Care of the Newborn Term Infant Flashcards Preview

Reproductive - Neonatal > Care of the Newborn Term Infant > Flashcards

Flashcards in Care of the Newborn Term Infant Deck (16):
1

What is meant by a baby being delivered at term?

What is pre-term?

What is post-term?

Delivery at any point between 37 and 41 weeks

< 37 weeks

> 41 weeks

2

What is the normal weight for a baby born at term to be?

What would be small for gestational age of a baby born at term?

What would be large for gestational age of a baby born at term?

2.5-4.0kg

< 2.5kg

> 4.0kg

3

What is the average daily weight gain of a baby from 28 weeks to term?

How much extra fat do babies gain per day in the last 4 weeks?

24g

7g

4

At labour, there is a hypoxic environment during contractions. What is the role of foetal Hb here?

An increase in what by the baby at delivery helps to enhance adaptation?

Helps to release O2

Cortisol and adenaline

5

In terms of perinatal adaptation, what does the first breath/cry cause to happen?

What happens to the circulation?

What happens to pulmonary arterial pressure?

What happens to PaO2?

Alveolar expansion

Changes from foetal to newborn

Decreases

Increases

6

What are the 5 things measured in the Apgar score?

Appearance (skin colour)

Pulse rate

Grimace (responsiveness)

Activity (muscle tone)

Respiration

7

In terms of appearance, what would score a baby 0 on the Apgar score?

In terms of appearance, what would score a baby 1 on the Apgar score?

In terms of appearance, what would score a baby 2 on the Apgar score?

Blue or pale

Blue in extremities, pink body

No cyanosis

8

In terms of pulse rate, what would score a baby 0 on the Apgar score?

In terms of pulse rate, what would score a baby 1 on the Apgar score?

In terms of pulse rate, what would score a baby 2 on the Apgar score?

No pulse

< 100bpm

> 100bpm

9

In terms of grimace (responsiveness), what would score a baby 0 on the Apgar score?

In terms of grimace (responsiveness), what would score a baby 1 on the Apgar score?

In terms of grimace (responsiveness), what would score a baby 2 on the Apgar score?

No response

Grimace/feeble cry when stimulated

Cry or pull away when stimulated

10

In terms of activity (muscle tone), what would score a baby 0 on the Apgar score?

In terms of activity (muscle tone), what would score a baby 1 on the Apgar score?

In terms of activity (muscle tone), what would score a baby 2 on the Apgar score?

None

Some flexion

Flexed arms and legs that resist extension

11

In terms of respiration, what would score a baby 0 on the Apgar score?

In terms of respiration, what would score a baby 1 on the Apgar score?

In terms of respiration, what would score a baby 2 on the Apgar score?

Absent

Weak, irregular, gasping

Strong cry

12

What is the maximum number of points in the Apgar score?

What score and above would be classed as normal?

10

8

13

What are some universal screenings which go ahead at birth?

Hearing screening

Hip screening (clinical and US)

CF testing

Haemoglobinopathies

Metabolic diseases e.g. PKU

14

Haemorrhagic disease of the newborn is rare, occurring in around 1 in 500 births. This causes what? As a result of what?

When does it usually present?

In terms of feeding, which babies are at increased risk of this?

Excess bleeding as a result of vitamin K deficiency

The first week after birth, though can be especially early or late

Babies who have been exclusively breastfed

15

Why does haemorrhagic disease of the newborn occur?

How is it treated?

If untreated, there is potential morbidity or mortality relating to what systems?

Vitamin K is not efficiently passed from mother to baby in utero, so most babies are born with low stores in their system

Vitamin K - oral or IM

GI/respiratory/CNS

16

If a baby is at risk of hep B, what is the management?

Hep B vaccination within 12 hours of delivery

Hep B immunoglobulin