Routine examination of the newborn/Newborn and pads life support

Question 1

When is the APGAR done and what is it?

Answer 1

1,5,10 minutes

Question 2

When is the heel prick done and what is another name for it?

Answer 2

5 days

Guthrie

Question 3

What is given to all babies at birth and why?

Answer 3

Vit K

to prevent haemorrhagic disease of the newborn

Question 4

Within how long should the routine examination of the newborn be carried out

Answer 4

48 hours

GP rechecks at 8 weeks

Question 5

How do you check for development dysplasia of the hip? (DDH)

Answer 5

Barlows Maneuveure - flex and Adduct hips (from abducted position) and push posteriorly. Positive if hips dislocate

Ortolani Maneuveure - flex hips and knees, push greater trochanters anterior and abduct hips - will click in

https://www.youtube.com/watch?v=imhI6PLtGLc

Question 6

How do you do a newborn baby check?

Answer 6

http://www.osceskills.com/e-learning/subjects/newborn-baby-examination/

Question 7

What is the protocol for newborn life support?

Answer 7

Question 8

What is the first thing you do in newborn resus and within how long?

Answer 8

Within 60 seconds:

Start timer on resuscitataire

• Dry the baby and cover
• Assess tone, breathing, HR
• If gasping or not breathing open airway and give 5 rescue breaths

REASSESS for HR and breathing

Question 9

What do you do if no improvement after reassessing?

Answer 9

If chest not moving:

• Recheck head position
• Repeat inflation breaths and montior sats
• Reassess

If chest moving:

IF HR is slow (under 60) start 3:1 chest compressions and reassess heart rate every 30s. Consider venous access and drugs