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Flashcards in The Healthy Term Infant Deck (19)
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1
Q

What is the normal weight of a newborn

A

2.5kg-4kg

2
Q

How much body fat does a male term baby have vs a preterm baby

A

15 percent at term only 3.5 percent at 28 weeks.

3
Q

What is the difference between the babies nutrition in utero vs after birth

A

In utero - continuous glucose infusion

After brith this changes to intermittent bolus enteral feeds

4
Q

What vaccination is given to the infant at birth

A

Hepatitis B

5
Q

What screening tests are done at birth

A

Hearing
Hip
Metabolic - thyroid, MCCAD, PKU, haemoglobinopathies

6
Q

What is screend for in the heel prick test

A

Sickle cell
metabolic disorders
Cystic fibrosis
Hypothyroidism

7
Q

Whens should the newborn examination be carried out

A

at around 24 hours

8
Q

Head

A
Circumferance
Moulding
Overlapping sutures
Fontanelles
Cephalohaematoma
Caput succedaneum
Ventouse/forceps - facial nerve palsy
9
Q

Eyes

A
Size
Red reflect
Conjunctival haemorrhage
Squints
Congenital cateracts
10
Q

Ears

A

Low set
External auditory canal
Tags/pits

11
Q

Mouth

A
Shape 
Philtrun
Cleft lip
Palate
Ebsteins pearls
Sucking reflex
12
Q

Fetal alchohol syndrome facial characteristics

A
Epicanthal folds
Small eye opeing
Flat midface
Upturned nose
Smooth philtrum
This upper lip
13
Q

Resp

A
Chest shape 
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds
14
Q

Cardiovascular

A
Colour
Sats
Femoral pulse
Apex/thrills
Heart sounds
15
Q

Abdo

A
Moves with respiration
Distension
Bile stained vomiting
Passage of meconuim
Anus
16
Q

GU

A

Normal genitalia
Passing urine
Undescended testes
Hypospadius

17
Q

MSK

A
Limbs and digits 
Movement
Contractures
Spine
Sacral dimples
Hip - DDH - ortolani barlow
18
Q

Neuro

A

Posture
Tone
Movement
Reflexes - suckling/rooting, moro’s, palmar grasp available from birth

19
Q

When is the ‘fencing reflex’ present

A

The tonic neck reflex, also known as asymmetric tonic neck reflex or ‘fencing posture’ is present at one month of age and disappears at around four months. When the child’s head is turned to the side, the arm on that side will straighten and the opposite arm will bend (sometimes the motion will be very subtle or slight).