AND 100% CORRECT ANSWERS|LATEST
2025/2026|GRADED A+
Neonatal/ Newborn period - time frame and screening recs - ANSWER 0-28 days
First Rick Has Him Help Sarah Cami Go then He ParKs Until ONE DAY HIs Dog is
BLUE and YELLOW and can't HEAR
Rh compatability, HIV, Hep B, Syph/Chlam/Gon - PRENATAL
hemoglobinopathies
PKU before d/c and after 24hrs old (or repeat at 2 weeks)
Hip dysplasia
CCHD with pulse ox
bili transq or serum
Hearing by otoacoustic emissions or audtory brainstem (in hospital but by 1 month)
(high risk are LBW, maternal infection like rubella, congenital issues, trauma, preemie,
ICU or antibiotics)
LGA /SGA - glucose
APGAR and Birth Prophy - ANSWER Activity
Pulse
Grimace
Appearance
Respirations
Vit K
Hep B.
1
,Ocular care prevent opthalmia neonatorum usually caused by Chlam and Gon
Ballard or Dubowitz - ANSWER Helps determine GA and has to be done in first
24 HOL
Based on:
Neuromuscular (posture - more to core = older, wrist square - less angle = older, arm
recoil - less angle = older, popliteal angle- they stretch legs as grow, scarf sign - arm
crosses less and less with age, heel to ear - same as popliteal) Younger is lazy and
loose so they can be folded up in uterus (EXCEPT WRIST)
AND
Physical Maturity (skin, lanugo, plantar surface, breast, eye/ear, genitalia) The baby
gets more balb, booby, and wrinkly as they get old
LGA - ANSWER Risks hypoglycemia
Clavicle fractures
brachial plexus injury
SGA - ANSWER Respiratory distress
Feeding issues/poor feeding
Hypothermia
Hypoglycemia
Blood Glucose in newborn - ANSWER 40-80
<= 40 infection, IDM, LGA
>= 80 neonatal stress
Caput Succedaneum - ANSWER CROSSES SUTURE LINES
2
,Diffuse superficial swelling of the soft tissue of scalp with possible underlying
bruising.
Caused by birth canal trauma upon descent
No treatment, resolves over a few days
Bruising increased risk for jaundice=-hyperbili because of blood reabsorption in healing
Cephalohematoma - ANSWER Deep collection of blood in superiostal area that
does NOT cross suture lines and there is usually no surface bruising seen.
Caused by birth trauma (like a vaccuum delivery)
No treatment, resolves weeks-months, may calcify leaving bony area taking months to
improve.
Monitor for jaundice - hyperbili
Jaundice Define - Explain - Types - Treatment - ANSWER TcB no blood draw
Noted when serum bili >5-7
Normal adult bili is <1.3 to 1.5 (for reference)
Cephalocaudal
General range of bili level based on dermal zone:
Face = 5
Mid Abd = 15
Soles = 20
3
, Hyperbilirubinemia Risk Ranges - ANSWER Low Risk = 38 weeks + and well
Medium Risk = 38 weeks + with risk factors OR 35 weeks - 37 6/7 weeks and well
High Risk = 35-37 6/7 weeks + risk factors
Risk Factors (isoimmune hemolytic disease, G6PD deficiency, asphyxia, sig. lethargy,
temp instability, sepsis, acidosis)
Physiological Jaundice - ANSWER Physiologic Jaundice - rise around DOL 3 with
peak DOL 3-5 resolving DOL 10-12
Breast Milk Jaundice - physiologic type with peak bili around DOL 7+ in infant with
adequate intake and no health issues
Breastfeeding jaundice occurs DOL 2-7 from poor intake
Treatment - keep breastfeeding, measure TSB or TcB in first 24 hrs, interpret based
on HOURS of age old from birth through DOL 4
Pathologic Jaundice - ANSWER First 24 hours of life
Increase of more than 5 (in 24 hrs) or more than 12.5 (by 48 hrs old) or direct is
more than 2
African or Mediterranean
Sib with phototherapy needs
Treatment - phototherapy
Can be done in home IF:
Do not have risk factors above
2-3 mg/dl below threshold recs
4
2025/2026|GRADED A+
Neonatal/ Newborn period - time frame and screening recs - ANSWER 0-28 days
First Rick Has Him Help Sarah Cami Go then He ParKs Until ONE DAY HIs Dog is
BLUE and YELLOW and can't HEAR
Rh compatability, HIV, Hep B, Syph/Chlam/Gon - PRENATAL
hemoglobinopathies
PKU before d/c and after 24hrs old (or repeat at 2 weeks)
Hip dysplasia
CCHD with pulse ox
bili transq or serum
Hearing by otoacoustic emissions or audtory brainstem (in hospital but by 1 month)
(high risk are LBW, maternal infection like rubella, congenital issues, trauma, preemie,
ICU or antibiotics)
LGA /SGA - glucose
APGAR and Birth Prophy - ANSWER Activity
Pulse
Grimace
Appearance
Respirations
Vit K
Hep B.
1
,Ocular care prevent opthalmia neonatorum usually caused by Chlam and Gon
Ballard or Dubowitz - ANSWER Helps determine GA and has to be done in first
24 HOL
Based on:
Neuromuscular (posture - more to core = older, wrist square - less angle = older, arm
recoil - less angle = older, popliteal angle- they stretch legs as grow, scarf sign - arm
crosses less and less with age, heel to ear - same as popliteal) Younger is lazy and
loose so they can be folded up in uterus (EXCEPT WRIST)
AND
Physical Maturity (skin, lanugo, plantar surface, breast, eye/ear, genitalia) The baby
gets more balb, booby, and wrinkly as they get old
LGA - ANSWER Risks hypoglycemia
Clavicle fractures
brachial plexus injury
SGA - ANSWER Respiratory distress
Feeding issues/poor feeding
Hypothermia
Hypoglycemia
Blood Glucose in newborn - ANSWER 40-80
<= 40 infection, IDM, LGA
>= 80 neonatal stress
Caput Succedaneum - ANSWER CROSSES SUTURE LINES
2
,Diffuse superficial swelling of the soft tissue of scalp with possible underlying
bruising.
Caused by birth canal trauma upon descent
No treatment, resolves over a few days
Bruising increased risk for jaundice=-hyperbili because of blood reabsorption in healing
Cephalohematoma - ANSWER Deep collection of blood in superiostal area that
does NOT cross suture lines and there is usually no surface bruising seen.
Caused by birth trauma (like a vaccuum delivery)
No treatment, resolves weeks-months, may calcify leaving bony area taking months to
improve.
Monitor for jaundice - hyperbili
Jaundice Define - Explain - Types - Treatment - ANSWER TcB no blood draw
Noted when serum bili >5-7
Normal adult bili is <1.3 to 1.5 (for reference)
Cephalocaudal
General range of bili level based on dermal zone:
Face = 5
Mid Abd = 15
Soles = 20
3
, Hyperbilirubinemia Risk Ranges - ANSWER Low Risk = 38 weeks + and well
Medium Risk = 38 weeks + with risk factors OR 35 weeks - 37 6/7 weeks and well
High Risk = 35-37 6/7 weeks + risk factors
Risk Factors (isoimmune hemolytic disease, G6PD deficiency, asphyxia, sig. lethargy,
temp instability, sepsis, acidosis)
Physiological Jaundice - ANSWER Physiologic Jaundice - rise around DOL 3 with
peak DOL 3-5 resolving DOL 10-12
Breast Milk Jaundice - physiologic type with peak bili around DOL 7+ in infant with
adequate intake and no health issues
Breastfeeding jaundice occurs DOL 2-7 from poor intake
Treatment - keep breastfeeding, measure TSB or TcB in first 24 hrs, interpret based
on HOURS of age old from birth through DOL 4
Pathologic Jaundice - ANSWER First 24 hours of life
Increase of more than 5 (in 24 hrs) or more than 12.5 (by 48 hrs old) or direct is
more than 2
African or Mediterranean
Sib with phototherapy needs
Treatment - phototherapy
Can be done in home IF:
Do not have risk factors above
2-3 mg/dl below threshold recs
4
