Week 3

Question 1

What is the first system affected when a newborn is in distress?

Answer 1

Respiratory system

Question 2

What other systems are affected when newborn is in distress or at risk of sepsis (in order)

Answer 2

Cardiovascular
CNS
GI Tract
Integumentary

Question 3

What kind of tests do we want to do when a newborn is in distress?

Answer 3

Laboratory tests: see their CBC, blood cultures, cerebral spinal fluid cultures and stool/urine cultures

Question 4

What are the more common signs of distress?

Answer 4

Decreased O2, poor perfusion, prolonged capillary refill, cool extremities, tachycardia, hypotension and respiratory distress

Question 5

What is very important to do, when a newborn is unwell

Answer 5

Feed the newborn expressed milk
It helps fight off sepsis

Question 6

What does colostrum contain

Answer 6

Antibody IgA helps with sepsis

Question 7

What is the TOURCH COMPLEX

Answer 7

Studies for tests that are done for viral infections

Question 8

What does Tourch stand for

Answer 8

Toxoplasmosis (parasitic disease)
Others (HPV, HIV, West Nile virus)
Rubella
CMV infections
Herpes simplex

Question 9

What is ABO Incompatibility

Answer 9

Occurs if fetal blood type is A,B or AB and maternal type is O

Exchange transfusion are might be required in this case

Question 10

Metabolic disease

Answer 10

Where the body is unable to breakdown certain substances such as foods, fats, proteins or sugars

Question 11

Endocrine disease

Answer 11

Body produces too much or too little of certain hormones

Question 12

Sickle cell disease

Answer 12

Affects movement of oxygen in the blood

Question 13

Cystic Fibrosis

Answer 13

Causes problems with breathing and growth

Question 14

Severe Combined Immunity Deficiency

Answer 14

Affects the body’s ability to fight infections

Question 15

How long should a newborn be breastfed?

Answer 15

Recommended for 1st 6 months of life

Question 16

How long is the vitamin D supplement required for a newborn?

Answer 16

Until 1 year of age if moms are breastfeeding

Question 17

Is vitamin D in breast milk

Answer 17

Only vitamin that isn’t

Question 18

If infants are weaned before age 12 months what should they receive

Answer 18

Iron-fortified infant formula

Question 19

Why is breast milk considered a living tissue

Answer 19

It contains almost as many live cells as blood

Question 20

Breast fed infants of vegan mothers should be supplemental what

Answer 20

B12

Question 21

What should infants not be given

Answer 21

Low iron formula

Question 22

How long do breast fed babies maintain adequate hemoglobin?

Answer 22

At least first 6 months of life

Question 23

When are prolactin levels the highest?

Answer 23

10 days

Question 24

What triggers the release of prolactin

Answer 24

Decrease in estrogen and progesterone levels after birth

Question 25

What is the composition in the breast during a feed

Answer 25

60% skim milk
35% whole milk

Question 26

Hindmilk

Answer 26

Denser calories from fat, protein and water soluble vitamins

Question 27

What does LATCH stand for (way to see how effective breastfeeding is)

Answer 27

Latch
Audible swallowing
type of nipple
comfort
hold

Question 28

What is the frequency of feedings

Answer 28

EVERY 2-3 hours from the time the newborn starts the feed

Question 29

What is the usual duration of feedings

Answer 29

30 to 40 mins

Question 30

What are special considerations of breast feeding that would need a lactation consultant to help

Answer 30

Sleep/fussy baby
Slow weight gain
Jaundice
preterm, late term babies

Question 31

How is milk expressed

Answer 31

with the hand or mechanical (pumping)

Question 32

How much weight is okay for a baby to lose while breast feeding

Answer 32

They lose weight in the first few days
Don’t want to lose more than 10% of birth weight