Maternal Final Exam

Between 37 weeks and 41 weeks, and 6 days

What is the gestational age for normal newborn?

37 weeks to 38 weeks and 6 days

What is the gestational age for EARLY TERM

39 weeks to 40 weeks and 6 days

What is the gestational age for FULL TERM

41 weeks to 41 weeks and 6 days

What is the gestational age for LATE TERM

42 weeks onward

What is the gestational age for POST TERM

between 10th and 90th percentile

What is the growth curves in newborn

Blackish-green

Types of Patency

• Meconium (first stool of the baby)

Green and loose

Types of Patency

• Transitional stool (2-3 days)

Light yellow

Types of Patency

• breasfeeding babies

Black or tarry

Types of Patency

• intestinal bleeding

Watery and loose

Types of Patency

• mucus is mixed (milk allergy/lactose intolerance)

Bright green

Types of Patency

• baby is placed under phototherapy

Clay-colored

Types of Patency

• bile duct obstruction

Blood- flecked

Types of Patency

• anal fissure

Imperforate anus

term use for missing or close anus

• immediate and thorough drying

• Early skin to skin contact

• Properly timed cord clamping

• Non-separation of the newborn and mother for early initiation of breasfeeding

What is the Four Cose Step of Essential Newborn Care?

• name of mother

• Gender

• Date and time of birth

• Identification number

Whate are included in the identification bracelets of the newborns?

0.5 - 1mg

What is the right amount of dose for vitamin K

intramuscularly in the right vastus lateralis

Where do you administrr vitamin K?

to prevent opthalmia neonatorum

why do we give eye prophylaxis to newborn?

AGPAR

Standardized assessment to evaluate newborn’s extrauterine adjustments

1 minute

AGPAR time band

• provides data on how well the baby tolerated the birthing process

5 minutes

AGPAR time band

• provides how well the baby is doing outside the mother’s womb

45-55 cm

Anthropomorphic measurements

• Length

2500g - 4000g

Anthropomorphic measurements

• Weight

33-35cm

Anthropomorphic measurements

• Head circumference

30-32 cm

Anthropomorphic measurements

• Chest circumference

30-60 cpm

Newborn Vital Signs

• Respirations

120 - 160 bpm

Newborn Vital Signs

• Pulse

36.5c - 37c

Newborn Vital Signs

• Temperature

60-80 or 40-50 mmHg

Newborn Vital Signs

• Blood Pressure

• Birth – first 30 minutes

• Awake, alert, active

• Strong, sucking reflex

Firstperiod of reactivity

• 4 – 8 hours after birth

• Awakens, alert

Second Period of reactivity

Physiologic Jaundice

this jaundice typically occurs at 48 to 72 hours

Pathologic Jaundice

this jaundice appears within 24 hours and has a total serum bilirubin kevel of higher than 17 mg/dl

Vernix Caseosa

Common Newborn Skin Variations

• a white creamy, cheese-like substance covering the baby’s skin at birth

Stork bites/Salmon patches

Common Newborn Skin Variations

• flat, pink or red patches often found on the eyelids, back of the neck, or forehead

Milia

Common Newborn Skin Variations

• tiny white or yellowish dots in the baby’s skin, nose, or cheeks

Nevus vasculosus (strawberry mark or hemangioma)

Common Newborn Skin Variations

Erythema toxicum (newborn rash)

Common Newborn Skin Variations

• a red rash with small white or yellow bump in the middle

Nevus flammeus

Common Newborn Skin Variations

• a flat dark red or purple birthmarks usually on the face or neck

14 weeks and 9 months

When to give IPV vaccine?

6, 10, and 14 weeks

When to give PCV vaccine

9 months and 1 year old

When to give MMR vaccine

Route- oral

Site- mouth

Route and site of administration for OPV vaccine

route - intramuscular

site - Upper outer portion of the thigh (Vastus Lateralis)

Route and site of administration for IPV vaccine

Route - intramuscular

Site - Upper outer portion of the thigh (Vastus Lateralis)

Route and site of administration for PCV vaccine

Route - subcutaneous

Site - Upper outer portion of the arm

Route and site of administration for MMR vaccine

prenatal, neonatal, infancy, and adolescent stages

growth rate is rapid during what stage?