|What are the main ways you can prevent disability in the neonate? ||Measuring and maintaining oxygen saturation levels
ensure that capillary refill time is not above 2 seconds as this can indicate low blood pressure.
|If capillary refill time is >2 seconds, what would be your treatment? ||Insert umbilical catheter and administer fluids to increase circulation volume. |
|What position should the babies head be in when assessing the airway? ||Neutral|
|What should you do to the oxygen before administering to the baby? ||Warm and humidify it.|
|What is your first action when dealing with a sick neonate? ||Assess whether help is required and ensure they have been called.|
|IF a baby is born extremely preterm then what is the best way to maintain the temperature? ||Do not dry the baby and put in a poly bag up to its neck under a radiant heather.
If not radiant heat source available then wrap in warm dry towels|
|Why should a silver swaddler not be used to warm a newborn baby up? ||Silver swaddlers reflect back body temperature. Since neonates cannot regulate their own temperature it may just make them colder.|
|If a baby remains blue after facial oxygen has been administered, what might be your differential diagnosis? ||Cardiac abnormality|
|How often should vital signs be monitored in the sick neonate if continuous monitoring is not possible? ||Every 15 minutes|
|What would be your differential diagnosis in a baby who is born at 30 weeks and is blue with a heart rate of >100bpm? ||Respiratory distress syndrome, infection or hypoglycaemia.|
|What are the important actions you can take to help when transferring the neonate? ||Obtain a maternal blood sample
Write a summary of maternal history
Write a summary of actions you have so far taken to stabilize the baby.|
|What actions can you take to help the parents before transferring the neonate? ||Allow for photographs to be taken if appropriate.
Discuss fully all actions taken and why there is a need for transporting the baby
Provide mum and dad with information regarding important contact numbers and directions to suitable wards and car parks.|
|Why would you leave a nasogastric tube on free drainage? ||Do decrease abdominal pressure where the may be a gastrointestinal malformation.|
|If a baby has a lot of mucousy secretions, what position should you assess their airway in? ||On their side to allow secretions to drain.
|At what rate should ventilation breathes be administered? ||30 breaths/mintue|
|Why would it be important to check blood sugar levels in a baby who is having breathing difficulties? ||The extra effort used to breathe uses up glucose stores (as well as extra oxygen) and causes blood glucose levels to drop|