Newborn Discharge and the First Days at Home — Board-Style Questions

What this deck covers

Newborn Discharge and the First Days at Home in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. What the grandmother advises
2. Bought for the nursery
3. Because the room is cold
4. Warm enough, and then some
5. Presents in the cot
6. Three in the morning
7. Ready for his own room
8. She will end up in the bed
9. Carried to the shops
10. Asleep when they arrive
11. Wrapped firmly, legs straight
12. Nobody smokes indoors
13. Four of them in one room
14. When he will next be weighed
15. What would bring them back
16. Smaller than the leaflet assumes
17. Powder from the cupboard
18. All of it explained at the door

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A single thick blanket, To keep to the sofa, Once he is sleeping through the night, At two weeks from birth, A telephone number for the unit.

Clinical pearls from this deck

• Side sleeping is not a halfway house; it is how babies end up on their front.
• Ask what the baby’s face could come to rest against; the answer should be nothing.
• Feet to the foot of the cot is a rule about where the bedding can travel.
• Feel the neck and the chest; the hands are cool in a perfectly warm baby.
• The question is never where you put it; it is where it could end up.
• If the choice is a sofa or a bed, the bed is the safer one, and neither is the cot.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all neonatology case decks · pediatric reference values.