EINC II & Physical Examination of the Newborn Flashcards
3 Things to do upon arrival of Mother in the ER
CET
Antenatal counseling
Equipment check
Room temperature check (25-28 deg Celsius)
What does the STABLE program stand for?
blood Sugar
Temperature
Airway
Blood pressure
Labs
Emotional support
What should the newborn’s blood sugar be prior to rooming-in?
> 50 mg/dL
How much water should be given to the newborn to achieve appropritate blood sugar level?
80cc/kg/day
What is the allowable range of temperature for newborns?
36.5 to 37.5 deg Celsius
True or False:
Infant must not be wearing any clothing during the exam
True
What are the three factors to determine infant size?
Weight, Length, Head circumference
This is the most important factor to determine infant size
Weight
Normal weight of a Filipino baby
2500 to 4000g
Normal length of a newborn
50 cm
What is the normal head circumference of a newborn?
35 cm
What is the normal head and chest circumferential difference in newborn?
±2
A newborn is said to be small for gestational age if he’s weight is:
less than the 10th percentile for infant’s gestational age
True or False:
A newborn that is small for gestational age is at high risk of hypoglycemia due to less glucose stores since glucose
storage happens during the 3rd trimester
True
What are the 2 types of Intrauterine Growth Restriction?
Symmetric and Asymmetric
This type of intrauterine growth restriction happens at the beginning of pregnancy (1st or 2nd trimester)
Symmetric
- head of infant is proportional to its body
This type of intrauterine growth restriction still allows the infant to have a head circumference larger than the body
Asymmetric
The brain becomes fully developed at which trimester of pregnancy?
Second trimester
Infants who are large for gesational age weigh:
greater than the 90th percentile for gestational age
Which of the following is not characteristic of an infant that is Large for Gestational age?
A. usually seen in infants of a diabetic mother
B. from those with family that is genetically bigger than most average people]
C. observed in infants with hypertensive mothers
D. High risk for hypoglycemia due to increased ulitization and demand for glucose
E. NOTA
C. is characteristic of small for gestational age babies
These are twins with one bigger than the other due to twin-to-twin transfusion
Discordant twins
> 20% weight difference and >20% hemtocrit difference
An infant should be presumed to be at high risk for mortality or morbidity if a discrepancy exists between the estimation of gestational age by:
A. PE
B. Mother’s LMP
C. fetal US evaluation
D. Both A and C
E. All of the above
E. All of the above
This is the most comonly used to in assessing the gestational age at birth
Ballard scoring system
The New Ballard Score is used to determine the gestational age at birth through _____________________ and ____________________ of a newborn infant
Neuromuscular and Physical assessment