Paeds Vivas · fetal-neonatal-and-perinatal
Routine care of the healthy newborn — branching viva
Branching viva from golden hour through vitamin K refusal, late-preterm discharge, feeding failure recognition and safe sleep counselling.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the postnatal ward registrar. A healthy term newborn has just been born. The examiner releases information in stages about care decisions and potential complications.
Station opening
Examiner: "A healthy term newborn has just been born. Walk me through your golden hour." [9]
Strong candidate (must-hit)
- Skin-to-skin on maternal chest, dry and warm with hat. [9]
- Delayed cord clamping for at least 60 seconds in the vigorous newborn — improves iron stores. [9]
- Early breastfeeding initiation within the first hour. [9]
- Apgar assessment at 1 and 5 minutes. [9]
Weak candidate
- "Clamp the cord immediately to measure cord gases." [9]
- "Bath the baby straight away to clean them up." [9]
- Omits skin-to-skin or thermoregulation. [9]
References6ShowHide
- [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
- [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
- [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
- [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
- [1]Adamkin DH Postnatal glucose homeostasis in late-preterm and term infants. Pediatrics, 2011.PMID 21357346
- [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