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Repro > Newborn Term Infant > Flashcards

Newborn Term Infant Flashcards

1
Q

When is gestation considered term?

A

After 37 weeks

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2
Q

What is considered post term?

A

After 41 weeks gestation

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3
Q

What is normal birth weight?

A

2.5-4 kg

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4
Q

What is considered large for gestational age?

A

> 4kg

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5
Q

What is considered small for gestational age?

A

<2.5kg

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6
Q

How does first breath/cry help with perinatal adaptation?

A

Alveolar expansion

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7
Q

What’s involved in APGAR?

A

Appearance -blue/ blue at extremities/ no blue
Pulse - no pulse / <100bpm / >100bpm
Grimace - no response / grimace / sneeze, cough cry
Activity - no movement/ some movement / active movement
Respiration - no breathing / weak, slow breathing, strong cry

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8
Q

What is APGAR scored out of?

A

10

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9
Q

What score in APGAR is considered normal?

A

8 and above

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10
Q

Categories in appearance (APGAR)

A

0 - blue all over
1- blue at extremities
2 - no blue

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11
Q

Categories in pulse (APGAR)?

A

0- no pulse
1- <100bpm
2 - >100bpm

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12
Q

Categories in grimace (APGAR)?

A

0- no response to stimulation
1- grimace / feeble cry when stimulated
2 - sneezing / coughing / pull away when stimulated

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13
Q

Categories in activity (APGAR)?

A

0- no movement
1- some movement
2- active movement

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14
Q

Categories in respiration(APGAR) ?

A

0- no breathing
1- weak, slow or irregular breathing
2- strong cry

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15
Q

When is a formal neonate exam carried out?

A

About 24 hours old

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16
Q

What’s assessed in the head?

A 
OFC
Overlapping sutures
Moulding
Caput succedameum
Fontanelles
Ventouse/ forceps marks
Cephalhaematoma
17
Q

What is assessed in the eyes?

A 
Size
Red reflex
Conjunctival haemorrhage 
Squints
Iris abnormality
18
Q

What is assessed in the ears?

A 
Position 
External auditory canal
Tags/ pits
Folding
Family history of hearing loss
19
Q

What is assessed in the mouth?

A 
Shape 
Philtrum
Tongue tie
Palate
Neonatal teeth
Ebsteins pearls
Suckling/ rooting reflex
20
Q

What is assessed in the face?

A

Facial palsy

Dysmorphism

21
Q

Resp- what is assessed?

A 
Chest shape
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds
22
Q

Cardio- what is assessed?

A 
Colour/ saturation 
Pulses - femoral
Apex
Thrills/ heaves
Heart sounds
23
Q

Abdo- what is assessed?

A 
Moves with respiration 
Distension
Hernia
Umbilicus 
Bile stained vomit
Passage of meconium
Anus
24
Q

GU- what is assessed?

A

Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius

25
Q

MSK - what is assessed?

A

Movement and posture
Limbs and digits
Spine
Hip exam

26
Q

Neuro - what is assessed?

A 
Alert, responsive 
Cry 
Time
Posture
Movement
Primitive reflexes -'suck, rooting, Moro, ATNR, stepping, grasp

Repro (39 decks)

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