ABP Neonatal-Perinatal Medicine case studies
ABP Neonatal-Perinatal Medicine · Put your knowledge to work in context.
Neonatal-Perinatal Medicine is one of the pediatric subspecialties for which the American Board of Pediatrics offers subspecialty certification. The credential is intended for physicians who have completed the required fellowship training and are pursuing board certification in the care of newborns, especially preterm and critically ill infants. The ABP Neonatal-Perinatal Medicine case studies are 5 cases and about 3,598 words.
1Absent End-Diastolic Flow at 30 Weeks with Severe Maternal Hypertension
A 31-year-old G2P1 at 30 weeks 3 days presents with blood pressure 162/108 mmHg confirmed 4 hours apart, headache, and 2+ proteinuria. She takes labetalol 200 mg twice daily.
758 words, about 4 min2Non-Vigorous 34-Week Infant with Thick Meconium
A 34-week-2-day male is delivered by urgent cesarean for nonreassuring fetal status after a 3-hour labor. The amniotic fluid is thick with meconium.
716 words, about 4 min3Extubation Decision and Sudden Collapse in a 26-Week Infant
A 26-week-0-day female, birth weight 615 g, was intubated at 4 minutes and given 200 mg/kg poractant alfa at 20 minutes. At 6 hours she is on volume-targeted ventilation, PIP 16 cmH2O, PEEP 5, rate 30, FiO2 0.24, tidal volume 4.5 mL/kg, saturations 91–95%.
703 words, about 4 min4Day 9 Bilious Aspirates and Pneumatosis in a 28-Week Infant
A 28-week-3-day female, now day 9 of life, was advancing enteral feeds of maternal milk at 22 mL/kg/day. Overnight she developed bilious aspirates, a tense abdomen, and guaiac-positive stool.
686 words, about 3 min5Wrong Breast Milk Given to a 27-Week Infant at 03:00
At 03:00 in a 60-bed level III unit, a nurse discovers that 40 mL of thawed expressed breast milk labeled for Bed 12 (a 34-week feeder-grower) was given by gravity via an orogastric tube to the infant in Bed 21, a 27-week-2-day, 890-g infant with a central line who is on 2 L nasal cannula. Bed 12's mother is CMV IgG positive and has been providing fresh breast milk; Bed 21's mother is CMV negative, and unit policy is own-mother milk only.
735 words, about 4 min