NEWBORN SCREENING Flashcards

1
Q

What is NEWBORN SCREENING

A

early detection of congenital metabolic
disorders

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2
Q

The process involves testing a small blood
sample taken from a

A

newborn’s heel

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3
Q

Newborn screening

Conditions screened for include:

A

Spinal
muscular atrophy, sickle cell disease,
metabolic disorders, lysosomal storage
diseases, severe combined
immunodeficiencies, critical congenital heart
defects, hearing loss

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4
Q

“Newborn Screening Act of 2004”

A

Republic Act 9288

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5
Q

The National Newborn Screening System aims to:

A

Ensure that every baby born in the Philippines
is offered newborn screening.

Protect babies from heritable conditions that
can lead to mental retardation or death if
undetected and untreated.

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6
Q

Objectives of the Newborn Screening Act of 2004

A

access

newborn screening system within the public

practitioners are
aware of the advantages of newborn
screening

parents recognize their
responsibility in promoting their child’s
right to health and full development

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7
Q

How the test is performed?

A

→ Blood Test
→ Hearing Test
→ Critical Congenital Heart Disease (CCHD)
Test

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8
Q

Below are the common screening tests for
newborns, including some of the health
conditions that they can detect:

Metabolic issues:

A

find it hard to digest
food correctly.

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9
Q

Below are the common screening tests for
newborns, including some of the health
conditions that they can detect:

Hormone issues

A

Disorders occur when
the glands either make too much or not
enough hormones.

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10
Q

Hormone issues

Endocrine issues that may be detected
by a newborn screening include:

A

✓ Congenital hypothyroidism
✓ Congenital adrenal hyperplasia

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11
Q

Below are the common screening tests for
newborns, including some of the health
conditions that they can detect:

Hemoglobin issues

A

These disorders affect
the red blood cells responsible for carrying
oxygen to the entire body

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12
Q

Some of the
hemoglobin-related issues screened are:

A

✓ Sickle cell disease
✓ Hemoglobin SC disease
✓ Beta Thalassemia

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13
Q

Other issues: Newborn screening can also
detect rare but serious medical conditions,
such as the following:

A

✓ Cystic fibrosis
✓ Pompe disease
✓ Spinal muscle atrophy (SMA)
✓ Galactosemia

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14
Q

WHO MAY COLLECT THE SAMPLE FOR
NEWBORN SCREENING?

A

→ A Trained
→ physician
→ nurse
→ midwife
→ medical technologist

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15
Q

WHERE IS NEWBORN SCREENING AVAILABLE?

A
  • hospitals
  • lying-in centers
  • RHU’s
  • health centers.
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16
Q

Screening is done within

A

48 hours or at
least 24 hours from birth but not later than
3 days after complete delivery.

17
Q

A newborn
placed in intensive care may be exempted
from the 3-day requirement but must be
tested by __ of age.

18
Q

SCREENING PROCEDURE

A

pricking the baby’s heel.

blotched on a special absorbent
card and dried for at least 4 hours

19
Q

This allows for timely intervention,
which is critical for disorders such
as c

A

ongenital hypothyroidism,
phenylketonuria (PKU), and congenital adrenal hyperplasia.

20
Q

Currently, it
screens for ___(HOW MANY)conditions

21
Q

The initial screening involves the collection of
blood samples from newborns to test for
specific conditions. As of 2023, the Philippine
NBS program screens for 28 conditions, which
include:

A
  • Congenital Hypothyroidism (CH)
  • Congenital Adrenal Hyperplasia (CAH)
  • Phenylketonuria (PKU)
  • Galactosemia (GAL)
  • Glucose-6-Phosphate Dehydrogenase
    (G6PD) Deficiency
  • Maple Syrup Urine Disease (MSUD)
22
Q

Congenital Hypothyroidism (CH):

A

A
condition that can lead to severe
developmental delays if untreated

23
Q

Congenital Adrenal Hyperplasia (CAH

A

A
genetic disorder affecting adrenal gland
function.

24
Q

Phenylketonuria (PKU)

A

A metabolic disorder
that can cause intellectual disability if not
managed through dietary restrictions.

25
Galactosemia (GAL):
An inability to metabolize galactose, which can lead to serious complications
26
Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency:
: A genetic condition that can lead to hemolytic anemia
27
Maple Syrup Urine Disease (MSUD)
A metabolic disorder that affects the body's ability to process certain amino acids
28
The Expanded Newborn Screening(ENBS)
includes additional tests beyond the initial panel. T
29
(ENBS)
The Expanded Newborn Screening
30
Tandem Mass Spectrometry (MS):
This technology is employed for testing in the ENBS program
31
Department of Health (DOH)
→ In charge of making sure newborn screening is available across the Philippines.
32
Immediate Intervention → Condition-Specific Treatment:
* Metabolic Disorders (e.g., PKU): Dietary restrictions to limit harmful metabolites. * Endocrine Disorders (e.g., congenital hypothyroidism): Hormone replacement therapy. * Sickle Cell Disease: Preventive care to reduce complications (e.g., penicillin prophylaxis, vaccinations). * Cystic Fibrosis: Enzyme supplementation and respiratory therapy.