Pediatric Physical Examination

Question 1

MILLENNIUM DEVELOPMENT GOAL 4

Answer 1

• reduce neonatal mortality especially in the first 48 hours of life
• most deaths occur within 48 hours of life due to:
√ complications of prematurity (1)
√ birth asphyxia
√ severe infection

Question 2

SIGNIFICANCE OF THE FIRST 48 HOURS

Answer 2

• critical for predicting risk factors in the neonatal period and potential long-term sequelae during adulthood

Question 3

MILLENNIUM DEVELOPMENT GOAL 5

Answer 3

• reduce maternal mortality and morbidity

Question 4

DELIVERY PLAN

Answer 4

• intrapartum
• immediate delivery plan if resuscitation procedures are needed
• routine newborn care
• discharge plan
• follow-up

Question 5

PREPARATIONS FOR THE DELIVERY TEAM

Answer 5

1. maternal history – obstetric and family
2. prepare the equipment
3. review fetal cardiopulmonary physiology
4. review the intrapartal process
   
   • stages of labor with their physiological changes
   • transition from intra to extrauterine life