Universal Newborn Care Flashcards

1
Q

At birth

A

Support transition
Golden hour
Vit K
Initial Newborn Exam

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2
Q

When NIPE 1

A

Within 72hr

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3
Q

Aim of NIPE 1

A

Identify and refer congenital abnormalities of eyes, heart, hip, testes
Reduce morbidity and mortality

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4
Q

Why Vitamin K

A

Low amounts in newborn
Prevent VKDB classic onset

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5
Q

When Oral Vit K given?

A

Birth, Day 3, Day 28

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6
Q

When NIPE 2

A

6-8 weeks (GP)

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7
Q

APGAR stands for

A

Appearance, Pulse, Grimace, Activity, Respiration

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8
Q

When APGAR

A

1 min , 5 min,

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9
Q

Neonate pulse

A

100-160

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10
Q

Neonate temp

A

36.5-37.5

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11
Q

Neonate resp rate

A

40-60

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12
Q

Capillary refill

A

Less than 2 sec

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13
Q

Weighed at?

A

Birth, day 5, day 10 (birthweight by day 10) expected to drop weight first 3 -4 days

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14
Q

When discharge to HV

A

Day 10-14

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15
Q

Cord stump care advice

A

Clean and dry
Drop on own within 2 weeks
Concerns- red, inflamed, bad odour

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16
Q

Meconium

A

First 24 hr

17
Q

What can cause red/pink crystals in nappy

A

Urates due to immature renal system

18
Q

What causes pseudo-period?

A

Withdrawal from maternal oestrogen

19
Q

If weight loss greater than 10%

A

Look for causes (latch, tongue tie, effective feeding etc) Feeding support plan

20
Q

Skin care

A

Leave vernix - protects newborn fragile skin
Bathe in just water for first month

21
Q

Early onset VKDB

A

Within 24 hr
Due to maternal anticonvulsants as specific antibiotics

22
Q

Classic onset

A

24 hr - 1-2 weeks
Lack of Vit K

23
Q

Late onset

A

1-2 week - 3-4 month
Liver disease

24
Q

Signs of VKDB

A

Active bleeding
Blood in urine/vomit/stools
Abnormal shaped fontanelle
Irritable/paler than usual
Unexplained bruising

25
Q

Babies at risk

A

Mother antibiotic last few weeks
Anticonvulsants
Early feeding problems
Premature
Surgical interventions

26
Q

Why oral vitamin k given with a feed?

A

Fat soluble

27
Q

APGAR score considered reassuring

A

7-10

28
Q

APGAR score considered moderately abnormal

A

4-6

29
Q

APGAR score considered concerning

A

0-3

30
Q

What before initial exam.

A

Birth
Adaptation to extra uterine life
Skin to skin
Feeding initiated
Initial Exam

31
Q

Initial exam

A

Systemic approach
General condition/observe/skin colour/movement and tone/measurements
Top to toe