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RNC
RNC Study
| Question | Answer |
|---|---|
| WHEN DOES BROWN FAT METABOLISM DIFFERENTIATE | 26-30 WEEKS |
| WHICH INFANTS ARE AT RISK FOR HYPOTHERMIA | ANY INFANT THAT IS STRESSED |
| DEFINE NEUTRAL THERMAL ENVIRONMENT | TEMP AT WHICH INFANT USES LEAST AMT OF ENERGY AND CONSUMES LEAST AMT OF O2 TO MAINTAIN NORMAL CORE BODY TEMP |
| WHAT IS THE MOST COMMON CAUSE OF CYANOSIS IN THE NEWBORN PERIOD? | TRANSPOSITION OF THE GREAT ARTERIES (MARKED BY PARALLEL CIRCULATION, MUST HAVE AN OPEN PDA, ASD, OR VSD TO SURVIVE, WILL NEED IMMEDIATE PROSTAGLANDIN) |
| NEW TREATMENT FOR ROP? | INTRAVITREAL BEVACIZUMAB (AVASTIN) |
| TREATMENT FOR SYPHILIS | PENICILLIN G, LP MUST BE DONE FOR SUSPECTED CASES, ALSO LONG BONE SCAN |
| DEFINE AUTOREGULATION AS RELATED TO NEONATAL NEUROLOGY | MAINTENANCE OF CONSTANT CEREBRAL BLOOD FLOW DESPITE SWINGS IN BLOOD PRESSURE OR OTHER NON CONSTANTS |
| IN ORDER FOR CALCIUM ABSORPTION TO TAKE PLACE, WHAT IS NEEDED | ACID PH AND VITAMIN D |
| ROLE OF PARATHYROID HORMONE ON CALCIUM | IF MOM HAS HYPERTHYROID, INFANT HAS HYPOCALCEMIA; IF MOM HAS HYPOTHYROID, INFANT HAS HYPERCALCEMIA |
| WHAT ARE POLYCYSTIC KIDNEYS | GENETIC AUTOSOMAL RECESSIVE DISEASE WHERE KIDNEY MASS IS REPLACED WITH CYSTS |
| ANOTHER NAME FOR PVL | HIE, 50% WILL DEVELOP CP |
| MANIFESTATIONS OF COARCTATION OF AORTA | UPPER BP> LOWER, PULSE DISCREPANCIES, CHF, DECREASED URINE OUTPUT, CONTINUOUS SYSTOLIC MURMUR UNDER AXILLA |
| MANIFESTATIONS OF AORTIC STENOSIS | PROFOUND CHF, MURMUR AND DECREASED PULSES (POOR TISSUE PERFUSION) |
| WHAT IS CHLAMYDIA TREATED WITH? | ERYTHROMYCIN |
| SIDE EFFECTS OF INDOMETHACIN | HYPERTENSION, DECREASED URINE OUTPUT, INCREASED CREATININE, HYPONATREMIA, EDEMA, HYPERKALEMIA |
| WHAT SYNDROME IS CHARACTERIZED BY BROAD SHIELD LIKE CHEST WITH WIDELY SPACED NIPPLES? | TURNER SYNDROME |
| TREATMENT FOR PPHN? | MINIMAL HANDLING, NEUTRAL THERMAL ENVIRONMENT, SEDATION/MUSCLE RELAXANTS, HYPERVENTILATION, SURF, NITRIC, VOLUME REPLACEMENT FOR CARDIOVASCULAR SUPPORT |
| WHAT IS PLUS DISEASE CHARACTERIZED BY? | TORTUOSITY NEAR OPTIC POLE AND VASCULAR DILATION, INDICATES INCREASED SEVERITY AND POSSIBLE RAPID PROGRESSION. MANDATORY WEEKLY EXAMS |
| HIRSCHPRUNGS DISEASE | CONGENITAL ABSCENCE OF GANGLIONIC CELLS IN COLON |
| HOW DOES PHOTOTHERAPY WORK? | CHANGING BILIRUBIN TO THE WATER SOLUBLE FORM |
| HOW SHOULD AN INFANT WITH PIERRE ROBIN SEQUENCE BE POSITIONED? | ON ABDOMEN TO PROMOTE AIRWAY RELATED TO EARLY MANDIBULAR HYPOPLASIA SYNDROME |
| WHERE DO INGUINAL HERNAIS OCCUR IN FEMALES | HERNIATION MAY OCCUR INTO THE SOFT TISSUE OF THE LABIA |
| SIGNS AND SYMPTOMS OF TRAUMATIC FACIAL NERVE PALSY | PERSISTENTLY OPEN EYE ON AFFECTED SIDE, MOUTH ASYMMETRIC WITH CRYING |
| WHAT DOES REGLAN TREAT? | DELAYED GASTRIC EMPTYING |
| SIGNS OF CONGENITAL DIAPHRAGMATIC HERNIA? | SCAPHOID ABDOMEN |
| BIOPHYSICAL PROFILE SCORE OF LESS THAN 4: WHAT ACTION WOULD YOU TAKE? | NONREASSURING SCORE, FURTHER EVALUATION, BUT CONSIDER DELIVERY |
| WHAT IS THE MOST COMMON INTRAUTERINE INFECTION?AND WHAT IS THE TREATMENT? | CMV. AFFECTS UP TO 2.3% OF ALL NEWBORNS TREATMENT IS GANCYCLOVIR |
| CAN HIV BE SPREAD THROUGH BREASTFEEDING? | YES |
| WHAT IS SUSPECTED WITH FETAL TACHYCARDIA? | INFECTION!!! |
| MAG SULFATE EFFECTS ON BABY? | SLUGGISH BABY, RESPIRATORY DEPRESSION, DECREASED NEUROMUSCULAR, HYPERINSULINEMIA |
| WHAT TRANSILLUMINATES? | FLUID OR AIR FILLED STRUCTURES WILL TRANSMIT THE LIGHT. SOLID MASSES WILL NOT. HYDROCELES, PNEUMOTHORACES, AND HYDROCEPHALUS |
| IS HYPERBILIRUBINEMIA A NORMAL FINDING IN THE FIRST 24 HOURS OF LIFE? | NO |
| APGAR PARAMETERS? | HEART RATE, RESPIRATORY RATE, MUSCLE TONE, COLOR, REFLEX IRRITABILITY |
| WHAT DOES THE PRESENCE OF A MURMUR MEAN? | TURBULENT BLOOD FLOW |
| PROGNOSIS OF FEMALE HYMENAL TAGS? | NORMAL FINDING. WILL DISAPPEAR WITH TIME |
| IF YOU SEE A SPINAL MASS WHAT OTHER FINDINGS WILL YOU ASSESS FOR? | ANAL WINK AND LACK OF MOVEMENT IN LOWER EXTREMITIES |
| WHAT IS NEWBORN RASH AND WHAT DOES IT CONTAIN | ERYTHEMA TOXICUM NEONATORUM, SMALL WHITE OR YELLOW PINPOINT PAPULES WITH ERYTHEMATOUS BASE, CONTAINSEOSINOPHILS |
| WHAT SKIN LESION CONTAINS NEUTROPHILS? | TRANSIENT NEONATAL PUSTULAR MELANOSIS |
| INFANTS AT RISK FOR SENSORINEURAL HEARING LOSS? | CONGENITAL INFECTION (TOXO, SYPH, RUBELLA, CMV, HERPES |
| WHAT MIGHT FREQUENT PLUGGING OF THE ETT MEAN? | MORE HUMIDITY IS NEEDED |
| WAYS INFANTS PRODUCE HEAT? | NON SHIVERING CHEMICAL THERMOGENESIS, RELEASE OF NOREPI IN RESPONSE TO THE COLD STRESS STIMULUS |
| WHAT IS A DISADVANTAGE TO SERVO CONTROL? | CAN MASK THE SIGNS OF TEMP INSTABILITY THAT CAN BE SIGN OF A MORE SERIOUS ILLNESS |
| WHAT TRACE MINERAL IS NEEDED FOR SKIN INTEGRITY | ZINC |
| WHEN DOES THE DIURETIC PHASE OCCUR? | CAN BEGIN AS EARLY AS 12 HOURS AFTER BIRTH AND PEAKS AT 48 HOURS |
| EFFECT OF HUMIDITY? | LESS LIKELY TO DEVELOP HYPERNATREMIA, HYPERKALEMIA, AND AZOTEMIA |
| WHAT SHOULD YOU CONSIDER WITH PREEMIES AND THEIR SPECIFIC GRAVITY? | CAN'T CONCENTRATE URINE VERY WELL, SO HAVE A LOW SPECIFIC GRAVITY |
| WHAT CAN PERINATAL ASPHYXIA LEAD TO (RENAL) | PARENCHYMAL INJURY AND ACUTE TUBULAR NECROSIS |
| WHAT FORM OF FEEDING IS FOR INFANTS WITH GE REFLUX (UNRESOLVED) | G-TUBE |
| WHAT IS AN EXAMPLE OF SELF-REGULATORY BEHAVIOR IN THE NEWBORN? | SELF CONSOLING MEASURES SUCH AS SUCKING OR HAND-TO MOUTH MANEUVERS |
| HOW TO NEONATES REACT TO PAIN? | RELEASING CORTISOL AND PLASMA RENIN AND SUPPRESSING INSULIN SECRETION |