Podcast
Questions and Answers
What action should be taken if a baby is limp and floppy?
What action should be taken if a baby is limp and floppy?
- Immediately transfer the baby to the NICU (correct)
- Check for signs of hypoglycemia (correct)
- Allow the baby to be roomed in with the mother
- Administer medication without consultation
A perfect APGAR score is expected in the first minute after birth.
A perfect APGAR score is expected in the first minute after birth.
False (B)
What is the purpose of administering Naloxone to a newborn?
What is the purpose of administering Naloxone to a newborn?
To reverse respiratory depression caused by narcotics given to the mother during labor.
If the baby has a hypoglycemic condition, it is typically because the mother is ___ .
If the baby has a hypoglycemic condition, it is typically because the mother is ___ .
Match the following conditions with their descriptions:
Match the following conditions with their descriptions:
Which of the following conditions could cause a baby to be limp after delivery?
Which of the following conditions could cause a baby to be limp after delivery?
Rooming in allows for better bonding and breastfeeding opportunities for the mother and baby.
Rooming in allows for better bonding and breastfeeding opportunities for the mother and baby.
What score range indicates a fair condition in the APGAR assessment?
What score range indicates a fair condition in the APGAR assessment?
To manage respiratory depression in newborns, ____________ may be administered.
To manage respiratory depression in newborns, ____________ may be administered.
Match the following APGAR scores to their potential outcomes:
Match the following APGAR scores to their potential outcomes:
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Study Notes
Bathing Guidelines for Newborns
- Demonstrate proper bathing techniques to prevent accidents in infants.
- Sponge baths are recommended until umbilical cord falls off; tub baths should be avoided.
- Bathing should not occur immediately after feeding to prevent vomiting; wait until the baby is not full.
Vitamin K Administration
- Administer 1 mg of Vitamin K for Appropriate for Gestational Age (AGA) infants.
- AGA infants should receive 0.5 mg at birth; the subsequent 0.5 mg dose will be determined by doctors prior to discharge.
Newborn Assessment
- Monitor temperature closely; it’s crucial to ensure the baby does not become hypothermic or hyperthermic.
- Cardiac rate is assessed, not rhythm or sound; murmurs will be evaluated later for congenital defects.
Newborn Resuscitation Protocol
- In case of poor condition (0-3 score), resuscitation may be necessary, potentially requiring NICU admission.
- Resuscitative measures include intubation, ambu-bagging, administering oxygen, and medication like naloxone and epinephrine.
- If the infant is acidotic due to hypoxia, administer NaHCO3.
Crying and Breathing Assessment
- A crying baby indicates effective breathing, but a soft cry may indicate inadequate oxygenation.
- Background noise (gurgling or high-pitched cries) could signal air in the lungs needing intervention.
Activity Levels in Newborns
- Score of 0 indicates a floppy tone, necessitating further investigation to determine why the baby is limp.
- Possible causes include prematurity, maternal diabetes, or medications affecting the baby's condition.
- Close monitoring is required for slim score results (0-3, 4-6).
Rooming-In and Kangaroo Care
- Newborns with better scores (7-10) are allowed for initial bonding ('Unang Yakap') and can room-in with the mother.
- Kangaroo care can include the father, promoting physical contact with the infant.
Response to Disorders
- A perfect score of 10 is unlikely within the first minute due to natural acrocyanosis.
- If breathing is affected, emergent measures will involve inserting an endotracheal tube and providing ventilatory support with an ambu bag.
- Administer naloxone if the baby exhibits signs of narcotic-related respiratory depression.
Important Scoring System
- 0-3 indicates a poor condition requiring intervention, while 4-6 indicates a fair but guarded outcome needing closer monitoring in the NICU.
- A higher score indicates stability and readiness for bonding with parents post-delivery.
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