Newborn Assessment

Question 1

What are the expected findings of a newborn’s posture?

Answer 1

arms and legs flexed
hands fisted
should resist extension

Question 2

What are the expected findings of a newborn’s apical pulse?

Answer 2

120-160
(can be higher or lower due to crying or sleep)

Question 3

What are normal findings for a newborn’s respirations?

Answer 3

30-60
chest and abd should rise together
occasional apnea is normal
(apnea over 20s is bad)

Question 4

What are normal BP findings for a newborn?

Answer 4

50-70/30-45 (first 10 days)

Question 5

What are normal temp findings for newborns?

Answer 5

97.7-99F

Question 6

What are normal weight findings for newborns?

Answer 6

usually lose up to 10% first week

Question 7

How do we measure newborn head circumference?

Answer 7

measure around head
tape measure above ears and eyebrows

Question 8

How do we measure length?

Answer 8

from top of head to heel of leg

Question 9

How do we measure chest circumference?

Answer 9

Wrap around torso at nipple line

Question 10

What does the general chest assessment of newborns include?

Answer 10

shape and symmetry
breasts for swelling and dischrage
assess lung sounds
assess clavicle

Question 11

What do we look for in an skin system assessment?

Answer 11

color
bruising
birthmarks
lanugo
temp
vernix
rashes
inspect nail length

Question 12

What do we look for in a head assessment of newborns?

Answer 12

caput
molding
cephalohematoma
subgaleal hemorrhage

Question 13

How do we assess the newborn eyes?

Answer 13

assess symmetry and placement
assess for discharge
evaluate eyeballs for presence, lense opacity, movement, and sclera color

Question 14

How do we assess the nose of a newborn?

Answer 14

observe patency and placement of nares
shape of nose

Question 15

How do we assess newborn ears?

Answer 15

assess placement and cartilage
assess hearing

Question 16

How do we assess the mouth of a newborn?

Answer 16

inspect palate
assess suck reflex
inspect lips, gums, and tongue

Question 17

How do we assess the neck of a newborn?

Answer 17

assess for flexibility, movement, and bruising

Question 18

How do we assess the abd of a newborn?

Answer 18

inspect umbilical stump
inspect, auscultate, palpate

Question 19

How do we inspect the rectum?

Answer 19

patency and placement

Question 20

How do we inspect male genetalia during a newborn assessment?

Answer 20

assess placement of urinary meatus
Palpate scrotum to assess for testicle descent

Question 21

How do we inspect female genetalia during a newborn assessment?

Answer 21

assess for clitoris
labia minora
vaginal opening

Question 22

What do we inspect during a musculoskeletal assessment of a newborn?

Answer 22

spine
extremities
gluteal folds

Question 23

What should we find during a chest circumference?

Answer 23

2-3cm smaller then head

Question 24

What should we find after the chest assessment?

Answer 24

chest is symmetrical and barrel shaped
breasts swollen and leaking (common)
clavicle intact
lung sounds clear or crackles for first few hours

Question 25

What should we find after a skin assessment?

Answer 25

pink body, possible blue hands and feet Normal findings include: mottling harlequin sign erethema toxicum physiological jaundice petechiae over presenting part long nails

Question 26

What might we find after a head assessment?

Answer 26

molding fontanels depressed at rest but bulge when crying lacerations may be visualized bruising common