NRP
Preventatives
Milestones
Newborn Screens
What's going on with my baby?
100

When using suction to clear secretions you first suction this part of the newborn

What is the mouth?

100

This is the recommended time frame to administer the Hepatitis B vaccine to a mother who is Hepatitis B surface antigen positive

What is 12 hours?

100

A developmentally appropriate infant is able to hold his head up at this age

What is 2 months?

100

Name three newborn screens obtained prior to discharge from the hospital

What is the hearing screen, congenital heart screen, and state newborn screen (blood test)?
100

"What are these tiny white bumps on my baby's face?"

What are milia? 


(small keratin cysts)

200

After initial steps of resuscitation, this is what you do if the baby is not breathing

What is start PPV?

200

This is the only live vaccine administered prior to 12 months of age.

What is the rotavirus vaccine?

200

A child who is able to speak in two word sentences and can run up and down stairs is likely this age.

What is 2 years old?

200

This disorder is screened for as part of the Arkansas Newborn Screen. If the disorder goes untreated it can lead to jaundice, delayed growth and weight gain, hypotonia, constipation, and swollen tongue. 

What is congenital hypothyroidism?

200

"What is this thick white stuff on my baby's tongue? It is there before and after she feeds"

What is thrush?

300

These are the 5 initial steps of newborn care.

What is provide warmth, position head and neck to open the airway, clear secretions from the airway, dry, and stimulate?

300

This medication is given shortly after birth to prevent dangerous bleeding in infants.  

What is vitamin K?

300

A child who able to transfer a toy from one hand to the other is meeting the fine motor developmental milestone of this age group

What is 6 months?

300
If this disorder goes untreated a child can develop eczema, pale hair and skin, developmental delays, and a "musty" or "mouse-like" odor.

What is PKU? 


The body's inability to break down phenylalanine

300

"What are these small red bumps on my baby's skin? They are spreading everywhere! I first noticed them yesterday she was 2 days old. They have a red base but don't look like vesicles."

And this is what you will see under the microscope that boards loves to ask!

What is erythema toxicum? 

(It is self-limiting and usually appears 24-72 HOL)

What are eosinophils?

400

The baby is breathing and the heart rate is above 100 BPM, the airway is clear and correctly positioned, but the infant continues to have labored respirations so this is the next appropriate step

What is apply CPAP?

400

Besides severe allergic reaction, this is the only absolute contraindication to the pertussis vaccine. 

What is encephalopathy?

400

A child develops conjugate gaze at this age

What is 2-3 months?

400

This is now part of the Arkansas newborn screen and is an inherited disorder that affects the lungs, digestive tract, and reproductive organs. If the screen is abnormal, and infant will have this diagnostic test. 

What is a sweat test?

400
"My son is a month old and I just noticed this red, raised birth mark over his spine." 


This is the likely name of the erythematous papular lesion. What is the normal progression of these? Do you recommend treatment or further testing.  

What is a hemangioma? What is continue to have rapid growth for 1-2 years? What is a spine MRI?

500

For initial resuscitation of a newborn of 36 weeks gestation, set the oxygen blender to what percent oxygen

What is 21%?


For initial resuscitation of newborns >/=35 weeks' gestation, set the blender to 21% oxygen

500

An infant is born to an HIV positive mother with undetectable viral loads. The infant should be started on this medication within this time frame.

What is zidovudine within 6-12 hours of delivery?

500

If a child is unable to walk and lacks pretend play at this age it becomes a red flag.

What is 18 months?

500

If the screen is positive for this inherited disorder of the adrenal glands the health department requests trending this lab and ordering an additional specific chemical in the blood.

What are electrolytes and 17-OHP?

500

"My baby's umbilical stump fell off. I noticed that he has some clear to light yellow fluid coming from it. Should I be concerned?" What is the next step in your work-up?

What is YES! What is an ultrasound of the bladder to assess for patent urachus?

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