important factors in the general examination of the newborn
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is a normal respiratory rate for a newborn baby? | 30-60 breaths/minute
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| What is the definition of "apnoea"? | cessation of breathing for more than 20 seconds
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| What could pallor in the neonate be a caused by? | Shock
fetal-maternal transfusion
Internal bleeding (gastrointestinal, subaponeuric haemorrhage)
Rh and ABO incompatibility
Placental abruption or bleeding during pregnancy
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| What is the normal heart rate for a newborn baby at rest? | 120-150bpm
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| What is the normal heart rate for a newborn baby who is crying, active or distressed? | 160-190bpm
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| What is the normal temperature for a newborn baby? | 36.8-37.2*C
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| What is opisthotonos? | extreme hyperextension
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| What could opisthotonos be caused by? | Meningitis
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| What is the name given to an extra amount of fingers or toes? | polydactyly
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| What is the name given to webbing of the fingers or toes? | Syndactyly
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| What could cause asymmetrical movements in the neonate? | Broken bone(s)
Erbs Palsy
Klumpke's palsy
Total brachial plexus palsy
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| What could cause a loss of elasticity in the skin of the neonate? | Dehydration
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| What are some signs that the umbilicus may be infected? | Red skin around the umbilicaus,
Swollen,
draining pus,
foul smelling.
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| What is the name for a burst blood vessel between the conjuctiva and the sclera in the eye? | subconjunctival haemorrhage
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| How long will it take for a subconjunctival haemorrhage to disappear? | Should disappear within 1-2 weeks
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| What is the name for increased cerebrospinal fluid collection on the brain which causes increased head circumference, increased ventricle size and increased intracranial pressure? | Hydrocephalus
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| What would cause a sunken fontanelle? | Dehydration
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| What could cause a bulging fontanelle? | Infection, subdural hematoma, hydrocephalus etc
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| What might be a reason for profuse nasal discharge in the neonate? | Syphilis
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| What could cause a dry tongue and mucous membranes in the newborn? | Dehydration
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| What is the name given to the congenital defect which includes the abdominal contents protruding freely through the abdominal wall on one side of the umbilicus | Gastroschisis
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| What is the name given to the defect which results in the abdominal contents escaping through umbilical ring but is still contained in a membrane of peritoneum and amnion? | Exomphalos (omphalocele)
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| Is gastroschisis or exomphalos associated with genetic abnormalities? | Exomphalos
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| What is the name given to the congenital abnormality which causes an incomplete clusure of the embryonic neural tube which allows the spinal cord to protrude through the vertebrae? | Spina bifida (myelomeningocele)
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| What is the name given to the spina bifida defect which results in a split in the vertebrae which is small enough that the spinal cord does not protrude through? | Spina bifida occulta
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| Why may you be concerned that a newborn has not passed meconium within 24 hours of birth? | Intestinal obstruction
Cystic fibrosis
Anorectal malformations
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