The Healthy Term Infant

Question 1

What is the normal weight of a newborn

Answer 1

2.5kg-4kg

Question 2

How much body fat does a male term baby have vs a preterm baby

Answer 2

15 percent at term only 3.5 percent at 28 weeks.

Question 3

What is the difference between the babies nutrition in utero vs after birth

Answer 3

In utero - continuous glucose infusion

After brith this changes to intermittent bolus enteral feeds

Question 4

What vaccination is given to the infant at birth

Answer 4

Hepatitis B

Question 5

What screening tests are done at birth

Answer 5

Hearing
Hip
Metabolic - thyroid, MCCAD, PKU, haemoglobinopathies

Question 6

What is screend for in the heel prick test

Answer 6

Sickle cell
metabolic disorders
Cystic fibrosis
Hypothyroidism

Question 7

Whens should the newborn examination be carried out

Answer 7

at around 24 hours

Question 8

Head

Answer 8

Circumferance
Moulding
Overlapping sutures
Fontanelles
Cephalohaematoma
Caput succedaneum
Ventouse/forceps - facial nerve palsy

Question 9

Eyes

Answer 9

Size
Red reflect
Conjunctival haemorrhage
Squints
Congenital cateracts

Question 10

Ears

Answer 10

Low set
External auditory canal
Tags/pits

Question 11

Mouth

Answer 11

Shape 
Philtrun
Cleft lip
Palate
Ebsteins pearls
Sucking reflex

Question 12

Fetal alchohol syndrome facial characteristics

Answer 12

Epicanthal folds
Small eye opeing
Flat midface
Upturned nose
Smooth philtrum
This upper lip

Question 13

Resp

Answer 13

Chest shape 
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds

Question 14

Cardiovascular

Answer 14

Colour
Sats
Femoral pulse
Apex/thrills
Heart sounds

Question 15

Abdo

Answer 15

Moves with respiration
Distension
Bile stained vomiting
Passage of meconuim
Anus

Question 16

GU

Answer 16

Normal genitalia
Passing urine
Undescended testes
Hypospadius

Question 17

MSK

Answer 17

Limbs and digits 
Movement
Contractures
Spine
Sacral dimples
Hip - DDH - ortolani barlow

Question 18

Neuro

Answer 18

Posture
Tone
Movement
Reflexes - suckling/rooting, moro’s, palmar grasp available from birth

Question 19

When is the ‘fencing reflex’ present

Answer 19

The tonic neck reflex, also known as asymmetric tonic neck reflex or ‘fencing posture’ is present at one month of age and disappears at around four months. When the child’s head is turned to the side, the arm on that side will straighten and the opposite arm will bend (sometimes the motion will be very subtle or slight).