Apnea Response to Stimulation
In neonatal assessment, if a baby is not breathing adequately, tactile stimulation (like rubbing the baby's back or flicking the feet) is often the first step to encourage breathing.
Primary Apnea Characteristics
Primary apnea is characterized by the cessation of breathing. A baby experiencing primary apnea will typically resume breathing spontaneously or in response to this initial tactile stimulation.
Secondary Apnea Significance
Secondary apnea occurs when primary apnea is not resolved or due to prolonged hypoxia. Crucially, in this state, the baby does not respond to tactile stimulation and requires more advanced respiratory support, such as positive pressure ventilation (PPV).
Rationale for Correct Answer
The question specifically mentions that the baby does not begin breathing despite receiving tactile stimulation. This inability to respond to basic stimulation is the defining clinical feature of secondary apnea.
- Primary Apnea: Breathing resumes with tactile stimulation.
- Secondary Apnea: Breathing does NOT resume with tactile stimulation.
Given the baby's lack of response to tactile stimulation, the condition is identified as secondary apnea.
Important Questions from Neonatal Care
- Which one of the following statements is correct regarding physiology of breastfeeding?
- Consider the following conditions :Primary apnea in a neonate is characterized by which one of the above conditions?
Response to tactile stimulation Heart Rate Blood Pressure Tone A Yes Normal Normal Normal B Yes Falling Normal Decreasing C No Falling Falling Decreasing D No Rising Normal Normal 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?
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:
- A full-term baby born with birth weight of 2000 g comes for well-baby visit at two months of age. Which of the following nutritional supplements would you advise?
