NEWBORN JEOPARDY

Double Trouble!

100

The umbilicus contains 2 ___ and 1 ____.

Arteries, Vein

200

Meconium should pass in the first ____ hour(s), and urine should pass in the first ____ hr(s)

48, 24

300

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

400

This phototherapy tool provides "double therapy"

Biliblanket (wallaby)

(Generally, RUHS Nursery attendings will call the biliblanket "double phototherapy", but this is not universal. Some NICU attendings, for instance, have told me they do not consider it double phototherapy)

500

All infants of HepBAg positive moms get these 2 things soon after birth (at RUH, within 12 hours)

Hep B vaccine

HBIg

B for Babies

100

The byproduct of hemoglobin catabolism that is measured at least once per patient

Bilirubin

200

The type of jaundice that resolves in 3-12 weeks and often requires no intervention

Breast milk jaundice (also known as human milk jaundice)

300

This exam uses adduction and posterior pressure through the femur to see if the hip can be subluxed outside the acetabulum

Barlow

400

This type of jaundice is associated with weight and fluid loss and presents within the first week of life

Breastfeeding jaundice

500

The name of the nomogram used to place TSB values into Risk Zones based on postnatal age

Bhutani nomogram

Let's get Physical

100

The common skin lesion found on neonates that look like red splotches with white/yellow pustule in the center

Erythema toxicum

200

The 5 components of APGAR scoring

Activity (muscle tone)

Pulse

Grimace (reflex irritability)

Appearance (skin color)

Respiration

300

The newborn rash also known as salmon patch, stork bite, or angel's kiss

Nevus simplex

400

This presence of this in the amniotic fluid before delivery is an indicator of fetal distress

Meconium

500

When examining an infant, what are 2 signs of respiratory distress?

intercostal/xiphoid retractions

expiratory grunting

nasal flaring

cyanosis

tachypnea

Bye Bye Bye (Discharge Instructions)

100

The color transition of the infant's stool

Black-->brown-->Green-->Yellow

200

The position that babies should sleep in at home

on their back! ("Back to sleep")

300

Babies should regain birth weight by this time

2 weeks

400

The umbilical cord generally falls off by this time

2-3 weeks

500

The 3 maternal labs needed prior to infant's discharge and why

RPR - PCN

HIV - zidovudine (AZT)

Hep B - Hep B Ig

Placing my Orders

100

This is ordered upon discharge for every patient who is breastfeeding

Vitamin D

200

All newborns receive this vitamin after birth to prevent potentially fatal bleeding previously known as hemorrhagic disease of the newborn)

Vitamin K

300

Neonatal abstinence syndrome is assessed at bedside using this widely used scoring method

Finnegan Neonatal Abstinence Scoring System or modified Finnegan

400

This ointment is used to prevent neonatal conjunctivitis

Erythromycin ointment

500

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