Healthy Term Infant Flashcards Preview

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Flashcards in Healthy Term Infant Deck (25):
1

What is the average male weight and %fat at 28 wks and term?

1150g, 3.5% fat
3550g, 15% fat
Daily weight gain of 24g

2

How much fat is gained per day in the last 4 weeks of gestation?

7g

3

What transplacental transfer of nutrients and chemicals occur in the 3T?

Iron
Vitamins
Calcium
Phosphate
Antibodies

4

What is the normal term weight?

2.5-4kg

5

What can prevent an infant from surviving labour?

Hypoxic environment during contractions
Prolonged labour reduces fetal reserves
Placental insufficiency
Growth restriction or excess

6

What enhances adaptation?

Increased cortisol and adrenaline

7

What helps release O2 in the neonate?

Fetal Hb

8

What occurs/is done in the first few minutes of life?

First breath/cry
Alveolar expansion
Decreased pulmonary arterial pressure
Change from fetal to newborn circulation
Increased PaO2
Apgar score

9

What is assessed in Apgar?

Appearance- Colour
Pulse- HR
Grimace- Responsiveness
Activity- Tone
Respiratory

10

What can cause morbidity in haemolytic disease of the newborn?

GI, Lung or CNS complications

11

What infections are screened for in the newborn?

Hep B- vaccination, Ig
Hep C
HIV
TB- BCG
Group B strep- antibiotic prophylaxis
Syphilis- treatment?
Gonococcus- treatment?

12

What vaccines are given to infants?

Hep B at birth
BCG 1st month
Routine vaccinations at 8 wks
(Maternal whooping cough and flu vaccines)

13

What screening tests are conducted at/soon after birth?

Universal hearing screening
Hip screening- clinical and USS
CF
Metabolic- thyroid, MCCAD, PKU, haemoglobinopathies

14

In the newborn exam, what is assessed at the head?

OFC
Moulding
Overlapping sutures
Fontanelles
Cephalohaematoma
Caput succedaneum
Ventouse/forceps marks

15

In the newborn exam, what is assessed at the eyes?

Size
Red reflex
Conjunctival haemorrhage
Squints - frequent

16

In the newborn exam, what is assessed at the ears?

Position
External auditory canal
Family history of hearing loss
Tags/pits

17

In the newborn exam, what is assessed at the mouth?

Shape
Philtrum
Tongue tie
Palate
Neonatal teeth
Ebsteins pearls
Sucking/rooting reflex

18

In the newborn exam, what is assessed at the face?

Facial palsy
Dysmorphism

19

In the newborn exam, what parts of the respiratory system are assessed?

Chest shape
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds

20

In the newborn exam, what parts of the cardiovascular system are assessed?

Colour
Saturation – SaO2
Pulses: femoral
Apex/thrills
Heart sounds

21

In the newborn exam, what parts of the GI system are assessed?

Moves with respiration
Distension
Bile stained vomiting
Passage of meconuim
Anus

22

In the newborn exam, what parts of the genitourinary system are assessed?

Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius

23

In the newborn exam, what parts of the musculoskeletal system are assessed?

Limbs and digits
Movement
Contractures
Spine
Sacral dimples
Hip examination
Ortolani/Barlow

24

In the newborn exam, what parts of the neurological system are assessed?

Posture
Tone
Movement
Reflexes

25

In the newborn exam, what is the skin assessed for?

Dryness/cracking
Milia
Birth marks
Erythema toxicum