Perinatal adaptation

Question 1

what fontanelles can be felt on a newborn?

Answer 1

anterior + posterior fontanelles can be palpates on examination

Question 2

is it normal to have dry cracked skin as a newborn

Answer 2

yes

Question 3

what is an atonic neck reflex

Answer 3

When a baby’s head is turned to one side, the arm on that side stretches out and the opposite arm bends up at the elbow

-this is a normal reflex in newborn

Question 4

newborn breathing quickly and feeding poorly
-what condition should you be worried about ?

A- surfactant deficiency
B- asthma
C- GBS
D- Bronchiolitis
E- all of the above

Answer 4

Group B strep (GBS)

Question 5

A newborn term infant is being observed on the post natal ward because following prolonged rupture of membranes, his mother developed a pyrexia and was started on antibiotics. Which of the following recordings might indicate the baby was becoming unwell?

Answer 5

A heart rate of 180bpm

Question 6

Answer 6

to oxygenate the fetal venous return using the right ventricle

Question 7

Answer 7

D

Question 8

Answer 8

hypercholesterolemia

Question 9

Answer 9

less likely to develop eczema

-There are many health benefits of breast feeding an infant, including decreased diarrhoea and vomiting, fewer chest and ear infections, less constipation, less obesity and therefore developing diabetes and less chance of eczema

Question 10

Answer 10

Correct answer E -
Breast Abscess.

Breast feeding mum with features of a localised infection in the right breast requiring aspiration and if unsuccessful incision and drainage. To be encouraged to continue breast feeding or expressing