CH 18 - NEWBORN 2 Flashcards
Initial Newborn Assessments:
Signs indicating a PROBLEM
- nasal flaring - using accessory muscles to breathe (too much fluid, need to cry, suction, percussions aka pat back)
- chest retractions
- grunt, labored breathing - usually just need to get fluid out
- generalized cyanosis, flaccid posture - cyanosis of hands and feet okay BUT generalized is NOT good
- abnormal breath sounds, rr - too fast/ too slow
- abnormal hr, size - can heat up and go tachy
Gestational Age Assessment tests for what:
- PHYSICAL MATURITY (skin texture, lanugo, plantar creases, breast tissue, eyes and ears, genitals)
- NEUROMUSCULAR MATURITY (posture, square window, arm recoil, popliteal angle, scarf sign, heel to ear)
APGAR Scoring
A = appearance /color
P = pulse / heart rate
G = grimace / reflex irritability
A = activity / muscle tone
R = respiratory
1 min & 5 min
-score of 6 or below then we do a third score at 10 min
Newborn VS
temp: 97.7 - 99.5
hr: 110 -160
respirations: 30-60 and do for a full min bc of irregular breathing
bp: don’t do
Preterm/ Premature
prior to 37 weeks
Term Baby
38-42 weeks
Post term
after 42 weeks
Vernix caseosa :
looks like cheesey white substance on skin, more for preterm babies
protects the skin
Stork Bite:
at the back of the head
Milia:
neonatal acne
-do not squeeze or pop these
-go way on their own, but if popped then they can get infected
Mongolian Spots:
-discoloration usually by the butt crack
Erythema Toxicum:
-red rash w/ white bumps
-do not pop/ squeeze
-very common on the butt
Harlequin Sign:
different colors on each side of the body
Nevus Flammeus aka Port Wine Stain:
red “stain”/ birthmark
Nevus Vasculosus:
raised and looks like a mole, red.
does not go away
