Neonatology - Newborn metrics, routine newborn care, resuscitation and neonatal respiratory distress Flashcards
Summarize gestation age terms
Routine neonatal care after delivery
Early skin-to-skin contact in ALL newborn if possible
Delayed cord clamping
Record delivery time + APGAR score
Keep warm: resuscitative if needed
- by plastic wrap or incubator care
Cord care: note cord complications, cleaning
Vaccination:
- HBV vaccine, BCG vaccine
Cord blood tests: G6PD, TSH screening, ± TORCH only if suspect congenital infection
Breastfeeding
Sleeping advise
Early skin-to-skin contact
Rationale
Delayed cord clamping
Rationale
APGAR score
- Outline assessment
- Interpretation
Cord care after delivery
Routine vaccinations after delivery
Routine cord blood tests and screening tests
Feeding practice after delivery
Sleeping advice for neonate
Maternal and infant conditions contraindicated against breast feeding
Neonatal resuscitation flowchart
Ventilation corrective steps
Changes in cardiopulmonary circulation at birth
Types of neonatal respiratory distress
Neonatal response to asphyxia classically described by Dawes’ primate experiments
- primary apnea: will respond to stimulation and O2 therapy, can auto-resuscitate by gasping
- secondary (terminal) apnea: unlikely to recover w/o intubation and PPV
Causes of newborn apnea
Transient tachypnea of newborn (wet lung, TTN)
Cause
S/S
Dx
Mx
Meconium aspiration syndrome
Cause
S/S
Cx
Mx
Persistent pulmonary hypertension of newborn (PPHN)
Pathophysiology
Cause
S/S
Persistent pulmonary hypertension of newborn (PPHN)
Ix
Dx
Mx
