NCMA217 RLE (EINC)

Question 1

An evidence based standards for safe quality
care of birthing mothers and their newborns
within 48 hours of intrapartum period and a
week of life for the newborn

Answer 1

ESSENTIAL INTRAPARTAL NEWBORN CARE

Question 2

EINC

Administrative Order

Answer 2

2009 – 0025 – December
2009

Question 3

EINC

Answer 3

Unang Yakap

Question 4

EINC PRACTICES

Continuous maternal support

Answer 4

by a companion of her choice,
during labor and delivery

Question 5

EINC PRACTICES

the mother is still mobile, within reason,
during this stage

Answer 5

Mobility during labor

Question 6

EINC PRACTICES

Position of choice during

Answer 6

labor and delivery

Question 7

EINC PRACTICES

before offering labor anesthesia

Answer 7

Non-drug pain relief

Question 8

EINC PRACTICES

Spontaneous pushing in a

Answer 8

semi-upright position

Question 9

EINC PRACTICES

Episiotomy will not be done, unless

Answer 9

necessary

Question 10

EINC PRACTICES

Active management of

Answer 10

third stage of labor

Question 11

EINC PRACTICES

Monitoring the progress of labor with the use of

Answer 11

partograph

Question 12

EINC PURPOSES

as he or she
transitions from intrauterine life to extrauterine life.

Answer 12

Assess and evaluate the newborn

Question 13

EINC PURPOSES

system-by
system for normal versus abnormal functioning,
providing maintenance of normal and potential
treatment of abnormal findings.

Answer 13

Evaluate and monitor the newborn

Question 14

EINC PURPOSES

between infant and parent/s

Answer 14

Foster bonding

Question 15

EINC PURPOSES

Provide a

Answer 15

safe environment at all times

Question 16

4 CORE STEPS OF EINC

90 MINS

Answer 16

1.Immediate and thorough
drying
2.Early skin to skin contact
3. Properly timed cord clamping
4. Non-separation of newborn from
mother for early breastfeeding

Question 17

Immediate and thorough drying

30 SECONDS

Answer 17

Call the time of birth
Using a clean dry cloth, dry the
newborn thoroughly for at least 30
seconds
Wipe the eyes, face, head, front and
back, arms and legs
Remove wet cloth
Do a quick check of breathing while
drying

Question 18

APGAR SCORING

A
Appearance
(Blue/Pale
all over
the body)

Answer 18

0

Question 19

APGAR SCORING

A
Appearance
(Accrocyanosis
Circumural
Cyanosis )

Answer 19

1

Question 20

APGAR SCORING

A
Appearance
(PINK
ALL OVER)

Answer 20

2

Question 21

APGAR SCORING

P
Pulse
(0 )

Answer 21

0

Question 22

APGAR SCORING

P
Pulse
(<100 bpm )

Answer 22

1

Question 23

APGAR SCORING

P
Pulse
(>100 bpm )

Answer 23

2

Question 24

APGAR SCORING

G
Grimace
(NO
REACTION to
stimulation )

Answer 24

0

Question 25

# APGAR SCORING G Grimace (No cry to stimulation Weak Cry / Grimace )

Answer 25

1

Question 26

# APGAR SCORING G Grimace (Strong Cry )

Answer 26

2

Question 27

# APGAR SCORING A Activity (None, Flaccid)

Answer 27

0

Question 28

# APGAR SCORING A Activity (Some flexion of arms & legs )

Answer 28

1

Question 29

# APGAR SCORING A Activity (Well flexed Arms & legs )

Answer 29

2

Question 30

# APGAR SCORING R Respiration (0 )

Answer 30

0

Question 31

# APGAR SCORING R Respiration (<30 Wear, irregular cry)

Answer 31

1

Question 32

# APGAR SCORING R Respiration (>30 Strong vigorous cry)

Answer 32

2

Question 33

APGAR

Answer 33

APPEARANCE PULSE GRIMACE ACTIVITY RESPIRATION

Question 34

# APGAR SCORING 0-3 INTEPRETATION

Answer 34

Severely Depressed

Question 35

# APGAR SCORING 0-3 NURSING INTERVENTION

Answer 35

Immediate Resuscitation

Question 36

# APGAR SCORING 4-6 INTEPRETATION

Answer 36

Guarded

Question 37

# APGAR SCORING 4-6 NURSING INTERVENTION

Answer 37

Suctioning

Question 38

# APGAR SCORING 7-10 INTEPRETATION

Answer 38

Good Prognosis

Question 39

# APGAR SCORING 7-10 NURSING INTERVENTION

Answer 39

Proceed to Routine Newborn Care

Question 40

Early skin to skin contact

Answer 40

Position the newborn prone on the mother’s abdomen or chest Cover the newborn’s back with dry blanket Cover the newborn’s head with bonnet Place identification band on ankle If newborn is crying and breathing normally avoid any manipulation

Question 41

Properly timed cord clamping

Answer 41

Remove the first sets of gloves Hold the cord and feel the pulsation. Wait 1-3minutes until the pulsation stop then put the sterile clamp or tie 2cm above the base, and get the Kelly clamp 5cm above the base Cut the cord close to the plastic clamp

Question 42

Non separation of mother from her newborn

Answer 42

Observe the newborn and feeding cues (crawling, licking, rooting, sucking) Counsel on positioning and attachment Initiate breastfeeding

Question 43

# Anthropometric Measurement HEAD

Answer 43

HC: 33-35 cm (1 finger breath from the eyebrow)

Question 44

# Anthropometric Measurement CHEST

Answer 44

CC: 31-33cm (nipple line)

Question 45

# Anthropometric Measurement ABDOMEN

Answer 45

AC: 31-33 cm (umbilical level)

Question 46

# Anthropometric Measurement LENGTH

Answer 46

BL: 47-54 cm (posterior fontanel up to the heel of the foot following contour of newborn’s body

Question 47

# Anthropometric Measurement WEIGHT

Answer 47

WT: 2.5-4 kg. or 5.5 -8.8lbs. or 2500-4000 grams

Question 48

# MEDICATIONS EYE

Answer 48

CREDE'S PROPHYLAXIS ERYTHROMYCIN OPHTHALMIC OINTMENT TERRAMYCIN

Question 49

# MEDICATION (EYE) To prevent OPTHALMIA NEONATORUM

Answer 49

TERRAMYCIN

Question 50

# MEDICATION (EYE) applied from inner to outer canthus of the eyes

Answer 50

TERRAMYCIN

Question 51

# MEDICATIONS BCG (BACILLUS CALMETTE GUERINE) Dosage & Route:

Answer 51

0.05 ml, ID Deltoid (R)

Question 52

# MEDICATION To prevent lung TB infection, TB Meningitis, Miliary TB

Answer 52

BCG (BACILLUS CALMETTE GUERINE)

Question 53

# MEDICATION HEPA - B Dosage & Route: Site:

Answer 53

Dosage & Route: 0.5ml , IM Site: Vastus Lateralis

Question 54

# MEDICATIONS Promote blood clotting Prevent bleeding Prevent Hypofibrinogenemia

Answer 54

VITAMIN K

Question 55

# MEDICATIONS VITAMIN K DRUG OF CHOICE

Answer 55

PHYTOMENADIONE, AQUAMEPHYTON

Question 56

# MEDICATIONS VITAMIN K ROUTE

Answer 56

Intramuscular

Question 57

# MEDICATIONS VITAMIN K SITE

Answer 57

Left-Vastus lateralis (common)  Rectus Femoris (alternative site)

Question 58

# MEDICATIONS VITAMIN K DOSAGE

Answer 58

 PRE TERM - 0.05 CC  FULLTERM - 0.1 CC  POST TERM – 0.1 CC