Healthy Term Bby

Question 1

Normal birth weigh lies in the range_____

Answer 1

2.5kg- 4.0kg

Question 2

What nutrients are transferred to the baby through the placenta?

Answer 2

Iron
Vitamins
Calcium
Phosphate 
antibodies

Question 3

What stress is felt by the bby during the labour?

Answer 3

Hypoxic environment during contractions
Foetal Hb helps release O2- prolonged labour reduces fetal reserves
Placental insufficiency (smoking/drug use/ pre-eclampsia)
Growth restriction or excess
Increased cortisol and adrenaline enhances adaptation

Question 4

What phsyiological changes occur with the first cry?

Answer 4

Alveolar expansion
Change from foetal to newborn circulation
Decreased pulmonary arterial pressure
Increased PaO2

Question 5

Wht is the APGAR score?

Answer 5

• score out of 10
• 0,1,2 each category
  —-considers:
  Heart rate
  Respiratory rate
  Responsiveness
  Tone
  Colour

Question 6

Normal APGAR score______

Answer 6

> 8

Question 7

What is the normal “feed” for well grown term bbies?

Answer 7

• little caloric intake in first 24 hrs

Question 8

What is injected to prevent hemorrhagic disease of the newborn?

Answer 8

Vit. K (IM or oral drops )

—–prevents GI bleeding, LUNG AND CNS

Question 9

What infections should the mother be screened for?

Answer 9

• HEP B
• Hep C
• HIV
• SYPHILIS
• TB
• Gr. B streptococcus

Question 10

What vaccinations can be given to mom and bby?

Answer 10

Maternal Pertussis and Influenza virus
Hep B at BIRTH
BCG in first month

Question 11

What screening tests are done with newborn?

Answer 11

Cystic fibrosis
Haemoglobinopathies
Metabolic disease

• thyroid fxn test (HIGH TSH in hypothyroidism; low T4)

Question 12

Name metabolis conditions is the bby screened for

Answer 12

- pphenylketonuria (PKU) 
medium-chain acyl-CoA dehydrogenase deficiency (MCADD)
 maple syrup urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1)
homocystinuria (pyridoxine unresponsive) (HCU)henylketonuria

Question 13

When is the neonatal examination done?

Answer 13

• within 24hrs of deliverh

Question 14

What head abnormalities are seen in a newborn?

Answer 14

• OFC
• overlappin sutures (sliding of skull bones)
• Moulding
• caput s; swelling an dedema under outer layer of skin; reduced in 12 hrs
• ; bleeding in btw bone perioosteum and the epicranial aponeurois
• epidural

Question 15

What abnormalities of the eyes are seen on wqa

Answer 15

• cataract—can be cortcally blind
• look for red reflex
• conjunctical hemorrhage
• IRIS abnormality
• squints

Question 16

What are some abnormalities of the ear that may occur to the new born?

Answer 16

• position (esp. with moulding of heads)
• patency of ext. auditory canal
• pits
• folding
• –family hx of hearing loss

Question 17

What abnormalities may occur with a bby’s mouth?

Answer 17

• shape
• philtrum
• tongue tie
• palate
• neonatal teeth
• ebstein pearls (white pearl seen on gum and penis?)
• sucking/ rooting reflex

Question 18

What is indicative of the side with facial palsy ?

Answer 18

• lack of nasolabial fold

Question 19

What to check for, for respiratory ?

Answer 19

• chest shape, nasal flaring, grunting, tachypnea
• in drawing
  breath sound

Question 20

What needs to be screened under the CVS system?

Answer 20

• femoral pulses
• apex
• thrills/heaves
• heart sounds
• color/saturation

Question 21

What to check for under the GIT system?

Answer 21

Moves with respiration
Distension
Hernia (in boys) 
Umbilicus
Bile stained vomiting
Passage of meconuim
Anus- check for fistulas 
---gastroschisis (isolated abnormality)

Question 22

What geniitourinary things should be checked for?

Answer 22

Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius

Question 23

What MSK things are searched for>

Answer 23

Movement & posture
Limbs and digits
Spine
Hip examination
---SPINA BIFIDA common in Scottish Popn

Question 24

What neurological things are looked for?

Answer 24

Alert, responsive
Cry
Tone
Posture
Movement
Primitive reflexes