Universal Newborn Care Flashcards
At birth
Support transition
Golden hour
Vit K
Initial Newborn Exam
When NIPE 1
Within 72hr
Aim of NIPE 1
Identify and refer congenital abnormalities of eyes, heart, hip, testes
Reduce morbidity and mortality
Why Vitamin K
Low amounts in newborn
Prevent VKDB classic onset
When Oral Vit K given?
Birth, Day 3, Day 28
When NIPE 2
6-8 weeks (GP)
APGAR stands for
Appearance, Pulse, Grimace, Activity, Respiration
When APGAR
1 min , 5 min,
Neonate pulse
100-160
Neonate temp
36.5-37.5
Neonate resp rate
40-60
Capillary refill
Less than 2 sec
Weighed at?
Birth, day 5, day 10 (birthweight by day 10) expected to drop weight first 3 -4 days
When discharge to HV
Day 10-14
Cord stump care advice
Clean and dry
Drop on own within 2 weeks
Concerns- red, inflamed, bad odour
Meconium
First 24 hr
What can cause red/pink crystals in nappy
Urates due to immature renal system
What causes pseudo-period?
Withdrawal from maternal oestrogen
If weight loss greater than 10%
Look for causes (latch, tongue tie, effective feeding etc) Feeding support plan
Skin care
Leave vernix - protects newborn fragile skin
Bathe in just water for first month
Early onset VKDB
Within 24 hr
Due to maternal anticonvulsants as specific antibiotics
Classic onset
24 hr - 1-2 weeks
Lack of Vit K
Late onset
1-2 week - 3-4 month
Liver disease
Signs of VKDB
Active bleeding
Blood in urine/vomit/stools
Abnormal shaped fontanelle
Irritable/paler than usual
Unexplained bruising
Babies at risk
Mother antibiotic last few weeks
Anticonvulsants
Early feeding problems
Premature
Surgical interventions
Why oral vitamin k given with a feed?
Fat soluble
APGAR score considered reassuring
7-10
APGAR score considered moderately abnormal
4-6
APGAR score considered concerning
0-3
What before initial exam.
Birth
Adaptation to extra uterine life
Skin to skin
Feeding initiated
Initial Exam
Initial exam
Systemic approach
General condition/observe/skin colour/movement and tone/measurements
Top to toe
