healthy term infant Flashcards

1
Q

what is normal ‘weight’

A

2.5 - 4.0 kg

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2
Q

what weight is classed as large for gestational age

A

> 4.0 kg

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3
Q

what weight is classed as small for gestational age

A

<2.5 kg

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4
Q

what is the weight and fat composition of the average male at 28 weeks

A

1150 g

3.5% fat

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5
Q

what is the weight and fat composition of the average male at term

A

3550 g

15% fat

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6
Q

what is the average daily weight gain in the 3rd trimester

A

24 g

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7
Q

what are the components of the APGAR score

A
activity (tone)
pulse 
grimace (responsiveness)
appearance (colour)
respiratory rate
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8
Q

what is a normal APGAR score

A

8 or more

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9
Q

what screening tests are available for newborns

A
hearing screening 
hip screening 
CF
haemoglobinopathies 
metabolic disease
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10
Q

what is assessed in the head part of the newborn examination

A
occipitofrontal circumference 
overlapping sutures 
fontanelles 
ventouse/forceps marks 
moulding 
cephalohaematoma 
caput succedaneum (swelling in scalp)
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11
Q

what is assessed in the eyes part of the newborn examination

A
size
red reflex 
conjunctival haemorrhage 
squints 
iris abnormality
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12
Q

what is assessed in the ears part of the newborn examination

A
position
external auditory canal
tags/pits 
folding 
FHx of hearing loss
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13
Q

what is assessed in the mouth past of the newborn examination

A
shape 
philtrum
tongue tie
palate
neonatal teeth 
ebsteins pearls (white cysts in the mouth)
sucking/rooting reflex
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14
Q

what is included in the face part of the newborn examination

A

facial palsy

dysmorphism

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15
Q

what is assessed the the resp part of the newborn examination

A
chest shape 
nasal flaring 
grunting 
tachypnoea 
in-drawing 
breath sounds
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16
Q

what is assessed in the cardio part of the newborn examination

A
colour
sats (SaO2)
pulses (femoral)
thrills/heaves 
heart sounds
17
Q

what is assess in the abdominal part of the newborn examination

A
nows with respiration 
distension 
hernia 
umbilicus 
bile stained vomiting 
passage of meconium 
anus
18
Q

what is assessed in the GU part of the newborn examination

A

normal passage of urine
normal genitalia
undescended testes
hypospadius

19
Q

what is assessed in the MSK part of the newborn examination

A

movement and posture
limbs and digits
spine
hip examination

20
Q

what is assessed in the neurological part of the newborn examination

A
alert, responsiveness 
cry
tone 
posture 
movement 
primitive reflexes
21
Q

what are the primitive reflexes

A
suck
rooting 
moro (startle)
ATNR (head turns to side, limbs on that side extend)
stepping 
grasp