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Newborn Assessment Essay

1328 words - 6 pages

TEMP: NORMAL 97.7-99.1
DECREASED: INSTITUTE WARMINGMEASURE AND CHECK IN 30 MIN. CHECK BLOOD GLUCOSE
INCREASED: REMOVE EXCESSIVE CLOTHING AND CHECK FOR DEHYDRATIONS
CHECK FOR SIGNS OF INFECTION WITH INCREASED AND DECREASED TEMP. MAKE SURE RADIANT WARMER OR INCUBATOR TEMP IS ACCURATE, AS WELL AS THEMOMETOR IF SKIN IS WARM OR COOL TO THE TOUCH.

HEART RATE: 120-160 ( 180 IF CRYING ) REGULAR RHYTHM. PMI AT THIRD OR FOURTH INTERCOSTAL SPACE, SLIGHTLY TO LEFT MIDCLAVICULAR LINE.
IF ANY MURMURS, NOTE LOCATION, REFER ABNORMAL RATES, RHYTHM AND SOUNDS, PULSES.
RESPIRATIONS: RATE 30-60 BREATHS PER MIN. RESPIRATIONS IRREGULAR, SHALLOW UNLABORED. CHEST MOVEMENT IS SYMMETRIC. BREATH SOUNDS PRESENT AND ...view middle of the document...

It normally disappears after 3 or 4 months.
ROOTING REFLEX: occurs when you stroke the baby's cheek. The infant will turn toward the side that was stroked and begin to make sucking motions with the mouth.
SUCKING REFLEX: sucks when area around mouth is touched.
GAG REFLEX: gagging when the throat or back of the mouth is stimulated.
GRASP REFLEX: occurs if you place a finger on the infant's open palm. The hand will close around the finger. Trying to remove the finger causes the grip to tighten. Newborn infants have strong grasps and can almost be lifted with one finger.
Babinski's reflex: occurs when the big toe moves toward the top surface of the foot and the other toes fan out after the sole of the foot has been firmly stroked.
Tonic Neck Reflex: also known as the “fencing reflex" because of the characteristic position of the infant's arms and head, which resembles that of a classically trained fencer. When the face is turned to one side, the arm and leg on the side to which the face is turned extend and the arm and leg on the opposite side flex.
* MUSCLE TONE:
* posture - how does the baby hold his/her arms and legs.
* square window - how far the baby's hands can be flexed toward the wrist.
* arm recoil - how far the baby's arms "spring back" to a flexed position.
* popliteal angle - how far the baby's knees extend.
* scarf sign - how far the elbows can be moved across the baby's chest.
* heel to ear - how close the baby's feet can be moved to the ears.

SKIN :
COLOR:
TURGOR
MILIA: Pinpoint white papules on nose and cheeks
LANUGO: Fine hair on shoulders and back
VERNIX CASEOSA: Cheesy white skin covering present at birth
ERYTHEMA TOXICUM: Yellow papules on trunk, disappear within days.
MONOGOLIAN SPOTS: These are pigmented birthmarks that appear commonly in babies born with darker skin. They most often appear on the lower back or buttocks and look like a flat bruise . These birthmarks usually fade with time
Plantar surface creases: Term infants have numerous creases on plantar surface of foot. Pre-term infant have much fewer creases.

1. Anterior Fontanelle
1. Junction of coronal suture and sagittal suture
2. Mean newborn size: 2.1 cm (larger in black infants)
3. Often enlarges in first few months of life
4. Closes between 4 to 26 months (median 13.8 months)
2. Posterior Fontanelle
5. Junction of lambdoidal suture and sagittal suture
6. Mean newborn size: 0.5 to 0.7 cm
7. Closes by 2 months
1. Exam: Anterior Fontanelle
3. Palpate Fontanelle with infant sitting upright quietly
8. Fontanelle should feel soft
9. Fontanelle should not be sunken or bulging
4. Other examination features
10. Auscultate for bruit (suggests AV malformation)
11. Macewen's Sign (percussion of Fontanelle)
1. Dull cracked-pot sound suggests increased ICP
2....

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