Routine management of newborn and APGAR score

Question 1

step by step management of newborn

Answer 1

• First thing to be done
  ✓Suction mouth and Nose [ NOT
  mouth and trachea/oropharynx ]
  ✓Then Clump & Cut the umbilical Cord
  ✓Then “ Place on mom’s Chest” = Golden hour
  ✓Physical Examination & Eye Care
  ✓APGAR Score

Question 2

how many times we should do apgar score

Answer 2

Should be
performed
TWICE
[at 1 minute
and 5th minute
after birth

Question 3

each letter of APGAR score stands for ?

Answer 3

A-appearance
P-pulse
G-grimace
A-activity
R- respiration

Question 4

Appearance scores

Answer 4

0- blue all over
1-blue only at extremities
2- no blue coloration

Question 5

pulse scoring

Answer 5

0-no pulse
1-<100 BPM
2->100 BPM

Question 6

grimace scoring

Answer 6

0- no response to stimulation
1-grimace or feeble cry when stimulated
2-sneezing,coghing,pulling away when stimulated

Question 7

activity scoring

Answer 7

0-no movement
1-some movement
2- active movement

Question 8

respiration scoring

Answer 8

0-no breathing
1-weak,slow of irregular breathing
2-strong cry

Question 9

severity according the score

Answer 9

0-3: severely depressed
4-6: moderately depressed
7-10: excellent condition

Question 10

All newborn after delivery should be given Vitamin( …… )Why ?

Answer 10

** Vitamin K

*- Newborn cannot produce it - Breastmilk has low Vitamin k level - otherwise → Hemorrhagic disease of the newborn

Question 11

what we should give newborn after delivery ?

Answer 11

Vitamin K.
Hepatitis B Vaccine
* Eye Drops (Erythromycin) to prevent neonatal conjunctivitis
* Vitamin D Soon after birth 400 IU/day