First Week of Life Flashcards

1
Q

What makes up the Apgar score? When are they taken?

A
Appearance
Pulse
Grimase
Activity
Respiration

1, 5 and 10 minutes of life

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2
Q

How do you measure the HR in newborns?

A

Auscultate
Umbilical
Pulse oximetry

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3
Q

Why is vitamin K given to newborns?

A

To prevent haemorrhagic disease of the newborn

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4
Q

Why are babies vitamin K deficient?

A

No gut floral production

No dietary vitamin K

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5
Q

What temperature is the fetus in utero?

A

Warmer due to maternal protection

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6
Q

Why do newborns lose heat?

A

Thin skin
Blood vessels close to the surface
High surface area to volume

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7
Q

How do you prevent evaporative heat loss?

A

Dry and wrap

Place in humid environment

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8
Q

What do babies do in the first few minutes of life?

A

Cry
Feed
Sleep

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9
Q

What are signs of normal GIT function?

A

Feeding

Meconium passage

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10
Q

When do you do the full born examination?

A

First 2-3 days of life

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11
Q

What do you ask in the newborn exam?

A

Pregnancy
- Scan
Is there anything you’re worried about
FMx

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12
Q

What do you educate about?

A
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
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13
Q

When does the first urine pass?

A

First 24-48 hours

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14
Q

What is early weight gain rate?

A

10-20g/kg/day

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15
Q

How does the stool change?

A

Black > Green > Mustard

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16
Q

When does the suck reflex start?

A

33-34 week

17
Q

Who can’t suck?

A

Preterm
Respiratory distress syndrome
CNS depression

18
Q

What are you worried about when you’re starting to induce feeds?

A

Necrotising enterocolitis

19
Q

When is jaundice abnormal?

A

First 24 hours