Newborn Assessment Flashcards
Components of a newborn assessment
Perinatal history (prenatal records/birth records)
Physical exam (apgar score, vital signs/pain/i&o, measurements, head to toe assessment, gestational age determination)
What is part of the general survey for an infant?
State of alertness, color, muscle tone, gfr
What is an ideal (“normal”) apgar score?
7-10
What are the components of an apgar score?
Heart rate, respirations, muscle tone, reflex irritability, color
Which pain scales should be used on infants?
NIPS, PIPP
What are the 4 newborn measurements that should be taken?
Weight, length, head circumference, chest circumference (not routinely done)
what should be looked at for a newborn’s skin?
Color, texture, turgor, variations
When do state grey patches normally fade?
Over 3-5 years
2 important assessments to NOT be done on newborn eyes
Perrla, red reflex
What is the tonic neck reflex?
Head is turned to one side, extremities on same side extend and the ones on the opposite side flex
What is the babinski reflex?
When stroking the sole of foot causes the big toe to bend backwards
What is the Moro reflex (startle)?
Response to sudden movement/loud noises which should result in symmetric extension and abduction of arms with fingers extended, then returns back to normal relaxed flexion
What are the neuromuscular characteristics that should be assessed?
Posture, square window sign, recoil, popliteal angle, scarf sign, heel-to-ear extension
What are the 6 physical characteristics to be assessed for gestational age?
Skin, lanugo, plantar creases, areola/breast bud tissue, eye/ear form and cartilage, genitals (male/female)
What are hemangiomas?
Birthmarks
