Paeds Cases · fetal-neonatal-and-perinatal
Routine care of the healthy newborn — structured clinical encounter
Structured encounter testing golden hour care, vitamin K counselling, late-preterm risk assessment, feeding evaluation and discharge readiness for a first-time family.
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RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Tommy, 6 hours old, 36+2 weeks gestation, born to a first-time mother with gestational diabetes. On the postnatal ward. Vitamin K not yet given. First breastfeed observed but latch described as variable. Parents ask about going home tomorrow.
Station brief (candidate)
You are the paediatric registrar. Tommy is 6 hours old, born at 36+2 weeks to a first-time mother with diet-controlled gestational diabetes. Delivery was uncomplicated. The midwife describes the latch as variable during the first feed. Vitamin K has not yet been administered. Parents are keen to go home tomorrow and have questions about cord care and sleeping arrangements. You have 12 minutes with the family and 5 minutes for examiner discussion. [1]
References6ShowHide
- [1]Adamkin DH Postnatal glucose homeostasis in late-preterm and term infants. Pediatrics, 2011.PMID 21357346
- [6]Mirone A, Mannino D, Leonardi R, et al. Vitamin K Prophylaxis in Newborns: A Narrative Review of the Molecular Basis, Clinical Evidence, and Comparative Effectiveness of Intramuscular Versus Oral Administration and Parental Hesitation. International Journal of Molecular Sciences, 2026.PMID 41751806
- [9]McDonald SJ, Middleton P, Dowswell T, et al. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database of Systematic Reviews, 2013.PMID 23843134
- [19]Lindblad V, Gaardsted PS, Melgaard D Early discharge of first-time parents and their newborn: A scoping review. European Journal of Midwifery, 2021.PMID 34708193
- [4]Moon RY, Carlin RF, Hand I Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment. Pediatrics, 2022.PMID 35726558
- [3]Kemper AR, Newman TB, Slaughter JL, et al. Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation. Pediatrics, 2022.PMID 35927462