NEWBORN ASSESSMENT

Question 1

OBJECTIVES

1. NEWBORN
   ASSESSMENT

Answer 1

●To provide assessment of the
newborn state of development of
wellbeing

Question 2

OBJECTIVES

NEWBORN
ASSESSMENT

Answer 2

●To detect any deviation from normal

Question 3

OBJECTIVES

NEWBORN
ASSESSMENT

Answer 3

●To assess progress of the child

Question 4

OBJECTIVES

NEWBORN
ASSESSMENT

Answer 4

●To detect disease in early age

Question 5

OBJECTIVES

NEWBORN
ASSESSMENT

Answer 5

●To determine the nature of
treatment or care needed for the
newborn

Question 6

INDICATIONS

NEWBORN
ASSESSMENT

Answer 6

First examination: monitoring
the baby inside the womb of the
mother before the delivery and 2
hours after birth

Question 7

INDICATIONS

NEWBORN
ASSESSMENT

Answer 7

●Second examination: before
discharge

Question 8

INDICATIONS

NEWBORN
ASSESSMENT

Answer 8

●Third examination: after
6-8weeks of neonatal life

Question 9

PHASES OF

ASSESSMENT

Answer 9

●Initial
●Transitional
●Assessment of gestational age
●Systemic physical examinations

Question 10

INITIAL
ASSESSMENT

Answer 10

APGAR SCORING SYSTEM

Question 11

TRANSITIONAL

ASSESSMENT

lasts for 6 hours, first 30
minutes awake and remaining hours
the newborn will be sleeping

Answer 11

1ST STAGE

Question 12

TRANSITIONAL

ASSESSMENT

6 – 12 hours observation
should be made until the vital signs
are established

Answer 12

2ND STAGE

Question 13

ASSESSMENT OF

GESTATIONAL
AGE

is commonly used to determine
gestational age. Scores are given for 6 physical
and 6 nerve and muscle development
(neuromuscular) signs of maturity.

Answer 13

Ballard score

Question 14

ASSESSMENT OF

GESTATIONAL
AGE

The scores for each may range from

Answer 14

-1 to 5

Question 15

ASSESSMENT OF

GESTATIONAL
AGE

are added together to determine
the baby’s gestational age.

Answer 15

scores

Question 16

ASSESSMENT OF

GESTATIONAL
AGE

– include posture,
square window, arm recoil, popliteal angle, scarf
sign, heal to ear

Answer 16

NEUROMUSCULAR MATURITY

Question 17

ASSESSMENT OF

GESTATIONAL
AGE

skin, lanugo, plantar
surface, breast, eye/ear, genitalia(male/female)

Answer 17

PHYSICAL MATURITY

Question 18

ASSESSMENT OF

GESTATIONAL
AGE

– the
newborn is less than 10% of the ideal weight at
the time of birth, less than 2500 gms

Answer 18

Small for gestational age (SGA)

Question 19

ASSESSMENT OF

GESTATIONAL
AGE

the newborn
is more than 90% of the ideal weight at the
time of birth, more than 4000 gms

Answer 19

Large for gestational age (LGA)

Question 20

ASSESSMENT OF

GESTATIONAL
AGE

the
newborn is within the ideal range of birth
weight 2500 – 4000 gms

Answer 20

Appropriate for gestational age (AGA)

Question 21

ASSESSMENT OF

GESTATIONAL
AGE

pregnancy that reached
37 to 40 weeks age of gestation

Answer 21

FULL TERM

Question 22

ASSESSMENT OF

GESTATIONAL
AGE

pregnancy that reached
21 to 36 weeks age of gestation

Answer 22

PRE-TERM

Question 23

ASSESSMENT OF

GESTATIONAL
AGE

pregnancy that has
extended to or beyond 40 weeks of
gestation

Answer 23

POST TERM

Question 24

GENERALGENERAL PHYSICAL EXAMINATION

PHYSICAL
EXAMINATION

VITAL SIGNS

Answer 24

TEMPERATURE
RESPIRATION
PULSE
BLOOD PRESSURE

Question 25

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION you may use the apical pulse which is located on the midclavicular between 4th and 5 th inter coastal space left. Count in one full minute for accuracy

Answer 25

PULSE

Question 26

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION PULSE

Answer 26

Normal pulse rate Bradycardia Tachycardia

Question 27

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION 120 – 160 bpm

Answer 27

Normal pulse rate

Question 28

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION less than 120 bpm

Answer 28

Bradycardia

Question 29

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION more than 160 bpm

Answer 29

Tachycardia

Question 30

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION PHYSICAL EXAMINATION blood pressure monitoring is not routinely done. The average systolic and diastolic pressure is 66/44mmHg at 1-3 days of age

Answer 30

BLOOD PRESSURE

Question 31

# GENEGENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION PHYSICAL EXAMINATION can be taken through rectal (to check also for the patency of the anus) or axilla

Answer 31

TEMPERATURE

Question 32

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION TEMPERATURE

Answer 32

Normal temperature Hypothermia Hyperthermia

Question 33

# GENERAL PHYSICAL EXAMINATION PHYSICAL EXAMINATION 36.5 to 37.5C

Answer 33

Normal temperature

Question 34

# GENERAL PHYSICAL EXAMINATION less than 36C

Answer 34

Hypothermia

Question 35

# GENERAL PHYSICAL EXAMINATION more than 38C

Answer 35

Hyperthermia

Question 36

ANTHROPOMETRIC MEASUREMENT

Answer 36

To assess the body size, shape and the composition of the newborn’s body

Question 37

ANTHROPOMETRIC MEASUREMENT

Answer 37

●To compare the size with estimated period of gestation

Question 38

ANTHROPOMETRIC MEASUREMENT

Answer 38

●To identify if there are abnormalities in newborn

Question 39

# ANTHROPOMETRIC MEASUREMENT HEAD CIRCUMFERENCE

Answer 39

33 – 35 cm

Question 40

# ANTHROPOMETRIC MEASUREMENT CHEST CIRCUMFERENCE

Answer 40

31 – 33 cm

Question 41

# ANTHROPOMETRIC MEASUREMENT ABDOMINAL CIRCUMFERENCE

Answer 41

31 – 33cm

Question 42

# ANTHROPOMETRIC MEASUREMENT BODY LENGTH

Answer 42

47 – 54cm

Question 43

# ANTHROPOMETRIC MEASUREMENT