35
Normal GI flora that lives in the vagina of 1/3 of women. Mom has to get
antibiotics in labor to avoid transmission to baby?
Correct answer- Group B Strep
Rectal/vaginal swab results at 35-37 weeks gestation?
Correct answer- Group B Strep (GBS)
Fetal monitoring was used to prevent rates of what, but no change in
numbers have been made?
Correct answer- Cerebral Palsy
There are two arteries and one vein?
Correct answer- In the placenta
How long is too long for a ruptured membrane?
Correct answer- Anything over 18 hours
Used to asess general condition of the newborn. Rated at 1 minute and 5
minutes post- partum:Color, HR, Reflexes, Activity, Respirations?
Correct answer- Apgar Score
Applied to eyes within 1 hour of birth to prevent bacterial ophthalmia?
Correct answer- Erythromyacin Ointment
1mg given IM at birth?
Correct answer- Vitamin K
Should be the most thorough exam a child ever receives?
Correct answer- Newborn Assessment
Preterm babies are born before?
Correct answer- 37 weeks
Term babies are born at?
Correct answer- 37-41 weeks (6 to 7 week interval)
Post term babies are bornat?
Correct answer- 42 or more weeks
,Can predict problems, morbidity, mortality, and can help you keep alert for
certain problems?
Correct answer- Gestational Age
At risk for: Respiratory distress syndrome
Necrotizing enterocolitis
Patent ductus arteriosis
Apnea?
Correct answer- Pre-Term Babies
Asphyxia
Meconium aspiration
Trisomies and other syndromes
Correct answer- Post-Term Babies
Neuromuscular signs chart as an estimate for gestational age?
Correct answer- Dubowitz-Ballard
Fluid in the testicle?
Correct answer- Hydrocele
When light reflects on the testicle, this usually means?
Correct answer- Fluid inside
Clicks are common and benign due to estrogenic effect. Clunks are indicative
of hip dislocation/relocation and can represent developmental dysplasia of
the hip? Correct answer- Barlow and Ortaloni exam
Can be normal or a sign of down syndrome?
Correct answer- Single Simean (Palmar) crease
Not a bruise. More common in darker skin babies- most commonly on back or
butt? Correct answer- Congenital Dermal Melanocytosis (Mongolian spot)
This needs to be evaluated. Can be at risk for cancer later in life?
Correct answer- Giant Congenital Nevus
Rash on newborn?
Correct answer- Erythema Toxicum Neonatorum
Benign, baby acne, goes away?
Correct answer- Neonatal Pustular Melanosis
Benign white dots on infants skin?
Correct answer- Milia
,Benign, fades or goes away, mostly on back of neck, purple or reddish in
appearance? Correct answer- Nevus Flammeus (Stork Bite)
Can be anywhere from benign to devastating. Reddish or purplish in
appearance. Can cover a small area on back of the neck or could cover the
whole face including eye? Correct answer- Hemangioma
Benign cradle cap?
Correct answer- Seborrheic Dermatitis
Like a cone head on infant. Crosses Midline?
Correct answer- Caput Secundum
On top of infants head?
Correct answer- Cephalohematoma
When should an infant return to their birth weight?
Correct answer- After 2 weeks
What should be done 48 hours after birth?
Correct answer- Check for jaundice and check circumcision site
The visible clinical manifestation of skin and sclera yellowing during the
neonatal period, resulting from deposition of bilirubin in the neonatal bodies?
Correct answer- Neonatal Jaundice
Observed during the 1st wk in approximately 65%
of term infant and 80% of preterm infant?
Correct answer- Neonatal Jaundice
Visible jaundice appearing after 24 hours of age.
Total rise of <5mg/dL per day
Peak bilirubin occurs at 3-5 days of age, with a total bili of no more than
15mg/dL
Visible jaundice resolves by 1 week in full-term infants and 2 weeks in
preterm infants? Correct answer- Physiologic Jaundice
Staining of the brain by bilirubin?
Correct answer- Indirect hyperbilirubinemia
Early symptoms-acute bilirubin encephalopathy-
poor feeding, abnormal cry, hypotonia,
Intermediate phase-stupor, irritability, hypertonia
Late (kernicterus) - shrill cry, no feeding, opisthotonus, apnea, seizures,
coma, death? Correct answer- Indirect hyperbilirubinemia
, Decreased conjugation production of hyperbilirubineamia?
Correct answer- 1. Crigler-Najjar
2. Gilbert Syndrome
3. Hypothyroidism
Increased Production of hyperbilirubinemia (Hemolysis)?
Correct answer- -Immune mediated (coombs)
-NonImmune
-Sepsis
Increased Production of hyperbilirubinemia (Non-Hemolytic)?
Correct answer- -Extravascular Hemorrage
-Polycythemia
-INcreased hepatic circuation
-Breast Feeding
If jaundice unexplained or AA w/severe jaundice?
Correct answer- G6PD
Tx from hyperbilirubinemia?
Correct answer- Phototherapy and in extreme cases exchange transfusion
(taking all the blood out and putting it back)
-Blood glucose <45mg/dL
-LGA, SGA, preterm and stressed infants -May be asymptomatic
-Infants may have lethargy, poor feeding,
irritability or seizures.
Treat with frequent feedings and BS checks, D10W if needed?
Correct answer- Newborn Hypoglycemia
-typically present at birth -resolves in 12-24 hours
-A type of respiratory distress present in the newborn?
Correct answer- Transient Tachypnea
-respiratory distress, lethargy, fever, abnl CXR
-GBS, Chlamydia
-A type of respiratory distress present in the newborn?
Correct answer- Pneumonia
-increased with PPV resuscitation
-A type of respiratory distress present in the newborn?
Correct answer- Pneumothorax
2021
Advanced Maternal Age is what?
Correct answer- 35
Normal GI flora that lives in the vagina of 1/3 of women. Mom has to get
antibiotics in labor to avoid transmission to baby?
Correct answer- Group B Strep
Rectal/vaginal swab results at 35-37 weeks gestation?
Correct answer- Group B Strep (GBS)
Fetal monitoring was used to prevent rates of what, but no change in
numbers have been made?
Correct answer- Cerebral Palsy
There are two arteries and one vein?
Correct answer- In the placenta
How long is too long for a ruptured membrane?
Correct answer- Anything over 18 hours
Used to asess general condition of the newborn. Rated at 1 minute and 5
minutes post- partum:Color, HR, Reflexes, Activity, Respirations?
Correct answer- Apgar Score
Applied to eyes within 1 hour of birth to prevent bacterial ophthalmia?
Correct answer- Erythromyacin Ointment
1mg given IM at birth?
Correct answer- Vitamin K
Should be the most thorough exam a child ever receives?
Correct answer- Newborn Assessment
Preterm babies are born before?
Correct answer- 37 weeks
Term babies are born at?
Correct answer- 37-41 weeks (6 to 7 week interval)
Post term babies are bornat?
Correct answer- 42 or more weeks
,Can predict problems, morbidity, mortality, and can help you keep alert for
certain problems?
Correct answer- Gestational Age
At risk for: Respiratory distress syndrome
Necrotizing enterocolitis
Patent ductus arteriosis
Apnea?
Correct answer- Pre-Term Babies
Asphyxia
Meconium aspiration
Trisomies and other syndromes
Correct answer- Post-Term Babies
Neuromuscular signs chart as an estimate for gestational age?
Correct answer- Dubowitz-Ballard
Fluid in the testicle?
Correct answer- Hydrocele
When light reflects on the testicle, this usually means?
Correct answer- Fluid inside
Clicks are common and benign due to estrogenic effect. Clunks are indicative
of hip dislocation/relocation and can represent developmental dysplasia of
the hip? Correct answer- Barlow and Ortaloni exam
Can be normal or a sign of down syndrome?
Correct answer- Single Simean (Palmar) crease
Not a bruise. More common in darker skin babies- most commonly on back or
butt? Correct answer- Congenital Dermal Melanocytosis (Mongolian spot)
This needs to be evaluated. Can be at risk for cancer later in life?
Correct answer- Giant Congenital Nevus
Rash on newborn?
Correct answer- Erythema Toxicum Neonatorum
Benign, baby acne, goes away?
Correct answer- Neonatal Pustular Melanosis
Benign white dots on infants skin?
Correct answer- Milia
,Benign, fades or goes away, mostly on back of neck, purple or reddish in
appearance? Correct answer- Nevus Flammeus (Stork Bite)
Can be anywhere from benign to devastating. Reddish or purplish in
appearance. Can cover a small area on back of the neck or could cover the
whole face including eye? Correct answer- Hemangioma
Benign cradle cap?
Correct answer- Seborrheic Dermatitis
Like a cone head on infant. Crosses Midline?
Correct answer- Caput Secundum
On top of infants head?
Correct answer- Cephalohematoma
When should an infant return to their birth weight?
Correct answer- After 2 weeks
What should be done 48 hours after birth?
Correct answer- Check for jaundice and check circumcision site
The visible clinical manifestation of skin and sclera yellowing during the
neonatal period, resulting from deposition of bilirubin in the neonatal bodies?
Correct answer- Neonatal Jaundice
Observed during the 1st wk in approximately 65%
of term infant and 80% of preterm infant?
Correct answer- Neonatal Jaundice
Visible jaundice appearing after 24 hours of age.
Total rise of <5mg/dL per day
Peak bilirubin occurs at 3-5 days of age, with a total bili of no more than
15mg/dL
Visible jaundice resolves by 1 week in full-term infants and 2 weeks in
preterm infants? Correct answer- Physiologic Jaundice
Staining of the brain by bilirubin?
Correct answer- Indirect hyperbilirubinemia
Early symptoms-acute bilirubin encephalopathy-
poor feeding, abnormal cry, hypotonia,
Intermediate phase-stupor, irritability, hypertonia
Late (kernicterus) - shrill cry, no feeding, opisthotonus, apnea, seizures,
coma, death? Correct answer- Indirect hyperbilirubinemia
, Decreased conjugation production of hyperbilirubineamia?
Correct answer- 1. Crigler-Najjar
2. Gilbert Syndrome
3. Hypothyroidism
Increased Production of hyperbilirubinemia (Hemolysis)?
Correct answer- -Immune mediated (coombs)
-NonImmune
-Sepsis
Increased Production of hyperbilirubinemia (Non-Hemolytic)?
Correct answer- -Extravascular Hemorrage
-Polycythemia
-INcreased hepatic circuation
-Breast Feeding
If jaundice unexplained or AA w/severe jaundice?
Correct answer- G6PD
Tx from hyperbilirubinemia?
Correct answer- Phototherapy and in extreme cases exchange transfusion
(taking all the blood out and putting it back)
-Blood glucose <45mg/dL
-LGA, SGA, preterm and stressed infants -May be asymptomatic
-Infants may have lethargy, poor feeding,
irritability or seizures.
Treat with frequent feedings and BS checks, D10W if needed?
Correct answer- Newborn Hypoglycemia
-typically present at birth -resolves in 12-24 hours
-A type of respiratory distress present in the newborn?
Correct answer- Transient Tachypnea
-respiratory distress, lethargy, fever, abnl CXR
-GBS, Chlamydia
-A type of respiratory distress present in the newborn?
Correct answer- Pneumonia
-increased with PPV resuscitation
-A type of respiratory distress present in the newborn?
Correct answer- Pneumothorax
