ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Why do we give eye prophylaxis?
To prevent blindness caused by gonorrhea infection
What STI do more patients have (that isn't covered by the eye prophylaxis)?
Chlamydia
What can we do do prevent chlamydia in the newborn?
Test mom before birth, educate about the seriousness of STI, treat any infections.
Why do some parents refuse eye prophylaxis?
-know or believe they don't have an STI
-trust that their partner doesn't have an STI
-don't want any interventions
-worry about bonding if baby can't see them
When do we give eye prophylaxis?
The first few hours after birth.
Why do we give Vitamin K?
To prevent hemolytic disease of the newborn, as babies have immature guts that can't
make Vit K on their own
What babies MUST have Vit K?
Any baby getting a circumcision must have Vitamin K before the procedure
What are some situations where you might supplement a baby with formula?
, -excessive weight loss (more than 10% loss)
-severe jaundice (need to increase output)
-lethargy (too tired to put in the energy to BF)
-can't take time out from under bili lights
-trouble with feeding (late preterm, IUGR, etc)
-hypoglycemia (if it's an ongoing issue)
How can a parent know if their baby is eating enough?
-how many wet/dirty diapers do they have?
-monitor for jaundice
-have they passed mec?
-how many times a day are they eating?
-weight loss %
-feeding for a long enough period of time
-baby acts satisfied after feed
How long should it take for a baby to regain its birth weight?
About 2 weeks
Most important thing to remember about circumcision?
Keep your personal opinions out of it and present the facts
Should you use vaseline on a circumcision from a Plastibell?
No
When should an infant void post-circumcision?
Ideally 4 hours
What are some post-circumcision pain relief options?