Healthy Term Infant Flashcards
(25 cards)
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
How much fat is gained per day in the last 4 weeks of gestation?
7g
What transplacental transfer of nutrients and chemicals occur in the 3T?
Iron Vitamins Calcium Phosphate Antibodies
What is the normal term weight?
2.5-4kg
What can prevent an infant from surviving labour?
Hypoxic environment during contractions
Prolonged labour reduces fetal reserves
Placental insufficiency
Growth restriction or excess
What enhances adaptation?
Increased cortisol and adrenaline
What helps release O2 in the neonate?
Fetal Hb
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
What is assessed in Apgar?
Appearance- Colour Pulse- HR Grimace- Responsiveness Activity- Tone Respiratory
What can cause morbidity in haemolytic disease of the newborn?
GI, Lung or CNS complications
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?
What vaccines are given to infants?
Hep B at birth
BCG 1st month
Routine vaccinations at 8 wks
(Maternal whooping cough and flu vaccines)
What screening tests are conducted at/soon after birth?
Universal hearing screening
Hip screening- clinical and USS
CF
Metabolic- thyroid, MCCAD, PKU, haemoglobinopathies
In the newborn exam, what is assessed at the head?
OFC Moulding Overlapping sutures Fontanelles Cephalohaematoma Caput succedaneum Ventouse/forceps marks
In the newborn exam, what is assessed at the eyes?
Size
Red reflex
Conjunctival haemorrhage
Squints - frequent
In the newborn exam, what is assessed at the ears?
Position
External auditory canal
Family history of hearing loss
Tags/pits
In the newborn exam, what is assessed at the mouth?
Shape Philtrum Tongue tie Palate Neonatal teeth Ebsteins pearls Sucking/rooting reflex
In the newborn exam, what is assessed at the face?
Facial palsy
Dysmorphism
In the newborn exam, what parts of the respiratory system are assessed?
Chest shape Nasal flaring Grunting Tachypnoea In-drawing Breath sounds
In the newborn exam, what parts of the cardiovascular system are assessed?
Colour Saturation – SaO2 Pulses: femoral Apex/thrills Heart sounds
In the newborn exam, what parts of the GI system are assessed?
Moves with respiration Distension Bile stained vomiting Passage of meconuim Anus
In the newborn exam, what parts of the genitourinary system are assessed?
Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius
In the newborn exam, what parts of the musculoskeletal system are assessed?
Limbs and digits Movement Contractures Spine Sacral dimples Hip examination Ortolani/Barlow
In the newborn exam, what parts of the neurological system are assessed?
Posture
Tone
Movement
Reflexes
