Pediatrics Final Exam Latest 2023 Graded A(This exam consists of frequently tested questions and answers)

PEDS 204 FINAL EXAM LATEST

2023

Advanced Maternal Age is what?

Correct answer- 35

Normal GI flora that lives in the vagina of 1/3 of women. Mom has to get

antibiotics in labor to avoid transmission to baby?

Correct answer- Group B Strep

Rectal/vaginal swab results at 35-37 weeks gestation?

Correct answer- Group B Strep (GBS)

Fetal monitoring was used to prevent rates of what, but no change in

numbers have been made?

Correct answer- Cerebral Palsy

There are two arteries and one vein?

Correct answer- In the placenta

How long is too long for a ruptured membrane?

Correct answer- Anything over 18 hours

Used to asess general condition of the newborn. Rated at 1 minute and 5

minutes post- partum:Color, HR, Reflexes, Activity, Respirations?

Correct answer- Apgar Score

Applied to eyes within 1 hour of birth to prevent bacterial ophthalmia?

Correct answer- Erythromyacin Ointment

1mg given IM at birth?

Correct answer- Vitamin K

Should be the most thorough exam a child ever receives?

Correct answer- Newborn Assessment

Preterm babies are born before?

Correct answer- 37 weeks

Term babies are born at?

Correct answer- 37-41 weeks (6 to 7 week interval)

Post term babies are bornat?

Correct answer- 42 or more weeks

Can predict problems, morbidity, mortality, and can help you keep alert for

certain problems?

Correct answer- Gestational Age

At risk for: Respiratory distress syndrome

Necrotizing enterocolitis

Patent ductus arteriosis

Apnea?

Correct answer- Pre-Term Babies

Asphyxia

Meconium aspiration

Trisomies and other syndromes

Correct answer- Post-Term Babies

Neuromuscular signs chart as an estimate for gestational age?

Correct answer- Dubowitz-Ballard

Fluid in the testicle?

Correct answer- Hydrocele

When light reflects on the testicle, this usually means?

Correct answer- Fluid inside

Clicks are common and benign due to estrogenic effect. Clunks are indicative

of hip dislocation/relocation and can represent developmental dysplasia of

the hip? Correct answer- Barlow and Ortaloni exam

Can be normal or a sign of down syndrome?

Correct answer- Single Simean (Palmar) crease

Not a bruise. More common in darker skin babies- most commonly on back or

butt? Correct answer- Congenital Dermal Melanocytosis (Mongolian spot)

This needs to be evaluated. Can be at risk for cancer later in life?

Correct answer- Giant Congenital Nevus

Rash on newborn?

Correct answer- Erythema Toxicum Neonatorum

Benign, baby acne, goes away?

Correct answer- Neonatal Pustular Melanosis

Benign white dots on infants skin?

Correct answer- Milia

Benign, fades or goes away, mostly on back of neck, purple or reddish in

appearance? Correct answer- Nevus Flammeus (Stork Bite)

Can be anywhere from benign to devastating. Reddish or purplish in

appearance. Can cover a small area on back of the neck or could cover the

whole face including eye? Correct answer- Hemangioma

Benign cradle cap?

Correct answer- Seborrheic Dermatitis

Like a cone head on infant. Crosses Midline?

Correct answer- Caput Secundum

On top of infants head?

Correct answer- Cephalohematoma

When should an infant return to their birth weight?

Correct answer- After 2 weeks

What should be done 48 hours after birth?

Correct answer- Check for jaundice and check circumcision site

The visible clinical manifestation of skin and sclera yellowing during the

neonatal period, resulting from deposition of bilirubin in the neonatal bodies?

Correct answer- Neonatal Jaundice

Observed during the 1st wk in approximately 65%

of term infant and 80% of preterm infant?

Correct answer- Neonatal Jaundice

Visible jaundice appearing after 24 hours of age.

Total rise of <5mg>

Peak bilirubin occurs at 3-5 days of age, with a total bili of no more than

15mg/dL

Visible jaundice resolves by 1 week in full-term infants and 2 weeks in

preterm infants? Correct answer- Physiologic Jaundice

Staining of the brain by bilirubin?

Correct answer- Indirect hyperbilirubinemia

Early symptoms-acute bilirubin encephalopathypoor feeding, abnormal cry, hypotonia,

Intermediate phase-stupor, irritability, hypertonia

Late (kernicterus) - shrill cry, no feeding, opisthotonus, apnea, seizures,

coma, death? Correct answer- Indirect hyperbilirubinemia

Decreased conjugation production of hyperbilirubineamia?

Correct answer- 1. Crigler-Najjar

2. Gilbert Syndrome

3. Hypothyroidism

Increased Production of hyperbilirubinemia (Hemolysis)?

Correct answer- -Immune mediated (coombs)

-NonImmune

-Sepsis

Increased Production of hyperbilirubinemia (Non-Hemolytic)?

Correct answer- -Extravascular Hemorrage

-Polycythemia

-INcreased hepatic circuation

-Breast Feeding

If jaundice unexplained or AA w/severe jaundice?

Correct answer- G6PD

Tx from hyperbilirubinemia?

Correct answer- Phototherapy and in extreme cases exchange transfusion

(taking all the blood out and putting it back)

-Blood glucose <45mg>

-LGA, SGA, preterm and stressed infants -May be asymptomatic

-Infants may have lethargy, poor feeding,

irritability or seizures.

Treat with frequent feedings and BS checks, D10W if needed?

Correct answer- Newborn Hypoglycemia

-typically present at birth -resolves in 12-24 hours

-A type of respiratory distress present in the newborn?

Correct answer- Transient Tachypnea

-respiratory distress, lethargy, fever, abnl CXR

-GBS, Chlamydia

-A type of respiratory distress present in the newborn?

Correct answer- Pneumonia

-increased with PPV resuscitation

-A type of respiratory distress present in the newborn?

Correct answer- Pneumothorax