Normal Infant Flashcards Preview

Jason's MD3 Women's > Normal Infant > Flashcards

Flashcards in Normal Infant Deck (19):
1

Why not suction all babies?

Repeat stim in pharynx - get Brady

2

How to monitor HR?

auscultate
Palpate
Pulse oximetry
It's about the trends.

3

Why Vit. K injection prevent what?

Haemorrhagic disease of newborn

4

First minutes of life, look at?

Airway
Breathing
Circulation
Drugs: Vit. K
Cord, Skin, Temp

5

APGAR scores?

Appearance
Pulse
Grimace
Activity
Respiration

6

When is APGAR score most predictive of outcome?

If getting zero or close to zero

7

Measure temp newborn how? Most common

Axillary
Rectal-may cause damage
tympanic - not really
Transcutaneous - expensive: NICU

8

Why fetus hotter than mother?

No heat loss in Uterus

9

Lose heat easily in infants, what most lose?

Evaporation

10

How to prevent evaporation?

Humidity
Dry baby
Wrap them

Meds: Incubator

11

First hours of life

Brief newborn examination
Transition, assign gender
O2 sats screening

12

Formal newborn examination

Setting, equipment
History -pee, poo, feeding? Concerns? Morphology scan at 20 weeks, normal?
Anything that worries you? FHx

Education: stop smoking. Immunisations, sleeping on back, nothing in the cot. Breast feeding promotion. Carrying tips

13

Weight gain in first days/week

10-20g/kg/day

14

When does suck reflex kick in?

33-34 weeks

15

When can you not suck?

Preterm
RDS
CNS depression

16

Why not give lots of milk to a preterm baby?

NEC: necrotizing Enterocolitis

17

When Jaundice bad?

Too early, first 24 hours
Too long
Too late

18

Exchange transfusion, how many times?

Twice their body's blood volume

19

Newborn screening

Hypothyroid
CF 1:2500
PKU 1:10000, low phenylalanine