Newborn Flashcards
During adjustment to extrauterine life, it is the most critical adaptation
Initiation of respiration
What are the three factors that stimulate breathing?
Chemical, Thermal, and Tactile Factors
What causes fetal lung fluid removal
compression of the chest when passing through the birth canal
It keeps the alveoli expanded
Surfactant
What are the three different ways to establish the ABC also known as Airway, breathing and circulation
Suctioning with proper positioning, Institute standard precautions and cardiopulmonary adaptation
What is the correct way to position a newborn to facilitate airway and breathing?
Side-lying or modified Trendelenburg
What is the correct order of suctioning
Mouth then nose
After initiation of respiration, this process is also critical to the newborn’s survival.
Thermoregulation
What are the principal thermogenic sources?
Heart , Liver, Brain and Brown adipose tissue
Involves the loss of heat when liquid is converted to a vapor.
Evaporation
Involves the loss of body heat to cooler objects which come in direct contact with the baby’s skin.
Conduction
Involves loss of infant’s body heat to cooler solid objects that are not directly in contact with him.
Radiation
Involves the flow of heat from the surface to the cooler surrounding air to air circulating over the body surface
Convection
What principle of heat transfer is involve when weighing a newborn
Conduction
Principle of heat transfer when a baby is inside the room
Radiation
The principle of heat transfer used in an incubator with humidification
Convection
Large body surface area results in loss of heat to the environment. TRUE OR FALSE
TRUE
Newborn’s thin layer of adipose tissue is a good insulator. TRUE or FALSE
FALSE
Newborns cannot shiver to increase the heat production. TRUE OR FALSE
TRUE
Arrange the following in order:
1. Dry the infant completely for at least 30 seconds and remove the wet cloth.
2. Wrap the newborn immediately and place it under a droplight/radiant warmer.
3. Check temperature
4. Provide warmth (Early skin to skin contact) including Newborn via Caesarian section, place cap)
2,1,4,3
It is a care that every newborn baby needs regardless of where it is born or its size.
Essential Newborn Care/ Unang Yakap
What are the 4 Core Steps of ENC
Immediate drying, skin-to-skin contact, proper cord clamping & cutting, nonseparation of newborn and mother
It prevents hypothermia
Immediate thorough drying and early skin-to-skin contact
Why is it important to wait for the cord pulsation to stop before cutting?
Prevents anemia and protects against brain hemorrhage in premature newborn
What practices should not be done to a newborn anymore?
- routine suctioning
- putting a newborn on a cold or wet surface
- removing vernix caseosa
- Foot printing
- bathing earlier than 6 hours of life
- unnecessary separation of the newborn and the mother
Who developed APGAR in 1952, which became a standard tool in assessing newborn babies?
Virginia Apgar
It is a quick, overall assessment of newborn well-being, a measure of the physical condition of a newborn infant.
APGAR
What is the meaning of APGAR?
Activity
Pulse
Grimace
Appearance
Respiration
Apgar score for a blue or pale appearance
0
Blue extremities and pink body
1
Pink all over
2
Absent pulse or heart rate
0
> 100 betas per minute
2
< 100 beats per minute
1
No response to stimulation
0
Grimace when stimulated
1
Strong cry or sneezes when stimulated
2
Limp, flaccid
0
Some flexion of extremities
1
Well flexed
2
Absent respiratory effort
0
Weak cry/ irregular, slow
1
Good/ Strong or lusty Cry
2
It is normal for a newborn to have acrocyanosis for the first 15 to 30 minutes after birth? True or false
True
Around what time does the color of the baby stabilizes after delivery?
30 minutes to 2 hours
Around 2-6 hours after delivery, what happens to the color of the baby?
Quick color changes occur with movement or crying
During the 1st period, what is the usual activity of the baby
Alert: Watching
After 30 min. to 2 hours, what is the usual activity of the baby?
Sleeping
During the 3nd period (2-6) hours, what is the usual activity of the baby?
Awakening
In terms of the ability to respond to stimuli, what happens during the 1st period after birth?
Vigorous reaction
During the sleep period or 30 min. to 2 hours after birth, what happens to the baby’s ability to respond to stimuli?
Difficult to arouse
In terms of ability to respond to stimuli, what happens during the 2nd period (2-6) hours after birth?
Becomes responsive again
During this period, there is a small amount of mucus while sleeping.
Sleep period
During this period mucus is visible in the mouth?
1st period
During this period, the mouth is full of mucus, causing gagging
2nd period
Bowel sounds can be heard after how many minutes after birth?
15
During this period there is often passage of the first meconium stain.
2nd period
< 34 weeks
premature
34 - 37 weeks
late pre term
37 - 38 weeks
early term
39 - 40 weeks
full term
41 - 42 weeks
late term
> 42 weeks
post term/ postmature
Synchronize upper chest retractions
0
lag on inspiration
1
see-saw movement
2
expiratory grunting can be observed by stethoscope only.
1
What are the parameters involved in Silverman Anderson Score?
Upper Chest Retractions
Lower Chest Retractions
Xiphoid Retractions
Nasal Flaring
Expiratory Grunting
Parameters involved to determine period of reactivity?
Color
Activity
Ability to respond to stimuli
Mucus
Bowel Sounds
