Care of the Newborn Term Infant Flashcards
what period of gestation is considered “term”?
37-40
normal weight is between..
2.5-4kg
why are preterm babies skinny?
less time in 3rd trimester so less time to make fat
when considering delivery method in a baby what should be taken into account?
why did they do this?
was there a problem with mum, baby or both
fetal Hb gives off O2 easily in an acidotic/alkalotic environment
acidotic
how do babies preserve their brains from harm when in an acidotic environment
through production of ketones
what happens to the alveoli to enable newborn circulation?
alveolar expansion
pulmonary pressure increases/decreases after birth
decreases (pulm resistance is VERY high in utero)
name the 5 components of the apgar score; what is the max score that can be given for each?
HR RR responsiveness tone colour
a normal apgar score is >_
8
why should a baby be kept warm after birth?
increases chances of perinatal adaptation
prevents acidosis
prevents hypothermia and hypoglycaemia
what is haemorrhagic disease of the newborn?
internal bleeding disorder after birth; can present as GI, pulm, CNS bleed
what minimises the risk of haemorrhagic disease of the newborn
IM vitamin K in first few mins of birth
what should be given to babies with a hep B +ve mum?
hep B vaccine straight after birth (usually get it at 2 months with vaccination programme)
screening tests at birth?
newborn examination universal hearing screening hip screening - clinical and USS CF haemoglobinopathies metabolic diseases
