Double Trouble!
The umbilicus contains 2 ___ and 1 ____.
Arteries, Vein
The byproduct of hemoglobin catabolism that is measured at least once per patient
Bilirubin
The common skin lesion found on neonates that look like red splotches with white/yellow pustule in the center
Erythema toxicum
The color transition of the infant's stool
Black-->brown-->Green-->Yellow
This is ordered upon discharge for every patient who is breastfeeding
Vitamin D
Meconium should pass in the first ____ hour(s), and urine should pass in the first ____ hr(s)
48, 24
The type of jaundice that resolves in 3-12 weeks and often requires no intervention
Breast milk jaundice (also known as human milk jaundice)
The 5 components of APGAR scoring
Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin color)
Respiration
The position that babies should sleep in at home
All newborns receive this vitamin after birth to prevent potentially fatal bleeding previously known as hemorrhagic disease of the newborn)
Vitamin K
Name 2 MAJOR risk factors for hyperbilirubinemia (per AAP)
Predischarge TsB or TcB in high risk zone
Jaundice in the first 24 hrs
ABO incompatibility
GA 35-36 wk
Previous sibling requiring phototherapy
Cephalohematoma or significant bruising
East Asian race
Exclusive breastfeeding
This exam uses adduction and posterior pressure through the femur to see if the hip can be subluxed outside the acetabulum
Barlow
The newborn rash also known as salmon patch, stork bite, or angel's kiss
Nevus simplex
Babies should regain birth weight by this time
2 weeks
Neonatal abstinence syndrome is assessed at bedside using this widely used scoring method
Finnegan Neonatal Abstinence Scoring System or modified Finnegan
This phototherapy tool provides "double therapy"
Biliblanket (wallaby)
This type of jaundice is associated with weight and fluid loss and presents within the first week of life
Breastfeeding jaundice
This presence of this before delivery is an indicator of fetal distress
Meconium
The umbilical cord generally falls off by this time
2-3 weeks
This ointment is used to prevent neonatal conjunctivitis
Erythromycin ointment
All infants of HepBAg positive moms get these 2 things soon after birth (at RUH, within 12 hours)
Hep B vaccine
HBIg
The name of the nomogram used to place TSB values into Risk Zones based on postnatal age
Bhutani nomogram
When examining an infant, what are 2 signs of respiratory distress?
intercostal/xiphoid retractions
expiratory grunting
nasal flaring
The 3 maternal labs needed prior to infant's discharge and why
RPR - PCN
HIV - zidovudine (AZT)
Hep B - Hep B Ig
The 3 studies/lab tests to order for evaluation of neonatal sepsis (labs that can be done in the Nursery)
CRP, CBC with diff, blood cultures