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Flashcards in The normal newborn Deck (25):
1

After what gestation is the newborn considered a term infant?

37 weeks

2

At what gestation is the newborn considered a post term infant?

41 weeks

3

What is the normal weight range of healthy infants?

2.5kg to 4kg

4

What 3 tests should an infant have in the first day of life?

Universal hearing screening
Hip screening and USS if needed
Metabolic (heel prick test)

5

What conditions does the guthries heel prick test detect?

Thyroid disease
PKU
MCADD
(CF)
(Maple syrup urine disease)
(Sickle cell disease)

6

What substance are you looking for in the guthrie test which would signify CF?

Immunoreactive trypsinogen

7

List what you are looking for in the examination of the newborns head?

Head circumference (Occipitofrontal)
Moulding
Overlapping sutures
Fontanelles
Cephalohaematoma
Caput succedaneum
Ventouse/forceps marks

8

What do you need to look for in the examination of the eyes of the newborn baby?

Size
Red reflex
Conjunctival haemorrhage
Squints - frequent

9

What could an absent red reflex in a newborn baby mean

Retinoblastoma
Cataracts

10

What do you need to look for in the ears of a newborn baby?

Position
External auditory canal
Family history of hearing loss
Tags/pits

11

What do you need to look for in the mouth of a newborn baby?

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

12

What is tongue tie in the newborn?

The frenulum attaching the toungue to the floor of the mouth is very tight, causing difficulties feeding etc

13

What are epsteins pearls? What should you do if you fins them on newborn examination?

whitish-yellow cysts that form on the gums and roof of the mouth in a newborn baby. No need for treatment they will usually clear in the first few weeks of life.

14

What should you do if you see neonatal teeth during your neonatal examination?

they should be removed before the infant leaves hospital.

15

What are you looking for in the examination of a newborns face?

Dysmorphism

16

What are you looking for in the examination of a newborns chest?

Chest shape
Nasal flaring
Grunting
Tachypnoea
In-drawing
Breath sounds

17

What are you looking for in CVS examination of the newborn?

Colour
Saturation – SaO2
Pulses: femoral
Apex/thrills
Heart sounds

18

What are you looking for in the abdominal examination of the newborn?

Moves with respiration
Distension
Bile stained vomiting
Passage of meconuim
Anus

19

What are you looking for in the genitourinary system of a newborn in the examination?

Normal passage of urine
Normal genitalia
Undescended testes
Hypospadius

20

What is hypospadius?

A condition in the male infant where the external urethral opening is in the wrong place.

21

What are you looking for in the examination of the musculoskeletal system of the newborn?

Limbs and digits
Movement
Contractures
Spine
Sacral dimples
Hip examination
Ortolani/Barlow

22

What are you looking for in the neurological system examination in the newborn?

Posture
Tone
Movement
Reflexes

23

What is erythema toxicum?

A self limiting red papular rash sometimes seen in the neonatal period. It is self limiting and no treatment required

24

What are milia in the newborn?

Tiny white bumps that appear across a baby's nose, chin or cheeks. No treatment is needed as they usually disappear on their own in a few weeks or months

25

What are you looking for in examination of the skin of the newborn?

Dryness/cracking
Milia
Birth marks
Erythema toxicum