Aquifer Pediatrics question with 100% correct answers rated A+

Aquifer Pediatrics Adverse effects associated with prenatal *alcohol* use - correct answer Facial abnormalities Growth deficiency Cognitive disability Learning problems Neurobehavioral deficits (poor motor skills, impaired hand-eye coordination) Adverse effects associated with prenatal *marijuana* use - correct answer Not yet identified Adverse effects associated with prenatal *tobacco* use - correct answer Low birth weight Adverse effects associated with prenatal *heroin* and other opiate medication use - correct answer Fetal growth restriction Placental abruption Fetal death Preterm labor Intrauterine passage meconium Symptoms observed in newborns with prenatal heroin exposure (i.e. neonatal abstinence syndrome) - correct answer Uncoordinated sucking reflexes >>> poor feeding Irritability High-pitched cry Adverse effects associated with prenatal *cocaine* and other stimulant use - correct answer Placental insufficiency (due to vasoconstriction) Low birth weight GBS infection is a major cause of - correct answer Neonatal bacterial sepsis Risk factors for GBS (4) - correct answer Prolonged rupture of membranes Prematurity Intrapartum fever Previous delivery of infant with GBS Diagnostic work-up for suspected GBS positive newborn that is *toxic* appearing - correct answer CBC Blood cultures CXR LP IV antibiotics Diagnostic work-up for suspected GBS positive newborn that is *non-toxic* appearing - correct answer CBC and blood culture Close monitoring (first few days of life) What does APGAR stand for? - correct answer A - appearance (skin color) P - pulse (heart rate) G - grimace (reflex irritability) A - activity (muscle tone) R - respiration At what time points are APGARs assessed? - correct answer 1 and 5 minutes An APGAR score below ____ at 5 minutes should prompt continued resuscitation. Reassessment should be done every _____ minutes up to ____ minutes until a score of _____ is achieved - correct answer 7 Reassessment should be done ever *5* minutes up to *20* minutes until a score of *7* is achieved Small for gestational age (SGA) definition - correct answer Weight below 10th percentile for gestational age Define *symmetric IUGR* What is the most likely cause? - correct answer Symmetric IUGR: head, length, weight decreased proportionally Cause: congenital infection Define *asymmetric IUGR* Most common cause? - correct answer Greater decrease in size of length and or weight w/o affecting head circumference Cause: poor delivery of nutrition to fetus (maternal smoking) SGA newborns are at risk of what 3 metabolic derangements? - correct answer 1. Hypoglycemia 2. Hypothermia 3. Polycythemia Symptoms of hypoglycemia in a newborn - correct answer Commonly asymptomatic Poor feeding Listlessness Symptoms of hypothermia in a newborn - correct answer Commonly asymptomatic