PEDIATRIC 1: EINC Flashcards
(38 cards)
ENC (NEW); EINC (OLD)
TIME BOUND INTERVENTIONS:
Birth-90 Mins: (1.5 hours)
GOAL OF THE WHO WITH ENC/EIN?
↓ NMR (28 days)
↓ MMR
Before ENC/EINC: increase number of neonatal death in the first 7 hours.
2009: Adopted by the DOH:
EINC/Unang Yakap
ENC/ EINC:
4 INTERVENTIONS
D-S-P/D-N
1.DRY THE BABY
2. SKIN-TO-SKIN CONTACT
3. DELAYED/PROPERLY TIMED CORD CLAMPING & CUTTING
4.NON-SEPARATION & BREASTFEEDING
Dry the baby
Dry the baby:
Immediate: 30 seconds
Thorough: Face, Head, Body, Extremity
Purpose:
-Stimulation: crying
-Prevents hypothermia: Evaporation
SKIN-TO-SKIN CONTACT
Time: Next 30 secs; within 1 minute
Prone with head turned to side to the mother’s chest/abdomen
Purpose:
-promotes bonding, B.F., Baby’s sucking reflex.
-Prevents hypothermia, hypoglycemia, infection
Nudging: Crawling of the baby to breast.
-Montgomery’s: produces oil :pheromones.
Vision (10 in)
-delays crede’s prophylaxis until baby finds breast >1hr.
What do u call when the manner of crawling of the baby to breast.
Nudging
BEST TIME FOR DELAYED/PROPERLY TIMED CORD CLAMPING & CUTTING
When the pulsation stops
Rationale: Prevents ANEMIA
DELAYED/PROPERLY TIMED CORD CLAMPING & CUTTING
Time: 1-3 minutes
Best time: when the pulsation stops
-Prevents ANEMIA
*Observe aseptic technique.
-Breech: Tetanus Neonatorum
*No milking of the cord
-Can cause intracerebral
hemorrhage
Umbilicus –2cm—C1–3cm–C2
-5cm from umbilicus to c2
-cut near clamp 1
Observe: A-V-A
-Lacking: complication
-Heart defects
-Renal agenesis: Dysfunctional kidneys
-Down syndrome: Trisomy 21 (translocation)
After cord clamping & cutting
-give 10 u of oxytocin (IM)
-To stimulate uterine contraction
No milking of cord, otherwise:
Can cause intracerebral hemorrhage
CLAMPING DISTANCE!!!
1st clamp: 2cm; From umbilicus
2nd clamp: 3cm; from: near 1st clamp
overall= 5cm
Umbilicus –2cm–C1—3cm—C2
*CUT NEAR THE 1ST CLAMP!!!!
After clamping/cutting of cord, Observe for:
Observe: A-V-A
-Lacking: complication
Heart defects
-Renal agenesis: Dysfunctional kidneys
-Down syndrome: Trisomy 21
(translocation)
After cord clamping & cutting
-give 10 u of oxytocin (IM)
-To stimulate uterine contraction
NONSEPARATION & BREASTFEEDING
Nonseparation: 90 mins (1 1/2 hrs)
Breastfeeding: start within 60 minutes
Duration: 20 minutes;
10 mins & 10 mins
1st 10 minutes: Nourishment
2nd 10 minutes: Sucking pleasure
***5 mins per breast
Interval: B.F. per demand/ 2-4 hrs
late sign of hunger:
CRYING
*dont wait until bby cry
Feeding cues:
-Opening mouth
-Licking
-Rooting
-tonguing
-Crying: late sign of hunger
EYE OINTMENT
DELAYED IN 1 HOUR
CREDE’S PROPHYLAXIS
DRUG: Antibiotic (erythromycin)
APPLICATION: 1-2 cm; inner to outer canthus
Prevent: Opthalmia Neonatorum
Chlamydial conjunctivitis,
Gonorrheal conjuctivitis,
Newborn Blindness.
Manner of Applying Crede’s Prophylaxis:
1-2 cm; inner to outer canthus
Causes of opthalmia Neonatorum:
-Gonorrhea: Neisseira Gonorrhea
-Chlamydia: Treponema Pallidum
***Syphilis: baby will have IUFD
90 MINUTES- 6 HOURS
2 vaccines are given:
1 vitamin
BCG
HEPA B
Vitamin K
BCG
-ID
-Right deltoid
-0.05 ml
-Prevents: TB
HEP B
-IM
-Right Vasus Lateralis (outer middle aspect of thigh)
-0.5ml
Vitamin K AKA?
Phytomenadione/ Aquamephyton
Vitamin K
Phytomenadione/ Aquamephyton
-IM
-Left Vastus Lateralis
-0.5 mg (preterm); 1.0 mg (term)
-Prevents: bleeding
ANTHROPOMETRICS:
Height
Normal: 18-22 inches; 45-55cm
Average: 20 inches; 50cm
Height gain:
1 mon-6 mon: 1inch/month
6mon-12mon: 1.5 inch/month
ANTHROPOMETRICS:
Weight
Normal: 2,500-4,000 grams
2.5-4 kg
5.5-8.8 lbs
*1st 10 days/ within 10 days
Weight loss (10% max wt loss)
Physiologic weight loss: Extrauterine life.
After 10 days: Progressive weight gain
Doubles (2x) 6 months
Triples (3x) 12 months
Quadruople (4x) 24 months
