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Flashcards in Normal Infant Deck (32):
1

How big is the average male at 28 weeks and at term?

28 wks = 1150g (3.5% fat)
Term = 3550g (15% fat)

2

What is the daily weight gain of the average male?

24g

3

What are the components of a Transplacental transfer?

iron
Vitamins
Calcium
Phosphate
Antibodies

4

What is defined as Term?

Between 37 and 41 weeks

5

How does the baby survive the hypoxic environment during the contractions of labour?

Fetal Hb helps release oxygen

6

What helps the fetus adapt?

Cortisol and adrenaline

7

What happens in a babies first few minutes?

First breath/Cry
Alveolar expansion
Decreased pulmonary arterial pressure
Increased PaO2
Apgar score

8

Describe the Apgar score

Out of 10
0, 1 or 2 per area
Normal = 8/10

9

What areas does the Apgar score cover?

Heart rate
Resp rate
Responsiveness
Tone
Colour

10

What change of feeds occurs in newborns?

Continuous glucose infusion to intermittent bolus eternal feeds

11

What is important for establishing breast feeding?

Skin to skin contact

12

What systems can Haemolytic Disease Newborn effect?

GI
Lung
CNS

13

How do you treat Haemolytic Disease Newborn?

Vitamin K (IM or oral)

14

What infections should be screened for in a newborn?

Hep B/C
HIV
TB

15

What can be done for Hep C and TB?

Hep C - Vaccination
- Immunoglobulin
TB - BCG

16

What can be done for Group B streptococcus?

Antibiotic prophylaxis

17

What would you do for Syphilis, Gonorrhoea or chlamydia?

Treatment

18

What vaccinations can be given early on in the infants life?

Hep B at birth
BCG in first month
Routine vaccinations at 8 months

19

What vaccines can be given to the mother?

Whooping cough
Flu

20

What screening tests are done to newborns?

Universal hearing tests
Hip screening (clinical and possible USS)
Cystic fibrosis
Metabolic - Thyroid, MCCAD, PKU, Haemoglobinopathies

21

What examinations of the head are done?

OFC
Moulding
Overlapping
Fontanelles
Cephalohaematoma
Caput succedaneum
Ventouse/forceps marks

22

What eye examinations are done?

Size
Red reflex
Conjunctival haemorrhage
Squints - frequent

23

What ear examinations are done?

Position
External auditory canal
FHx of hearing loss
Tags/pits

24

What mouth examinations are done?

Shape
Philtrum
Tongue tie
Palate
Neonatal teeth
Ebsteins pearls
Sucking/rooting reflex

25

What should be looked for in the face?

facial palsy
Dysmophism

26

What respiratory checks should be looked for?

Chest shape
nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds

27

What Cardiovascular problems should be checked for?

Colour
Saturation
Pulses:femoral
Apex/thrills
Heart sounds

28

What abdominal things should be checked for?

Moves with respiration
Distension
Bile stained vomiting
Passage of meconuim
Anus

29

What genitourinary checks should be done?

Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius

30

What MSK things should be checked?

Limbs and digits
Movement
Contractures
Spine
Sacral dimples
Hip examination (Ortalani, barlow)

31

What neurological things should be tested?

Posture
Tone
Movement
Reflexes

32

What skin checks should be done?

Dryness/Cracking
Milia
Birth marks
Erythema toxicum