A term newborn has a small sharply defined red patch on the white part of one eye, but feeds well and has no eye discharge or swelling. Which interpretation is most appropriate?
Correct answer: A. A subconjunctival haemorrhage from birth trauma
- A. A subconjunctival haemorrhage from birth trauma
- B. A severe bacterial eye infection
- C. A sign of neonatal sepsis
- D. A chemical injury requiring eye irrigation
Explanation
A subconjunctival haemorrhage can occur during birth and usually resolves without treatment when the newborn is otherwise well. Purulent discharge, swollen eyelids, or systemic illness would suggest infection and require prompt assessment.
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About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
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