Module 2 - Pregnancy and Neonatal - Part 2

Question 1

NEWBORN PAEDIATRIC ASSESSMENT

What is the paediatrician looking at when assessing general appearance of a newborn?

Answer 1

Skin colour, integrity, perfusion

State of alertness

Activity, range of spontaneous movement

Posture, muscle tone

Question 2

NEWBORN PAEDIATRIC ASSESSMENT

When a assessing the head, face and neck what is the doctor looking at?

Answer 2

Head shape, size, lesions.

Scalp, fontanelles (anterior and posterior), sutures

Eye size, position structure

Nose, position, structure

Ear position, structure (tags or pits)

Mouth, palate, teeth, gums, tongue, frenulum

Jaw size

Question 3

NEWBORN PAEDIATRIC ASSESSMENT

Shoulders, arms, hands. What is the doctor looking at?

Answer 3

Length, proportions, symmetry.

Structure, number of digits

Question 4

NEWBORN PAEDIATRIC ASSESSMENT

Chest. What is the doctor assessing?

Answer 4

Size, shape, symmetry, movement

Breast tissue, nipples

Heart sounds (mumur), rate, pulse

Lung sounds, resp rate

Skin, Rashes.

Question 5

NEWBORN PAEDIATRIC ASSESSMENT

Spine. When looking at the spine, what is the paediatrican looking for?

Answer 5

Shape. Is it straight?

Dimples or a tuft of hair can indicate problems with the spinal cord.

Question 6

NEWBORN PAEDIATRIC ASSESSMENT.

Abdomen.

What is being assessed?

Answer 6

1. Intestines - bowels sounds.
2. Liver- Enlargement
3. Any large hard masses.

Question 7

NEWBORN PAEDIATRIC ASSESSMENT.

Hips & genitals. What is being assessed?

Answer 7

1. Hips - Are they stable?
2. Hips - No dislocation

Do the genitals look normal for the sex of the baby?

Question 8

Name at least 5 newborn reflexes.

Answer 8

1. Rooting
2. Suck
3. Moro (Startle)
4. Stepping Reflex
5. Grasp
6. Swallowing

Question 9

Whast is milia?

Answer 9

Newborn rash. Small white spots on the face and nose.

Caused by blocked pores.

Not contagious.

Question 10

What is cradle cap?

Answer 10

Common skin condition for babies less than 3 months old.

Appears as thick waxy yellow crusts on the scalp.

Form of dermatitis that causing inflammation of the oil glands.

Question 11

What is nappy rash?

Answer 11

• Red or inflamed skin in the nappy area

• Caused from skin irritation due to contact with urine, faeces, soaps or creams.

Question 12

What is Erythema Toxicum Neonatorum?

Answer 12

A common condition affecting as many as half of all full term newborn infants. Most prominent on day 2, although onset can be as late as two weeks of age. Often begins on the face and spreads to affect the trunk and limbs.

Erythema Toxicum is evident as various combinations of erythematous macules (flat red patches), papules (small bumps) and pustules.

Question 13

What is a urinalysis?

Answer 13

A urinalysis is a test of your urine. A urinalysis is used to detect and manage a wide range of disorders, such as urinary tract infections, kidney disease and diabetes. A urinalysis involves checking the appearance, concentration and content of urine.

Question 14

What is the normal range for blood glucose levels?

Answer 14

4.0 -7.8mmol/L

Question 15

What are blood glucose levels measured in?

Answer 15

Millimoles per litre of blood (mmol/L).

Question 16

For Type 1 diabetes, what is the target blood glucose level?

Answer 16

4-8mmol/L before meals

< 10mmol/L two hours after starting meals

Question 17

For type 2 diabtetes, what is the target blood glucose level?

Answer 17

6-8mmol/L before meals

6-10mmol/L two hours after starting meals/.

Question 18

When are diabetics at risk of hypoglycaemia?

Answer 18

Whe blood glucose levels are less than 4mmol/L.

Question 19

What equipment is required when performing a urinalysis?

Answer 19

1. Urine sample
2. Urinalysis strips
3. Non-sterile gloves
4. Apron
5. Tissues
6. Watch/clock

Question 20

What are some basic checks to complete before a urinalysis?

Answer 20

• Check patient details
• Check correct patient sample
• Is the urine recently passed?
• Check exipry date of strips
• Check what medication the patient is taking.

Question 21

What does APGAR stand for?

Answer 21

A - Appearance

P - Pulse

G - Grimace

A - Activity

R - Respirations

Question 22

What is the APGAR Score?

Answer 22

The Apgar score is a test given to newborns soon after birth.

This test checks a baby’s heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed.

Question 23

When is a APGAR test completed?

Answer 23

1 and 5 minutes after birth.

Question 24

Emmy is five days old, her birth weight was 3000g, how much weight loss is considered normal for this baby?

Answer 24

300g

Question 25

Melody is a healthy newborn baby who has white dots on her nose. What is the medical term for these white dots?

Answer 25

Milia.

Question 26

Tanya is 12 weeks pregnant, what is the best time for her have the foetal morphology ultra sound?

Answer 26

18 - 20 Weeks

Question 28

What is Domestic Violence Routine Screening Program?

Answer 28

The Domestic Violence Routine Screening Program is an early identification and intervention strategy to promote awareness of the health impact of domestic violence, ask questions about patients’ safety in relationships and the safety of their children, and to provide information on relevant health services for victims.

Question 29

How many questions are there in the Domestic Violence Screening Tool (abbreviated)?

Answer 29

4

Question 30

When should DV screening be performed?

Answer 30

• all women attending antenatal services
• all women attending child and family health services
• women aged 16 years and over who attend mental health services
• women aged 16 and over who attend alcohol and other drugs services.