ULO 10- Newborn growth & development during the first 6 weeks

Question 1

Explain: Vitamin K synthesis establishment

Answer 1

Colonisation of the intestine by the bacteria that synthesise vitamin K does not occur until milk feeding is established.

Question 2

Explain: Vitamin K deficiency bleeding

Answer 2

VKDB occurs in 3 forms

• Early (<48 hours),
• Classic (2–7 days)
• Late (1 week to 6 months)

Question 3

What is the Vitamin K dosage

Answer 3

IM- single 1mg dose at birth

Oral- 3 doses (birth, 1wk and 6wks)

Question 4

Which period is considered the most critical for teratogenic effects

Answer 4

1st trimester

Question 5

Explain: Hepatic first pass

Answer 5

is before the drug molecules reach the general circulation, they must pass through the liver

Question 6

What are the inital non-verbal communications types from 1week old infants

Answer 6

sucking and rooting

Question 7

Development: birth to 6 weeks

What developmental markers occur between 4-6weeks

Answer 7

• social smiling
• turn head from side to side
• raise head from cot

Question 8

Development: birth to 6 weeks

What is the benefit of tummy time

Answer 8

it helps to develop neck, shoulder, back and arm strength.

Question 9

Development: birth to 6 weeks

Define: Habituation

Answer 9

is the process whereby there is an initial response to a visual or auditory stimulus such as a loud noise, followed by diminishing response with repetition until the response disappears

Question 10

Development: birth to 6 weeks

Explain: Vision

Answer 10

• Babies are sensitive to bright lights, which make them blink or frown.
• They focus at a distance of 15–20 cm
• show a preference for the shape of the human face and bold black-and-white pattern

Question 11

Development: birth to 6 weeks

Explain: Hearing

Answer 11

• Newborn babies turn towards localised sound
• High-pitched sound makes them blink or startle.
• They are comforted by low-pitched sounds such as the crooning noises mothers make to comfort a crying baby

Question 12

Development: birth to 6 weeks

Explain: Smell, taste and touch

Answer 12

• Babies like the smell of human milk and can differentiate their mother’s milk within a few days
• prefer a sweet taste and turn away from unpleasant smells
• respond to being picked up, stroked and talked to.
• mimic facial expressions and hand movements made by adults by 12 days of age