Normal Infant

Question 1

Why not suction all babies?

Answer 1

Repeat stim in pharynx - get Brady

Question 2

How to monitor HR?

Answer 2

auscultate
Palpate
Pulse oximetry
It’s about the trends.

Question 3

Why Vit. K injection prevent what?

Answer 3

Haemorrhagic disease of newborn

Question 4

First minutes of life, look at?

Answer 4

Airway
Breathing
Circulation
Drugs: Vit. K
Cord, Skin, Temp

Question 5

APGAR scores?

Answer 5

Appearance
Pulse
Grimace
Activity
Respiration

Question 6

When is APGAR score most predictive of outcome?

Answer 6

If getting zero or close to zero

Question 7

Measure temp newborn how? Most common

Answer 7

Axillary
Rectal-may cause damage
tympanic - not really
Transcutaneous - expensive: NICU

Question 8

Why fetus hotter than mother?

Answer 8

No heat loss in Uterus

Question 9

Lose heat easily in infants, what most lose?

Answer 9

Evaporation

Question 10

How to prevent evaporation?

Answer 10

Humidity
Dry baby
Wrap them

Meds: Incubator

Question 11

First hours of life

Answer 11

Brief newborn examination
Transition, assign gender
O2 sats screening

Question 12

Formal newborn examination

Answer 12

Setting, equipment
History -pee, poo, feeding? Concerns? Morphology scan at 20 weeks, normal?
Anything that worries you? FHx

Education: stop smoking. Immunisations, sleeping on back, nothing in the cot. Breast feeding promotion. Carrying tips

Question 13

Weight gain in first days/week

Answer 13

10-20g/kg/day

Question 14

When does suck reflex kick in?

Answer 14

33-34 weeks

Question 15

When can you not suck?

Answer 15

Preterm
RDS
CNS depression

Question 16

Why not give lots of milk to a preterm baby?

Answer 16

NEC: necrotizing Enterocolitis

Question 17

When Jaundice bad?

Answer 17

Too early, first 24 hours
Too long
Too late

Question 18

Exchange transfusion, how many times?

Answer 18

Twice their body’s blood volume

Question 19

Newborn screening

Answer 19

Hypothyroid
CF 1:2500
PKU 1:10000, low phenylalanine