ECEB

Question 1

Components of Helping babies survive program

Answer 1

Helping Babies Breathe
Essential Care for Every Baby
Essential Care for Small Babies

Question 2

Definition of ECEB

Answer 2

Essential Care for Every Baby is a time-related activity, that every newborn irrespective of location should get within the first 24 hours of life.

Question 3

Which category of babies and mothers are they done for

Answer 3

Only WELL babies and mothers

Question 4

From birth to first 60 minute of life

Answer 4

Uninteruptered skin-to-skin carre
Initiation of breastfeeding
Monitor breathing every 15 mins
Feeling of temperature every 15 mins

Question 5

From 60th min - 90 min

Answer 5

Prevention of disease

• Eye care
• Cord care
• Vit K adminstration

Assess

• Axillary temperature
• Weighing baby
• Neonatal examination

Question 6

Breastfeeding cues

Answer 6

Opens eyes
Baby’s head slightly back
Seeks for breast
Opens mouth wide
Makes suckling sounds

Question 7

Common organisms causing neonatal eye infections

Answer 7

Gonococci, Staphylococcus aureus and Chlamydia.

Question 8

Common eyedrops used

Answer 8

Gentamycin eye drops
Ofloxacin
Ciprofloxacin eye drops or ointment.

Question 9

Why chloramphenicol is not used

Answer 9

Chloramphenicol causes gray baby syndrome characterized by hemodynamic collapse, abdominal distension and ashen-gray skin discoloration in neonates

Question 10

Which agent is used for cord care

Answer 10

Chlorhexidine

Methylated spirit

Question 11

Where Vit K is injected

Answer 11

Vitamin K is injected intramuscularly at the middle anterior lateral part of the thigh of newborns as prophylaxis.

Question 12

Dose of Vit K given

Answer 12

1mg is given to those above 1500g and 0.5mg to babies weighing less than 1500g.

Question 13

Normal temperature of a neonate

Answer 13

36.5°C- 37.4°C.

Question 14

Problem temperature

which zone

Answer 14

35.5 - 36. 4

Yellow

Question 15

Danger sign temperature

Answer 15

<35.5°C and a high temperature ≥37.5°C

Question 16

When is weighing postponed

Answer 16

When baby is cold unnless there’s an urgent need for calculating doses of drug

Question 17

Normal weight

Answer 17

greater than 1800g

Question 18

Problem weight

Answer 18

Greater than 1500g but less than or equal to 1800g

Question 19

Danger weight

Answer 19

Weight less than or equal to 1500g

Question 20

4 major areas in examination of new born

Answer 20

Colour of child
Tone and movement of child
Breathing
Cord care

Question 21

Things to do for child in green zone

Answer 21

Maintain normal temperature
Support breastfeeding
Advise about breastfeeding problems
Begin immunization
Reassess the baby and breastfeeding before discharge
Give parents guidance for homecare

Question 22

Layers of clothes for baby

Answer 22

1-2 layers more than the mother

Question 23

Major factors in breastfeeding

Answer 23

Positioning
Attachment
Frequency

Question 24

What about positioning in BF

Answer 24

In each position, the baby’s body should be in a straight line with its head opposite the nipple. Its chin should be touching the breast and its neck not flexed.

Question 25

Signs that milk is enough for baby:

Answer 25

The baby is heard to be swallowing during feeding The breast softens with feeding. The baby sleeps well between feeding

Question 26

Signs of good attachment are:

Answer 26

Baby’s mouth is wide open Lower lip is turned downwards Chin is touching breast >50% of the areola is in the baby’s mouth

Question 27

Frequency of baby feeds

Answer 27

Every 3 hours or 8-12 times daily

Question 28

Treatment for sore or cracked nipples

Answer 28

The mother should wash her breasts with water only and use hindmilk to treat her cracked nipples.

Question 29

Yellow zone babies

Answer 29

Babies with a temperature of 35.5 to 36.4 °C and a temperature ≥ 37.5 °C Babies weighing above 1500g to 1800g Babies with poor feeding

Question 30

When does temperature move from yellow to red zone

Answer 30

If temperature improves but does not become normal after 4 hours If temperature does not improve after the first hour

Question 31

Poor feeding babies

Answer 31

Babies who can swallow but cannot suckle and babies with facial anomalies that affect their ability to suckle (e.g. cleft lip and cleft palate)

Question 32

feeding for poor feeding babies

Answer 32

Feed the baby with 40-60mls/kg/day of breast milk or 2-5mls per each feed and increase the amount gradually if tolerated by the baby.

Question 33

Hours of storage of breast milk - Shelf - Fridge - Frozen

Answer 33

shelf - at most 6 hrs fridge - 24 hrs Frozen - 3 to 6 months

Question 34

Signs of red zone babies

Answer 34

``` Weight ≤1500g Danger signs Too hot or too cold Not feeding Chest In-drawing No movement Seizures ```

Question 35

What to do if you identify danger signs

Answer 35

Antibiotics | Seek advanced care