healthy term infant Flashcards
what is a full term baby?
37 weeks completed gestation
what is a normal weight for a new born?
2.5 kg – 4.0 kg
(5.5 pounds to 8.8 pounds)
what happens in perinatal adaptation?
alveolar expansion
change from foetal to newborn circulation
decreased pulmonary arterial pressure
increased PaO2
what is the APGAR score?
objective measure of perinatal adaptation
normal is 8 or above
how does a babys feeding change?
infusion to intermittent bolus enteral feeds
how is a haemorrhage in a new born prevented?
Vitamin K
what are the neonatal screening tests?
Hip screening - clinical and USS
Cystic fibrosis
Haemoglobinopathies
Metabolic disease (PKU, MCADD, MSUD etc)
what are some possible head features picked up in the new born examination?
OFC
overlapping sutures
fontanelles (skull hasn’t fused)
ventouse/forceps marks
moulding
cephalohematoma
caput succedaneum
which eye features can be picked up on a new born examination?
Size
Red reflex
Conjunctival haemorrhage
Squints (frequent)
Iris abnormality
which ear features can be picked up on a new born examination?
Position
External auditory canal
Tags/pits
Folding
which mouth features can be picked up in a new born examination?
Shape
Philtrum
Tongue tie
Palate
Neonatal teeth
Ebsteins pearls
Sucking/rooting reflex
which respiratory signs are being looked out for?
Chest shape
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds
which cardiovascular signs are being looked out for?
Colour/Saturation (SaO2)
Pulses: femoral
Apex
Thrills/heaves
Heart sounds
what abdominal signs are being looked out for?
Moves with respiration
Distension
Hernia
Umbilicus
Bile stained vomiting
Passage of meconuim
Anus
which genitourinary signs are being looked out for?
Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius
