First Week of Life Flashcards
What makes up the Apgar score? When are they taken?
Appearance Pulse Grimase Activity Respiration
1, 5 and 10 minutes of life
How do you measure the HR in newborns?
Auscultate
Umbilical
Pulse oximetry
Why is vitamin K given to newborns?
To prevent haemorrhagic disease of the newborn
Why are babies vitamin K deficient?
No gut floral production
No dietary vitamin K
What temperature is the fetus in utero?
Warmer due to maternal protection
Why do newborns lose heat?
Thin skin
Blood vessels close to the surface
High surface area to volume
How do you prevent evaporative heat loss?
Dry and wrap
Place in humid environment
What do babies do in the first few minutes of life?
Cry
Feed
Sleep
What are signs of normal GIT function?
Feeding
Meconium passage
When do you do the full born examination?
First 2-3 days of life
What do you ask in the newborn exam?
Pregnancy
- Scan
Is there anything you’re worried about
FMx
What do you educate about?
Feeding Immunisation Smoking cessation Safe sleeping - supine, end of the bed, don't sleep with baby, no toys in the cot Newborn screening test Avoiding injury
When does the first urine pass?
First 24-48 hours
What is early weight gain rate?
10-20g/kg/day
How does the stool change?
Black > Green > Mustard