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Reproduction SOH > Care of the healthy newborn > Flashcards

Care of the healthy newborn Flashcards

1
Q

What is given to all babies in the first few minutes of life?

A

Vitamin K

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2
Q

Why is vitamin K gibe to babies?

A

To prevent them from developing haemorrhagic disease of the newborn

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3
Q

Vitamin K COMPLETELY abolishes the risk of getting hemorrhagic disease of the newborn. True or false?

A

True

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4
Q

How is vitamin K most commonly administered?

A

IM

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5
Q

All babies have their hearing tested. True or false?

A

True

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6
Q

All babies have their hips tested. What is this screening for?

A

DDH

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7
Q

How is hip screening carried out?

A 
Clinical examination (more common) 
US
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8
Q

Guthrie card blood spot test - where is the blood collected from?

A

Heel prick

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9
Q

Guthrie card blood spot test - When is this carried out?

A

On day 5 after birth

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10
Q

Guthrie card blood spot test - which 4 conditions are you screening for?

A

Cystic fibrosis
Congenital hypothyroidism
Haemoglobinopathies
Metabolic disease (e.g. PKU)

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11
Q

If the baby’s mother is Hep B +ve, what do you do to the baby?

A

Give them vaccination asap instead of waiting until the baby is 2 months old.

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12
Q

If the baby’s mother is HIV +ve, what do you do to the baby?

A

Prophylactic antibiotics and anti-viral agents

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13
Q

What is the Apgar score?

A

Measurement of how the baby is responding to perinatal adaptation.

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14
Q

Aim for a high/low apgar score?

A

High apgar score

- score of 8 or above is normal (maximum is 10)

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15
Q

What does apgar stand for? (i.e. what are the components)

A 
Appearance (skin colour) 
Pulse (heart rate) 
Grimace (responsiveness) 
Activity (muscle tone) 
Respiration
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16
Q

What is a normal newborn resp rate

A

40-60 /minute

17
Q

What is a normal newborn heart rate

A

120-140 / minute

18
Q

What is normal newborn O sats

A

95% and above

19
Q

When is newborn examination carried out?

A

Within 24 hours of delivery

20
Q

Newborn exam - head

A

Look for:

  • moulding
  • caput
  • cephalhaematoma
  • fontanelles
21
Q

Newborn exam - eyes

A

Look for

  • size
  • red reflex (should be present)
  • squints
  • iris abnormality
  • conjunctival haemorrhage
22
Q

If red reflex is absent in newborn, what does this make you think ?

A

Retinoblastoma or catarats

23
Q

Newborn exam - ears

A

Look at

  • position
  • external auditory canal
  • any tags
24
Q

Newborn exam - mouth

A

Look at

  • shape
  • philtrum
  • tongue tie
  • palate
  • neonatal teeth (remove)
  • sucking/rooting reflex
25
Q

Newborn exam - respiratory

A 
Chest shape 
Nasal flaring 
Grunting 
Tachypnoea 
Breath sounds
26
Q

Newborn exam - CVS

A 
Colour 
Saturations 
Heart sounds 
Heaves/thrills 
Femoral pulses 
- always check these in a baby
27
Q

Absence of femoral pulse in which condition?

A

Coarctation of aorta

28
Q

Newborn exam - abdominal

A

Distension
Hernia
Umbilicus
Ask about passage of meconium

29
Q

Newborn exam - genitourinary

A

Normal external genitalia
Normal passage of urine
Undescended testes

30
Q

Newborn exam - musculoskeletal

A

Movement and posture
Limbs and digits
Spine
Hip examination

31
Q

Newborn exam - neurological

A 
Responsiveness 
Cry 
Tone - is the baby floppy? 
Posture 
Movement
32
Q

Newborn exam - primative reflexes

A 
Suking and rooting 
Moro - drop baby
ATNR 
Grasp 
Stepping
33
Q

A strawberry naevus is benign/malignant. It usually disappears but gets bigger before it gets smaller.

A

Benign

34
Q

What is a mongolian blue spot

A

Benign birth mark

35
Q

Where on the body is the mongolian blue spot normally found?

A

Buttocks or lower back area

36
Q

Haemangioma is dangerous. true or false?

A

True

37
Q

Normal weight of newborn

A

2.5 -> 4 kg

38
Q

Large for gestational age weight

A

Over 4kg

39
Q

Small for gestational age weight

A

Under 2.5kg

Reproduction SOH (50 decks)

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