Questions and Answers
What is the main reason for delaying cord cutting after birth?
What action should be taken immediately after drying the newborn for 30 seconds?
Which of the following is a non-time-bound intervention for newborns?
What is the correct procedure for cord clamping?
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What should be avoided in the first six hours after birth to reduce the risk of hypothermia?
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What is an unnecessary procedure that should be avoided during newborn care?
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When should resuscitation begin for a newborn?
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What should be given to the mother after delivery to prevent uterine atony?
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What is the primary goal of the Essential Intrapartal Newborn Care protocol?
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Which of the following is NOT a documented benefit of skin-to-skin contact?
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What is the recommended duration for exclusive breastfeeding after birth?
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What should be prioritized during the newborn care process?
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Which of the following is an example of an unnecessary procedure during essential newborn care?
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When should complementary solids be introduced to a breastfeeding infant?
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What is the significance of checking the perineum, lower vagina, and vulva of a neonate?
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What immediate care should be provided to ensure the neonate’s health post-birth?
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Study Notes
Neonate Care Overview
- A neonate is defined as an infant less than 4 weeks old.
- The Philippines ranks among 42 countries contributing to 90% of global under-five mortality, with 37% of these deaths occurring in newborns aged under 28 days.
Essential Intrapartal Newborn Care (EINC)
- EINC, launched by the DOH in 2009, is a protocol promoting globally accepted evidence-based newborn care during the first week of life.
- Focuses on both time-bound and non-time-bound procedures as well as minimizing unnecessary interventions.
Benefits of Skin-to-Skin Contact
- Enhances mother-child bonding.
- Supports successful breastfeeding and colostrum feeding.
- Fosters colonization with maternal flora which offers protection from hypoglycemia.
- Encourages the crawling reflex in the newborn.
Preparation for Newborn Care
- Gather necessary materials:
- 3 pairs of surgical gloves (2 for obstetrics, 1 for pediatrics)
- 2 blankets and a bonnet
- Cord care set and eye care supplies
- Vitamin K and Hepatitis B shot
Time-Bound Procedures
- Essential interventions to perform immediately after birth include:
- Drying the baby within the first 30 seconds to prevent hypothermia.
- Initiating skin-to-skin contact right after drying.
- Clamping the umbilical cord 1 to 3 minutes after birth.
- Noting the time of birth and breastfeeding initiation within 90 minutes.
Non-Time-Bound Interventions
- These should be conducted post-first breastfeeding (within 6 hours):
- Administration of Vitamin K prophylaxis.
- Vaccination against Hepatitis B and BCG.
- Examination and cord care of the newborn.
Unnecessary Procedures to Avoid
- Routine suctioning, early bathing, and footprinting.
- Offering sugar water, formula, or other pre-lacteals, including the use of bottles or pacifiers.
- Application of substances on the cord stump or excessive bandaging.
Proper Cord Clamping Benefits
- Helps prevent anemia in the newborn.
- Reduces rates of intraventricular hemorrhages.
Newborn Resuscitation Protocol
- Initiate resuscitation immediately if the newborn exhibits no breathing or gasping after 30 seconds.
- Clamp and cut the cord without delay to expedite care.
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Description
This quiz covers essential procedures for immediate care of newborns, focusing on drying, handwashing, and the importance of skin-to-skin contact. It includes critical actions to take within the first 30 seconds of birth. Test your knowledge on these vital protocols for infant care.
