10 Questions
What is the purpose of the Unang Yakap strategy implemented by the DOH?
To reduce childhood mortality
In the context of neonatal care, what does the acronym IMCI stand for?
Integrated Management of Childhood Illnesses
Which condition can result from hypoxia and hypercapnia in a neonate?
Acidosis
Why is cord clamping potentially dangerous in the context of neonatal care?
It can lead to hypoxia and acidosis
What is the main consequence of CNS depression in neonates?
Increased risk of death
Why is it important to stimulate a baby to cry effectively after birth?
To maximize lung expansion
What is the primary concern when a baby breathes but becomes bluer after birth?
Transposition of the greater vessels
Why is it essential to dry a baby immediately after birth?
To minimize heat loss by evaporation
What could be a consequence of extreme hypothermia in a newborn?
Acidosis due to cold stress
How does extreme hypothermia impact a newborn's thermoregulation process?
It increases the breakdown of brown fat for heat production
Study Notes
Neonatal Care
- The Neonatal period is critical, and prompt care can reduce childhood mortality in support of the Millennium Developmental Goal #4.
Airway
- Asphyxiation is a leading cause of death in neonates, and it can be caused by umbilical cord clamping, leading to hypoxia, hypercapnia, acidosis, CNS depression, and potentially death.
- If the umbilical cord is not cut, reverse circulation can lead to Rh Incompatibility.
- To prevent asphyxiation, neonates should breathe after birth, and crying stimulates breathing.
- A crying baby is a breathing baby.
- Suction with a bulb syringe PRN is necessary if there's nasal obstruction or meconium-stained amniotic fluid to prevent aspiration.
- Avoid using wall suction as it may cause deep suctioning, leading to hypoxia, vagal stimulation, and arrhythmias.
Body Temperature
- Physiologic heat loss occurs after birth, and extreme hypothermia can cause acidosis.
- Extreme hypothermia can lead to shivering, increased oxygen consumption, decreased oxygen, and increased CO2, resulting in acidosis.
- Babies are prone to cold stress due to extreme hypothermia, which can cause acidosis.
- Management of hypothermia includes:
- Drying the baby immediately after birth to reduce heat loss by evaporation.
- Placing the baby on top of the mother's body, skin to skin (conduction), also known as "Unang Yakap".
- Using heating devices, such as gooseneck lamps, floor lamps, or radiant warmers, with caution to avoid burns.
- Avoiding cold drafts and postponing the bath until the temperature is stable (6 hours).
- Using warm water during bathing.
Test your knowledge on the immediate delivery room care for neonates in pediatric nursing. Learn about essential newborn care protocols, Apgar score, and strategies to reduce childhood mortality according to the administrative order 2009.
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