Preparation for discharge

Question 1

Metabolic screening

Answer 1

• done close to hospital discharge as possible ~ sent to state lab
• heel needs to be warm for poke
• blood drops on paper

Question 2

positive results on metabolic screening =

Answer 2

need further testing done

follow usually done by primary care

Question 3

Hearing screening

Answer 3

screening ~not diagnostic

if referred results = need follow up within 2 months

Question 4

When is Vitamin K given and why?

Answer 4

given within first hour of life
baby has no clotting cascade
needs to be given to prevent bleeding

Question 5

Hepatitis B

Answer 5

given in first 24 hrs of birth

need to confirm moms hep B status prior to delivery

Question 6

If mom is Hep B positive, what is given to newborn?

Answer 6

Hep B vaccination

immunoglobulin

Question 7

Erythromycin ointment

Answer 7

given in eyes

to prevent chlamydial and gonorreal infections ( Can cause blindness)

Question 8

Congenital Cardiac Screen

Answer 8

Pre ductal O2 sat on right hand
Post ductal on right foot
O2 sats over 95% on both ….shouldn’t have more than a 3% difference

Question 9

glucose screening

Answer 9

1 st hour should be over 25 mg/ dl
between 1 hr and 4 hrs should be 25-35 mg/dl
after 4 hrs should be over 45 mg/dl
***treatment with IV dextrose

Question 10

Vesicles anywhere on body not normal ….

Answer 10

needs workup

Question 11

only 1 vessel in umbilical cord could be indicative of what?

Answer 11

renal, cardiac or skeletal issue