Paediatric Rank-Booster Day
Hey, future AIIMS Nursing Officers! Day 188 at logyanlo.in is your complete Paediatric Nursing masterclass for AIIMS NORCET 2025, RRB Staff Nurse, JIPMER, SGPGI & DSSSB. We're covering the 8 most repeated topics: Meconium Aspiration Syndrome, Respiratory Distress Syndrome, Neonatal Resuscitation Program, Bag-Valve-Mask Ventilation, Moro Reflex, Creeping vs Crawling, Parachute Reflex, and Hemorrhagic Disease of Newborn. These appear in every shift - master them and lock 15-20 marks! Let’s dominate 2025!
Why Paediatric Nursing Is Exam Gold
Paediatric = guaranteed high weightage:
- 15–20 % questions in AIIMS NORCET & RRB exams
- Neonatal resuscitation, RDS & meconium aspiration are favourite emergency scenarios
- Reflexes & hemorrhagic disease appear in both theory + diagram-based sections
- BVM & developmental milestones are repeated every year
logyanlo.in gives you only the high-yield, rank-making points!
Key Topics in Paediatric Nursing
Meconium Aspiration Syndrome
Quick Fact
Meconium aspiration syndrome occurs in post-term or distressed fetuses.
Complete Coverage
Meconium aspiration syndrome (MAS) is respiratory distress in newborns due to meconium-stained amniotic fluid inhalation.
Pathophysiology
Fetal distress → meconium passage → aspiration → airway obstruction, chemical pneumonitis, surfactant inactivation
Clinical Signs
Respiratory distress (grunting, tachypnea, cyanosis), barrel chest, meconium staining of skin/nails
Diagnostics
CXR: patchy atelectasis, hyperinflation, pneumothorax possible
Management
Suction at delivery (if vigorous no routine), oxygen, CPAP, ventilation if severe
Complications
Persistent pulmonary hypertension (PPHN), pneumothorax, air leak syndromes
Exam Pearl
Post-term baby + green amniotic fluid + respiratory distress = MAS.
Respiratory Distress Syndrome (RDS)
Quick Fact
RDS is due to surfactant deficiency in preterm infants.
Complete Coverage
Respiratory distress syndrome (RDS) is hyaline membrane disease in premature newborns.
Risk Factors
Preterm <34 weeks, male, diabetic mother, C-section without labour
Clinical Signs
Tachypnea (>60/min), grunting, nasal flaring, retractions, cyanosis
Diagnostics
CXR: ground-glass appearance, air bronchograms, reduced lung volume
Management
Surfactant therapy (poractant), CPAP, mechanical ventilation
Prevention
Antenatal corticosteroids (betamethasone) to mother 24–34 weeks
Exam Pearl
Silverman-Anderson score for RDS severity.
Neonatal Resuscitation Program
Quick Fact
NRP algorithm: 30 seconds per step, PPV if HR <100.
Complete Coverage
Neonatal Resuscitation Program follows AHA guidelines.
Steps
- Warm, dry, stimulate
- PPV if apneic or HR <100 (40–60 breaths/min)
- Chest compressions if HR <60 (3:1 ratio)
- Epinephrine if HR <60 after 60 sec compressions
Equipment
T-piece resuscitator, LMA for difficult airway
Exam Pearl
Positive pressure ventilation first if HR <100.
Bag-Valve-Mask (BVM) Ventilation
Quick Fact
BVM ventilation rate in neonates: 40–60 breaths/min.
Complete Coverage
BVM is manual ventilation device for newborns/infants.
Technique
E-C clamp, head neutral position, jaw thrust
Rate
40–60/min, pressure 20–30 cm H2O
Signs of Effective
Chest rise, improving HR, colour
Complications
Gastric distension, pneumothorax if overinflation
Exam Pearl
BVM before intubation in resuscitation.
Moro Reflex
Quick Fact
Moro reflex present at birth, disappears by 3–6 months.
Complete Coverage
Moro is startle reflex – symmetric abduction/extension followed by adduction.
Elicitation
Sudden head drop or loud noise
Absent
Birth asphyxia, brachial plexus injury
Asymmetric
Erb's palsy, clavicle fracture
Exam Pearl
Persistent beyond 6 months = neurological issue.
Creeping vs Crawling
Quick Fact
Crawling (on belly) precedes creeping (on hands & knees).
Complete Coverage
Developmental Milestones
- Creeping: 9–10 months – on hands & knees
- Crawling: 7–8 months – on belly (commando crawl)
Normal Variation
Some babies skip crawling
Delay
Investigate if no locomotion by 12 months
Exam Pearl
Creeping = quadruped position.
Parachute Reflex
Quick Fact
Parachute reflex appears at 7–9 months, persists lifelong.
Complete Coverage
Parachute reflex is protective extension of arms when falling forward.
Elicitation
Hold prone, sudden downward movement
Significance
Indicates balance & coordination development
Absent
Cerebral palsy or neurological delay
Exam Pearl
Latest reflex to appear, persists forever.
Hemorrhagic Disease of Newborn
Quick Fact
Hemorrhagic disease due to vitamin K deficiency.
Complete Coverage
Vitamin K deficiency bleeding (VKDB) in newborns.
Types
Early (0–24 hrs), classic (1–7 days), late (2–12 weeks)
Causes
Low vitamin K in breast milk, no placental transfer
Signs
GI bleeding, umbilical stump oozing, intracranial haemorrhage
Prevention
IM vitamin K 1 mg at birth (universal)
Exam Pearl
Vitamin K prophylaxis at birth prevents VKDB.
Mini FAQ: Paediatric 2025 Hacks
Q: MAS classic? → Post-term + meconium + respiratory distress
Q: RDS prevention? → Antenatal steroids
Q: Moro disappears by? → 3–6 months
Q: Parachute appears at? → 7–9 months
Q: VKDB prevention? → Vitamin K at birth
Why logyanlo.in?
Your 2025 paediatric rank partner with free PYQs, diagram quizzes & Telegram community!
Conclusion: Your Paediatric Marks Are Locked!
Day 188 just gave you the complete paediatric package. Keep practising daily on our Daily Question Bank and watch your name in the merit list!
Call to Action
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