Paeds Vivas · preventive-and-community-paediatrics
Newborn preventive care and screening — branching viva
Branching viva from incomplete newborn package through CCHD fail, hearing refer, vitamin K decline and rural transfer.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the postnatal ward registrar. A well term newborn is due for discharge. Screening documentation is incomplete. The examiner releases information in stages.
Station opening
Examiner: "The baby looks perfect. Why are you delaying discharge?" [8]
Strong candidate (must-hit)
- Appearance does not complete the preventive package. [8]
- States examination, vitamin K, bloodspot, hearing, CCHD oximetry, jaundice/DDH plan as complementary. [8]
- Distinguishes pass, fail, pending and incomplete. [8]
- Names an owner for incomplete items. [8]
Weak candidate
- "Feeding well so screens can wait until the GP." [8]
- Collapses all screens into one vague blood test. [8]
References4ShowHide
- [4]Oster ME, Pinto NM, Pramanik AK, et al. Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report. Pediatrics, 2025.PMID 39679594
- [8]Kemper AR, Kus CA, Ostrander RJ, et al. A framework for key considerations regarding point-of-care screening of newborns. Genetics in medicine, 2012.PMID 22899090
- [11]Awad R, Oropeza J, Uhler KM Meeting the Joint Committee on Infant Hearing Standards in a Large Metropolitan Children's Hospital: Barriers and Next Steps. American journal of audiology, 2019.PMID 31084570
- [16]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 and Oral Administration. International journal of molecular sciences, 2026.PMID 41751806