Neonatal, Growth and Developmental Care
Assess newborn illness, feeding, jaundice, growth, developmental progress and age-specific preventive care.
How to prepare for PLAB 1
Practise recognising the immediate clinical task, ruling in or out dangerous alternatives, choosing the safest next step and closing the loop.
Core concepts
Concept 1
Neonatal symptoms require low thresholds for urgent assessment because serious illness may be subtle.
Exam cue: Use age in hours, days or corrected gestation precisely.
Concept 2
Growth and development are interpreted through trajectory and corrected context, not one isolated milestone.
Exam cue: Plot serial measurements and ask whether the child is crossing centiles.
Risk pitfalls and guardrails
Assuming neonatal jaundice is physiological without timing and red flags.
Guardrail: Do not delay stabilisation or escalation for a test that will not change immediate management.
Labelling delay from a single missed milestone.
Guardrail: Avoid an option that names a plausible diagnosis but ignores physiology, contraindications, competence, patient priorities or follow-up.
Memory anchors
What makes neonatal illness concerning?
Poor feeding, temperature change, lethargy, respiratory difficulty, colour change or abnormal behaviour.
How is neonatal jaundice assessed?
Age at onset, gestation, bilirubin level and trend, feeding, illness and conjugated fraction when indicated.
What does a growth chart show?
Trajectory over time relative to age, sex and relevant gestational correction.
What belongs in developmental assessment?
Multiple domains, opportunity, hearing and vision, regression and family concerns.
Why is regression urgent?
Loss of acquired skills suggests significant neurological or systemic disease.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A newborn becomes jaundiced at 10 hours of age. What is best?
A 4-day-old is jaundiced and sleepy with poor feeding. What is best?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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