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Flashcards in Healthy term infant ix Deck (30):
1

average male at 28 weeks weight what and is what percent fat

1150g
3.5% fat

2

average male at term weight what and is what percent fat

3550g
15% fat

3

what is the daily weight gain in third trimester

24g

4

normal weight of babies

2.5-4kg
>4kg large for gestational age
<2.5kg small for gestational age

5

triggers of delivery

maternal
fetal, size, hormonal

6

how does a baby survive labour
hypoxia environment

during contractions is by fetal hb releasing oxygen

7

what can prolonged labour of

reduce fetal reserves

8

what hormones enhance adaption

increased cortisol and adrenaline

9

what happens during the first few minutes

first breath/cry
alveolar expansion
decreased pulmonary arterial pressure
change form fetal to newborn circulation
increased carbon dioxide
apgar score

10

what is the normal baby heart rate

120-160

11

incidence of haemolytic newborn disease
potential morbidity
treatment
risk

rare
2 in 1000

GI, lungs, CNS

vitamin K IM or oral

breast fed babies have a higher risk than formula fed babies

12

what is haemolytic disease of the newborn

disorder of blotting - cannot produce enough factors and can present with bleeding in lots of different organs

13

why is vitamin K IM preferred over oral

IM leaves a depo which can be absorbed over a month - if given orally more doses have to be given

14

what is the mum screened for in terms of infections

hep B
hep C
HIV
TB
croup B strep
syphilis
gonococcus

15

infant vaccinations

hep B at birth
BCG in the first month
routine vaccinations 8 weeks
maternal whooping cough and flu vaccines

16

screening tests

guthrie card
universal hearing screening
hip screening clinical and USS

17

what is on a guthrie card/blood spot card

CF
hypothyroid
MCCAD
PKU

18

what may be seen on examination of the head

OFC
moulding
overlapping sutures
fontanelles
cephalohaemtaoma
caput succedaneum - generalised swelling of the head
ventouse/forceps marks

19

what should the eyes be checked for

size
red reflex for congenital cataracts
conjunctival haemorrhage
squints - frequent

20

how should the ears be examined

position
external auditory canal
family history for HL
tags/pits

21

mouth examination

shape
philtrum
tongue tie
palate
neonatal teeth
ebstains pearls
sucking/rooting reflex

22

face examination

facial palsy
fetal alcohol syndrome - hard to spot

23

respiratory examination

chest shape
nasal flaring
grunting
tachypnoea
in drawing
breath sounds

24

CVS examination

colour
sats
pulses - femoral one
apex/thrills
heart sounds

25

abd exam

moves with respiration
distension
bile stained vom
passage of meconium
anus

26

genitourinary exam

normal passage of urine
normla genitalia
undescended testes
hypospadius

27

MSK exam

limbs and digits
movements
contractures
spine
sacral dimples
hip exam - ortolani/barlow

28

neurological exam

posture
tone
movement
reflexes

29

skin exam

dryness/cracking
milia
birth marks
erythema toxic
capillary hermangiomas

30

health promotions for parent

smoking
alcohol
drug use
diet