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3 Reproduction > Healthy Term Infant > Flashcards

Healthy Term Infant Flashcards

1
Q

how many weeks is considered term

A

37-40+6

post term - 41 weeks

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2
Q

what is a normal baby weight

A

2.5-4kg

> 4 = large for gestational age
<2.5kg small for gestational age

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3
Q

what is the daily weight gain for a baby at 28 weeks

A

24g per day

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4
Q

what is a normal delivery at term

A

spontaneous or induced labour

cephalic
occipital-anterior

vaginal delivery - spontaneous or assisted

CS- why

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5
Q

what happens to the babies environment during labour

A

it turns hypoxic during each contraction

fetal Hb. helps release O2

prolonged labour will reduced fetal reserves

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6
Q

impact of cortisol and adrenaline on adaptation to outside world

A

enhanced adaptation

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7
Q

what needs to happen for perinatal adaptation to occur

A

first breath/cry
avelolar expansion
change from fetal to newborn circulation
decreased pulmonary arterial pressure
increased PaO2
Apgar score
early immediate skin to skin and suckling

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8
Q

what is the Apgar score

A

a measure of perinatal adaptation

scored out of 10

each component given 0,1 or 2

  • HR
  • RR
  • Responsiveness
  • tone
  • colour

normal >8

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9
Q

what is attachment

A

a hormonal and emotional response to infant

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10
Q

what is haemorrhage disease of the newborn

A

bleeding of newborn due to vitamin k deficiency

treat with vitamin K (IM or oral)

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11
Q

what is infections are a risk based on maternal history

A 
hep B
Hep C 
HIV 
Syphilis 
TB 
Group B strep
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12
Q

what scores are used to asses risk of newborn

A

Newborn early warning score

Snuggle bundle - for parents and staff to know how to keep baby healthy

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13
Q

what are mums vaccinated against to protect baby

A

peruses

influenza

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14
Q

what is screened for in the newborn

A 
newborn examination 
universal hearing screening 
hip screening 
haemoglobinopathies 
metabolic disease 
PKU
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15
Q

what is a newborn examination

A

top to toe examination immediately following delivery

formal neonatal examination is required as part of health care (around 24 hours)

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16
Q

what’s looked for in examination of baby’s head

A

swellings on the head

measure head circumference

look at overlapping of the sutures

fontanelles

ventouse/forcepts marks

moulding

cephalhaematoma (blood
between periosteum and skull)

caput succedaneum (blood 
between skin and epicranial aponeurosis)
17
Q

how do differ between cephalohaematoma and caput succedaneum

A

cephalohaematoma does not cross the suture lines

caput succedaneum can go all around the skill

18
Q

what do you look for in baby’s eyes

A 
size 
reflex (if no red reflex - congenital cataract) 
conjunctival haemorrhage 
squints 
iris abnormality
19
Q

what do you look for in baby’s ears

A

position of ear on head - low set ear can be suggestive of syndromes

external auditory canal

tags/pits - can be signs of another condition

folding

20
Q

what do you look for in the baby’s mouth

A 
shape 
philtrum 
tongue tie 
palate 
neonatal teeth - need taken out 
ebsteins pearls - collections of skin cells 
sucking/rooting reflex
21
Q

what do you look for in the baby’s face

A 
facial palsy (usually the one that looks normal bc the abnormal one is able to move) 
dysmorphisms (eg. fetal alcohol syndrome or downs)
22
Q

what do you look for in the baby’s respiratory system

A 
chest shape 
nasal flaring 
grunting 
tachypnoea 
in-drawing 
breath sounds 
congenital diaphragmatic hernia (bowel in the chest cavity)
23
Q

cardiovascular examination for baby

A 
colour/saturation 
pulses: femoral 
apex beat 
thrills/heaves 
heart sounds
24
Q

abdominal examination for baby

A 
moves with respiration 
distension 
hernia 
umbilicus 
bile stained vomiting 
passage of meconium 
anus
25
Q

genitourinary examination for baby

A

normal passage of urine
normal genitalia
undescended testes
hypospadius

26
Q

MSK exam for baby

A

movement and posture
limbs and digits
spine
hip examination

27
Q

neurological examination of baby

A 
alert, responsive 
cry 
tone 
posture 
movement 
primitive reflexes
28
Q

what are the primitive reflexes

A
  • sucking
  • rooting
  • moro
  • ATNR
  • stepping
  • grasp
29
Q

what looked for in skin examination of baby

A

port wine stain
rash
strawberry haemangioma
Mongolian spot

3 Reproduction (49 decks)

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