Assessment and care and major problems of the newborn

You are discharging a 5-week-old boy after an admission with bronchiolitis. His mother smokes ten cigarettes a day outdoors. She tells you she is so exhausted t…

Pre-internship · middle twist

At a six-week check, the mother of a healthy term baby says he brings up milk after most feeds and seems more settled when he is not flat on his back. Her own m…

Clinical rotations · common

At the six-week check, the mother of a healthy breastfed girl says she is so tired that for the second half of most nights she brings the baby into her own bed.…

Clinical rotations · common

A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…

Pre-internship · middle twist

A woman in preterm labour at 29 weeks is given betamethasone and transferred to a tertiary centre. Antenatal ultrasound and screening have all been normal and t…

Clinical rotations · common

A girl born at 36 weeks weighing 2050 g is three hours old and has fed twice at the breast. She becomes jittery with a weak high-pitched cry, and then has an ep…

Pre-internship · middle twist

A woman arrives at a remote clinic in labour, having had no antenatal care and no dating ultrasound. She gives birth to a girl weighing 1980 g who cries at birt…

Pre-internship · common

A woman who has had no antenatal care presents in advanced labour and gives birth to a boy weighing 2350 g. She is unsure of her dates and there has been no ult…

Clinical rotations · middle twist

A boy born at 39 weeks by spontaneous vaginal birth is 60 hours old. He has a high-pitched cry, tremors when he is undressed, sneezes repeatedly and takes the b…

Clinical rotations · middle twist

A boy is born at 39 weeks by normal vaginal birth and cries immediately. He is dried, weighed and then bathed by a student midwife before being wrapped and plac…

Clinical rotations · common

A 7-year-old boy is referred because he is disruptive at school, cannot wait his turn, and is two years behind in reading. He has lived with his grandmother sin…

Clinical rotations · niche

A midwife makes a home visit to a 2-week-old girl. She was born at term, is exclusively breastfed and has regained her birth weight. Her mother is exhausted and…

Clinical rotations · common

You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…

Pre-internship · middle twist

A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…

Clinical rotations · middle twist