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Care for Mother, Child, Adolescent - RLE > Essential Intrapartum and Newborn Care > Flashcards

Essential Intrapartum and Newborn Care Flashcards

1
Q

EINC

A

Essential Intrapartum and Newborn Care

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2
Q

refers to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at lying in birthing center.

A

Essential Newborn Care

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3
Q

Essential Intrapartum and Newborn care (EINC) is a package of evidence-based practices recommended by the __________________________________________________________________________________ as the standards of care in all births by skilled attendants in all government and private settings.

A

Department of Health (DOH), Philippine Health Insurance Corporation (PHIC) and World Health Organization (WHO)

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4
Q

MNCHN

A

Maternal, Newborn and Child Health and Nutrition

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5
Q

Four Time-Bounded Interventions:

A
  1. Immediate and thorough drying,
  2. Early skin-to-skin contact followed by,
  3. Properly-timed clamping and cutting of the cord after 1 to 3 minutes, and
  4. Non-separation of the newborn from the mother for early breastfeeding initiation and rooming-in.
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6
Q

Immediate and thorough drying of the newborn prevents?

A

hypothermia which is extremely important to newborn survival

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7
Q

Keeping the mother and baby in uninterrupted skin-to-skin contact prevents

A

hypothermia, hypoglycemia and sepsis, increases colonization with protective bacterial flora and improved
breastfeeding initiation and exclusivity

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8
Q

Breastfeeding initiation within the first hour of life prevents

A

an estimated 19.1% of all neonatal deaths.

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9
Q

What newborn care practices in the delivery room should no longer be continued?

A
  1. Manipulation such as routine suctioning of secretions if the baby is crying and breathing
    normally. Doing so may cause trauma or introduce infection.
  2. Putting the newborn on a cold or wet surface.
  3. Wiping or removal of vernix caseosa if present
  4. Foot printing
  5. Bathing earlier than 6 hours of life
  6. Unnecessary separation of the newborn primarily for weighing, anthropometric
    measurements, intramuscular administration of vitamin K, Hepatitis B vaccine and BCG vaccine
  7. Transferring of the newborn to the nursery or neonatal intensive care unit without any indication
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10
Q

Inject ___________________ into the mother’s ________________

A

oxytocin 10 IU IM ; deltoid or lateral thigh

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11
Q

Monitor the baby (____________________________________________________________) every _____ for at least the first hour, then every _______ for the 2nd hour

A
  • breathing pattern, feeding with appropriate demonstration of feeding cues, movement, skin color and temperature; 15 min; 30 min
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12
Q

Thoroughly examine the baby for malformations (such as ______________________) and birth injuries (__________________)

A

imperforated anus; cephalhematoma, caput succedaneum

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13
Q

______________________ is being done for the prevention of blindness and eye damage from conjunctivitis due to ________________________________, which the
neonate may have acquired from the mother during passage through the birth canal.

A

Crede’s prophylaxis; Neisseria gonorrhoeae and Chlamydia

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14
Q

injection site for Vitamin K

A

left lateral anterior thigh or vastus lateralis

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15
Q

injection site for Hepatitis B vaccine

A

(right lateral anterior thigh or vastus lateralis)

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16
Q

is given to neonates as protection from serious
forms of Tuberculosis (TB).

A

Bacille Calmette-Guérin vaccine

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17
Q

injection site for Bacille Calmette-Guérin vaccine

A

right deltoid

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18
Q

Newborn

A

0-28 days

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19
Q

Infant

A

0-1 yr old

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20
Q

Mortality

A

Death

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21
Q

Morbidity

A

Disease/Illness

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22
Q

a series of time bound, chronologically-ordered, standard procedure that a baby receives

A

EINC Protocol

23
Q

Immediate and thorough drying

A

prevents hypothermia

24
Q

Early skin-to-skin contact

A
  • prevents hypothermia, hypoglycemia and sepsis
  • increases colonization with protective bacterial flora
  • improved breastfeeding initiation and exclusivity
25
Q

Properly-timed cord clamping and cutting

A
  • prevents anemia
  • prevents brain (intraventricular) hemorrhage
26
Q
  • first type of milk produced by the mother
  • yellowish
A

colostrum

27
Q

contained in the colostrum and given to the baby

A

Ig A

28
Q

essential for blood clotting

A

Vitamin K

29
Q

newborns receive prophylactic eye treatment to prevent _________________________

A

ophthalmia neonatorum

30
Q

is being done for the prevention of blindness and eye damage from conjunctivitis due to Neisseria gonorrhoeae and Chlamydia, which the neonate may have acquired from the mother during passage through the birth canal

A

Crede’s Prophylaxis

31
Q

a severe eye infection contracted in the birth canal of a woman with gonorrhea or chlamydia

A

Ophthalmia Neonatorum

32
Q

Approved Ophthalmic Agents for Crede’s Prophylaxis

A
  1. 1% silver nitrate
  2. 0.5% erythromycin
  3. 1% tetracycline
  4. 2.5% povidone iodine drops
33
Q

Newborn Examination

A
  1. Weighing
  2. Thorough exam for deformities or abnormalities
  3. Anthropometric Measurements
  4. Vital Signs
34
Q

Baby’s pulse

A

brachial and femoral

35
Q

Weight:

A

2.5 kg – 4.7 kg

36
Q

Abdominal Circumference:

A

32 cm – 33 cm

37
Q

Chest Circumference:

A

32 cm – 33 cm

38
Q

Head Circumference:

A

34 cm – 35 cm

39
Q

Bowel Patency: _______________ into the anus

A

1.5 cm – 2 cm

40
Q

Normal O2Sat for Newborn:

A

98-99

41
Q

Vitamin K Prophylaxis
Dose:

A

1 mg

42
Q

Vitamin K Prophylaxis
Route:

A

Intramuscular

43
Q

Vitamin K Prophylaxis
When:

A

within the 1st to 6th hour of life

44
Q

Vitamin K Prophylaxis
Injection Site:

A

left lateral anterior thigh or vastus lateralis

45
Q

Vitamin K Prophylaxis
Prevent:

A

transient deficiency of coagulation factors II, VII, IX and X which could place the newborn at risk for bleeding

46
Q

Hepatitis B Vaccine
Dose:

A

0.5 ml

47
Q

Hepatitis B Vaccine
Route:

A

Intramuscular

48
Q

Hepatitis B Vaccine
When:

A

within 12 hours after birth

49
Q

Hepatitis B Vaccine
Injection Site:

A

right lateral anterior thigh or vastus lateralis

50
Q

Bacille Calmette-Guerin Vaccine
Dose:

A

0.05 ml

51
Q

Bacille Calmette-Guerin Vaccine
Route:

A

Intradermal

52
Q

Bacille Calmette-Guerin Vaccine
Injection Site:

A

Right Deltoid

53
Q

Bacille Calmette-Guerin Vaccine
Prevent:

A

Tuberculosis

54
Q
A

Care for Mother, Child, Adolescent - RLE (2 decks)

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