AHN 548 Exam 1 Top Questions and answers. Verified.

AHN 548 Exam 1 Top Questions and answers. Verified. Neural tube defects r/t - -Alpha fetal protein (AFP) Turner syndrome: Males or females? - -Females Most common inherited intellectual disability - -Fragile X AFP Screening (Done as part of quad screen).. When and for what? - -16-21 weeks to check for spina bifida and anencephaly and some other chromosomal abnormalities Aniridia - -Bilateral eye disorder that results in the absence of the majority of the iris. Optic neuritis.. one or both eyes? - -Unilateral Papilledema.. one or both eyes? - -Bilateral Molluscum cause and tx? - -Viral. Tx w/ Topical cantharidin most common primary malignant tumor of the orbit? - -rhabdomyosarcoma Jaundice w/in 1st 24hrs post birth r/t? - -Hyperbilirubinemia r/t Congenital hepatitis or hemolytic issue what is plethora and what could it indicate in a neonate? - -Polycythemia as in twin twin transfusion 1st PAP recommendations - -21 despite sexual activity; earlier if indicated What meds due at time of birth to baby? (3 things) - -Hep B vax, Erythromycin ointment, and Vitamin K 1st peds flu shot.. how many doses? how far apart? and until what age do you give 2? - -2 doses; 1 month apart; until age 9 Live attenuated nasal flu administration contraindicated in... - -pregnant women, immunocompromised pts.. can get injection though as it is not live vaccine Teaching to prevent SIDS.. - -baby sleeps supine.. no co-sleeping What is DRESS syndrome? What drug classes cause it? - -drug eruptions fever eosinophilia and systemic symptoms; anti-convulsants potential causes of late-onset (7-10 days after birth) hypocalcemia? - -1..infants receiving cow's milk rather than infant formula (high phosphorus intake), 2.. hypoparathyroidism (DiGeorge syndrome), 3.. infants born to mothers with severe vitamin D deficiency. Thrombocytopenia, hyperglycemia, and subtle clinical deterioration in infants would lead you to dx of? - -Fungal sepsis Most common cause of neonatal seizure? - -hypoxic-ischemic encephalopathy Necrotizing enterocolitis- radiology findings.. - -Pneumatosis intestinalis (air in the bowel wall) seen on a CT scan. Or biliary tract air on a plain abdominal x-ray. Tx of patent ductus arteriosis or PDA? - -Indomethacin 0.2-0.3 mg/kg ... can be repeated q12-24h for a total of 3 doses. What condition would you suspect in an infant that had good color and a good heart rate while crying at delivery, but become cyanotic and bradycardic when they resumed normal nasal breathing? - -bilateral choanal atresia In infants of mothers suspected of abusing drugs, what should be sent for drug screening as it enhances dx by indicating cumulative drug exposure from 1st trimester forward? - -Meconium 3 meds for infant withdrawal symptoms? - -(1) phenobarb 16mg/kg loading dose, then 2.5 mg/kg BID (2) morphine 0.1-0.5 mg/kg/dose q 6-12 hours; (3) methadone 0.05-0.1 mg/kg q6h! Infants with respiratory distress need what to rule out PNA? 2 correct answers.. 1 is diagnostic - -Xray and Blood Cultures. May give broad spectrum ABX until bacterial dx is eliminated The most common presenting sign in the (lol) most common primary Intraocular malignancy of childhood? - -Leukocoria Which vaccine can cause intussusception? - -Rotavirus What is the most critical aspect of fluid management in the premature infant? - -Monitoring For a baby 5 days old or older, how many wet diapers a day signifies adequate urine output? - -6-8/ day and 4 BMs, 8-10 feedings/day What type of injectable, local anesthetic can be used for circumcision block? - -LIDO without epi (none in fingers, nose, ears, toes, & penis) Palmar grasp.. gone by __? - -4 months Moro reflex.. gone by __? - -3 months Tonic neck reflex disappears by __? - -8 months What is a hyphema? - -Blood in anterior chamber of eye.. R/t trauma or ocular Sx Brushfield spots or speckling in newborn with __? - -Trisomy 21.. seen in eyes What is the best way to assess nostril patency in a newborn? - -Putting back of a chilled metal object under the nostrils & checking for "fog" or unilateral occlusion In hypoplastic left heart and critical