Professional Documents
Culture Documents
CHN1 Lec Session #19 SAS
CHN1 Lec Session #19 SAS
Early Essential Intrapartum and Newborn Care practices are evidenced-based standards for safe and quality care of birthing
mothers and their newborns, within the 48 hours of Intrapartum period (labor and delivery) and a week of life for the newborn.
A series of time bound, chronologically- ordered, standard procedures that a baby receives at birth.
Can prevent at least half of newborn death without additional cost to both families and hospitals.
Newborn Screening is a public health program designed to screen infants shortly after birth for a list of conditions that are
treatable but not clinically evident in newborn period.
Goal:
Early Detection of children at increased risk for selected metabolic or genetic diseases so that medical treatment can be
promptly initiated to avert metabolic crises and prevent irreversible neurological and developmental sequelae.
Components of NBS:
a. Education: Professionals, parents and policy makers
b. Screening: Collection activities, Specimen delivery, Laboratory testing and Result reporting
c. Early Follow-up:
d. Diagnosis:
e. Management: Medical management, Long term follow-up, Specimen mgt
f. Evaluation:
Criteria:
Disorder produces irreversible damage before onset of symptoms
Treatment is effective if begun early
Natural history of disorder is known
Specimen Collection:
Blood specimen is obtained from heel of infant should be obtained from medial or lateral side of the heel
Timing of Collection:
Normal Term Newborn: Before nursery discharge or 3rd day of life whichever is earlier.
Preterm or LBW: 2 weeks of age or at discharge whichever is earlier.
Results available:
Seven (7) working days from the time the newborn screening samples are received.
Laboratory result indicating an increased risk or of a heritable disorder (i.e. positive screen) shall be immediately released,
within twenty-four (24) hours followed by confirmatory testing can be immediately done.
Secondary Test:
An abnormal finding on newborn screening test is not diagnostic of a disorder.
Additional tests should be performed to substantiate the original finding.
Also, the original specimen is retested for the analysis that is abnormal.
Basic Emergency Obstetric and Newborn Care and Comprehensive Emergency Obstetric and Newborn Care
Signal Functions
1: Administer Parenteral Antibiotics
Puerperal sepsis accounts for 8% of global maternal deaths and 33% of maternal death
Effectively managed with injectable antibiotics
IV Penicillin G 2MU every 6 hours
Plus, Gentamicin 5 mg/kg body weight IV every 24 hours
Plus, Metronidazole 500mg IV every 8 hours
Multiple Choice
1. BEmoNC facility that had each of following functions at the time of survey was considered as provider of the basic EmNC
which of the following. select that all apply;
a. Incubator available
A. Warmth (drying and skin-to-skin contact)
B. Pediatrics nursery available
C. Eye prophylaxis (tetracycline eye ointment).
D. Clean cord care.
E. Early and exclusive breast feeding
F. Basic newborn resuscitation.
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
2. To qualify as a CEmONC facility, all of the above services must be offered in # 1, but in addition the following functions which
of the following.
A. Neonatal resuscitation with bag and mask
B. Hypothermia Management (rewarming)
3. A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent
heat loss in the newborn resulting from evaporation by:
A. Warming the crib pad
B. Turning on the overhead radiant warmer
C. Closing the doors to the room
D. Drying the infant in a warm blanket
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
4. Soon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial as sessment by
A. Auscultate bowel sounds.
B. Determining chest circumference.
C. Inspecting the posture, color, and respiratory effort.
D. Checking for identifying birthmarks.
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
5. The head nurse is presenting education to COC nursing student to promote consistency in the interventions used with lactating
mothers. She emphasizes that the optimum time to initiate lactation is.
A. as soon as possible after the infant’s birth.
B. after the mother has rested for 4-6 hours.
C. during the infant’s second period of reactivity.
D. after the infant has taken sterile water without complications.
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
6. As a CEmONC facility nurse, assessing a newborn infant following circumcision and notes that the circumcised area is red with a
small amount of bloody drainage. Which of the following nursing actions would be most appropriate?
A. Document the findings
B. Contact the physician
C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D. Reinforce the dressing
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
7. Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site?
A. Deltoid
B. Triceps
C. Vastus lateralis
D. Biceps
ANSWER: _ _
8. If mother with PKU is not actively treated during pregnancy (nutrition monitoring/restriction, etc) what might be seen in the
offspring? Select that all apply.
A. Microcephaly,
B. Congenital heart disease,
C. Seizures
D. Facial dysmorphia (resembles FAS)
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
9. Newborn screening is mandated (100% compliance expected) and is an example of population screening. The purposes
are: Select that all apply
A. To prevent at least half of newborn death without additional cost
B. Undetected disorders (could affect life, medical, and/or mental fxn)
C. To quickly separate apparently well babies who probably have the disorder from those who probably do not
D. To further evaluate presumed positive cases
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
10. What specific enzyme deficiency accounts for 95% of all cases of congenital adrenal hyperplasia?
A. 21-hydroxylase deficiency
B. Estrogen synthetase deficiency
C. Beta-glucuronidase deficiency
D. 7-alpha-hydroxylase deficiency
ANSWER: _ _
RATIO:____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ __
1. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
2. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
3. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
4. ANSWER: _ _
5. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
6. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
7. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
8. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ __ _ _ _ _
9. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _
10. ANSWER: _ _
RATIO:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__ _ _ _ _ _ _ _ _ _ __ _ _ _ _
You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you track
how much work you have accomplished and how much work there is left to do.
You are done with the session! Let’s track your progress.
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Instruction: The instructor will pose and prompt a question and you will have to discuss it with for 2 minutes.