the healthy term infant

Question 1

how does a preterm present?

Answer 1

• pre term baby is skinnier, ribs can show due to lack of fat deposition
• usually less muscle so arm just lays flat on bed
• preterm baby is pinker as skin is thinner

Question 2

what helps neonate release O2 in labour?

Answer 2

foetal Hb

Question 3

what is the objective measure of perinatal adaptation?

Answer 3

-apgar score

Question 4

what are each element of Apgar score scored out of?

Answer 4

1-absent
2-there but not great
3-fine

Question 5

what are the components of the Apgar score?

Answer 5

APGAR
Appearance
0= blue/ pale
1= blue extremities
2= no cyanosis

Pulse
0= <60
1= 60-100
2= >100

Grimace
0= no reaction
1= agressive stimulation for cry
3= cries on stimulation

Activity (tone)
0= absent/floppy
1= some flexion
2= flexes + resists extension

Respiratory effort
0= absent
1= weak/gasping
2= strong cry

Question 6

what is a normal Apgar score?

Answer 6

=/>8

Question 7

what would 0 on Apgar score suggest?

Answer 7

stillborn (can still resus from this)

Question 8

what do we give normal healthy babies when born and why?

Answer 8

vitamin k to avoid haemorrhage disease of the newborn

Question 9

how is vitamin K administered?

Answer 9

• usually IM

- can be given orally