Immediate care of the newborn

Question 1

If a pt is noted to have meconium stained amniotic fluid during delivery, how should you manage the baby?

Answer 1

Intubate and suck out contents ONLY if baby is depressed.

You do not need to bulb suction the baby before complete delivery or anything.

Question 2

What are the complications of Twin to twin transfusion for both the donor and recipient twin?

Answer 2

Donor (small) twin: IUGR and Oligohydramios

Recipient (big) twin: polycythemia, over-perfusion->polyhydramios, volume overload–> HF and hydrops

Question 3

Do you give Naloxone to a baby born with 0 respiratory effort, and a maternal history of heroin use?

Answer 3

NO!

This can cause life threatening withdrawal.

Intubate instead

Question 4

When a baby is born to an HIV + mother, what is the protocol?

Answer 4

Treat baby with AZT immediately after birth to prevent HIV infection.