1: Neonatology- Routine Care of the Newborn (Hearing Screen)

Question 1

Explain measuring neonatal weight after birth

Answer 1

Weight is immediately measured. It is then not measured again until day 5-7. Expect neonates to loose weight during that time

Question 2

What is abnormal weight loss in neonates

Answer 2

> 10%

Question 3

When do babies regain their birth-weight by

Answer 3

7-days

Question 4

What is given within 48h of birth to prevent haemorrhage disease of the newborn

Answer 4

Phytomenadione (Vitamin K)

Question 5

What is done to maintain temperature of the neonate after birth

Answer 5

Skin-to-skin contact with mum

Question 6

What is performed at 5-7d days in neonates

Answer 6

Gunthrie test

Question 7

What is a way to remember what is looked for on the guthrie test

Answer 7

CHAPS

Question 8

What is looked for on gunthrie test

Answer 8

Cystic fibrosis 
Hypothyroidism
Acetyl coA deficiency 
Phenylketonuria 
Sickle cell

Question 9

What will all infants have checked at 4W

Answer 9

Hearing

Question 10

What is used to screen hearing at 4W

Answer 10

Otoacoustic emission testing

Question 11

How is new-born hearing screened in the UK

Answer 11

Automated otoacoustic emission testing at 4W

Question 12

If otoacoustic emission testing is abnormal in UK new-born screening, what is performed

Answer 12

Auditory brainstem response

Question 13

What is used to test hearing at 6-9 months

Answer 13

Distraction test

Question 14

What is used to test hearing at 18 months to 2.5-years

Answer 14

Recognition familiar objects

Question 15

What is used to test hearing 2.5 years to 3 years

Answer 15

Speech discrimination

Question 16

What is used to test hearing >3-years

Answer 16

Pure tone audiometry

Question 17

What is done at school entry

Answer 17

Pure tone audiometry