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Question

A woman delivers a healthy baby with weight 2.2 kg at the time of birth. What measures are to be taken?
1. The baby should be exclusively breast fed for first six months
2. The vaccination with OPU and BCG should be delayed till the baby is 2.5 kg of weight
3. Baby should be kept with mother and kangaroo care to be given
Select the correct answer using the code given below:

The correct answer is
1 and 3 only

Low Birth Weight Baby Care Measures

The question asks for appropriate measures for a healthy newborn baby weighing 2.2 kg at birth.

Statement Analysis

  • 1. Exclusive breastfeeding: This is a crucial recommendation for all infants, particularly for low birth weight (LBW) babies like the one described (2.2 kg). Exclusive breastfeeding for the first six months ensures adequate nutrition, provides antibodies, and promotes healthy growth and development. This statement is correct.
  • 2. Vaccination delay: Standard protocols generally recommend BCG and OPV vaccinations early, often at birth, even for low birth weight babies if they are otherwise healthy. Delaying these specific vaccinations until the baby reaches 2.5 kg is not a universal guideline for a 2.2 kg healthy infant and might impede timely protection against serious diseases. This statement is incorrect.
  • 3. Kangaroo Mother Care (KMC): KMC is a method of care recommended for LBW infants. It involves continuous skin-to-skin contact between the mother (or caregiver) and the baby, along with support for the mother, exclusive breastfeeding, and early discharge. For a 2.2 kg baby, KMC helps regulate body temperature, heart rate, and breathing, improves weight gain, and enhances bonding. Keeping the baby with the mother is fundamental to KMC. This statement is correct.

Conclusion

Based on the analysis, measures 1 and 3 are appropriate for a healthy newborn weighing 2.2 kg. Measure 2 is generally not indicated as a standard procedure for these specific vaccinations in this context.

Therefore, the correct combination is 1 and 3 only.

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Important Questions from Neonatal Care

  1. Which one of the following statements is correct regarding physiology of breastfeeding?
  2. If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
  3. Consider the following conditions :
    Response to tactile stimulationHeart RateBlood PressureTone
    AYesNormalNormalNormal
    BYesFallingNormalDecreasing
    CNoFallingFallingDecreasing
    DNoRisingNormalNormal
    Primary apnea in a neonate is characterized by which one of the above conditions?
  4. Consider the following statements about human breast milk : 

    1. 75% of breast milk content is water. 

    2. Breast milk is poor in taurine and cysteine. 

    3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids. 

    4. High lactose content of breast milk helps in absorption of calcium. 

    Which of the statements given above are correct?

  5. Which of the following are signs of good attachment during breastfeeding? 

    1. The baby's nose is at the level of the nipple. 

    2. The baby's mouth is wide open. 

    3. The baby's chin touches the breast. 

    4. The baby's lower lip is everted. 

    Select the correct answer using the code given below:

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