Acute Presentations – Neonatal presentations

FRCEM EXAM QuestionsCategory: December 2016Acute Presentations – Neonatal presentations
FRCEM Intermediate Staff asked 2 years ago
A 20-year-old female who is 39 weeks pregnant presents to the ED in active labor. An obstetrician is called and within 10 minutes of her arrival, the patient has delivered her baby. You are managing the care of the newborn baby.

A-After turning on a stopwatch, what will you do immediately in managing this newborn? (1 mark)
B-Besides heart rate and breathing, what two further features will you assess in this newborn? (1 mark)
C -The newborn starts to cry, when will you clamp the umbilical cord? (1 mark)

1 Answers
FRCEM Intermediate Staff answered 2 years ago

Dry the baby, remove the wet towels and wrap the baby in dry towels
Activity/muscle tone (e.g. limp, active movements)
Color (e.g. pale, blue, pink)
Grimace reflex irritability (e.g. grimace, cry)
For uncompromised term and preterm infants, a delay in cord clamping of at least one minute from the complete delivery of the infant.
For infants requiring resuscitation, resuscitative intervention remains the immediate priority.