Grunting newborn

Instructions

You are an intern on the postnatal ward at Geraldton Regional Hospital. It is 5 am, and the midwife asks you to see Theo Kyriakou, a term baby boy born 18 hours ago, who has started grunting, looks blotchy and has become floppy.

1. 1

   Assess and manage the baby using an A to E approach

2. 2

   Outline to the examiner:

   • Your findings
   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• The baby is a manikin; his mother is at the bedside
• The examiner acts as the midwife and carries out your instructions; describe procedures rather than doing them
• You do not need to take a full history