Essential Intrapartum and Newborn Care

Question 1

EINC

Answer 1

Essential Intrapartum and Newborn Care

Question 2

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.

Answer 2

Essential Newborn Care

Question 3

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.

Answer 3

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

Question 4

MNCHN

Answer 4

Maternal, Newborn and Child Health and Nutrition

Question 5

Four Time-Bounded Interventions:

Answer 5

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.

Question 6

Immediate and thorough drying of the newborn prevents?

Answer 6

hypothermia which is extremely important to newborn survival

Question 7

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

Answer 7

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

Question 8

Breastfeeding initiation within the first hour of life prevents

Answer 8

an estimated 19.1% of all neonatal deaths.

Question 9

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

Answer 9

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

Question 10

Inject ___________________ into the mother’s ________________

Answer 10

oxytocin 10 IU IM ; deltoid or lateral thigh

Question 11

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

Answer 11

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

Question 12

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

Answer 12

imperforated anus; cephalhematoma, caput succedaneum

Question 13

______________________ 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.

Answer 13

Crede’s prophylaxis; Neisseria gonorrhoeae and Chlamydia

Question 14

injection site for Vitamin K

Answer 14

left lateral anterior thigh or vastus lateralis

Question 15

injection site for Hepatitis B vaccine

Answer 15

(right lateral anterior thigh or vastus lateralis)

Question 16

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

Answer 16

Bacille Calmette-Guérin vaccine

Question 17

injection site for Bacille Calmette-Guérin vaccine

Answer 17

right deltoid

Question 18

Newborn

Answer 18

0-28 days

Question 19

Infant

Answer 19

0-1 yr old

Question 20

Mortality

Answer 20

Death

Question 21

Morbidity

Answer 21

Disease/Illness

Question 22

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

Answer 22

EINC Protocol

Question 23

Immediate and thorough drying

Answer 23

prevents hypothermia

Question 24

Early skin-to-skin contact

Answer 24

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

Question 25

Properly-timed cord clamping and cutting

Answer 25

- prevents anemia - prevents brain (intraventricular) hemorrhage

Question 26

- first type of milk produced by the mother - yellowish

Answer 26

colostrum

Question 27

contained in the colostrum and given to the baby

Answer 27

Ig A

Question 28

essential for blood clotting

Answer 28

Vitamin K

Question 29

newborns receive prophylactic eye treatment to prevent _________________________

Answer 29

ophthalmia neonatorum

Question 30

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

Answer 30

Crede’s Prophylaxis

Question 31

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

Answer 31

Ophthalmia Neonatorum

Question 32

Approved Ophthalmic Agents for Crede's Prophylaxis

Answer 32

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

Question 33

Newborn Examination

Answer 33

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

Question 34

Baby’s pulse

Answer 34

brachial and femoral

Question 35

Weight:

Answer 35

2.5 kg – 4.7 kg

Question 36

Abdominal Circumference:

Answer 36

32 cm – 33 cm

Question 37

Chest Circumference:

Answer 37

32 cm – 33 cm

Question 38

Head Circumference:

Answer 38

34 cm – 35 cm

Question 39

Bowel Patency: _______________ into the anus

Answer 39

1.5 cm – 2 cm

Question 40

Normal O2Sat for Newborn:

Answer 40

98-99

Question 41

Vitamin K Prophylaxis Dose:

Answer 41

1 mg

Question 42

Vitamin K Prophylaxis Route:

Answer 42

Intramuscular

Question 43

Vitamin K Prophylaxis When:

Answer 43

within the 1st to 6th hour of life

Question 44

Vitamin K Prophylaxis Injection Site:

Answer 44

left lateral anterior thigh or vastus lateralis

Question 45

Vitamin K Prophylaxis Prevent:

Answer 45

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

Question 46

Hepatitis B Vaccine Dose:

Answer 46

0.5 ml

Question 47

Hepatitis B Vaccine Route:

Answer 47

Intramuscular

Question 48

Hepatitis B Vaccine When:

Answer 48

within 12 hours after birth

Question 49

Hepatitis B Vaccine Injection Site:

Answer 49

right lateral anterior thigh or vastus lateralis

Question 50

Bacille Calmette-Guerin Vaccine Dose:

Answer 50

0.05 ml

Question 51

Bacille Calmette-Guerin Vaccine Route:

Answer 51

Intradermal

Question 52

Bacille Calmette-Guerin Vaccine Injection Site:

Answer 52

Right Deltoid

Question 53

Bacille Calmette-Guerin Vaccine Prevent:

Answer 53

Tuberculosis