Clinical Reasoning and Newborn Exam II Flashcards
components of info from mother
prenatal care previous pregnancies health of other children complications family history genetics lab finding (group B strep)
central cyanosis
entire body
acrocyanosis
only of extremities
harlequin skin
one side red one side not
unknown cause
of no consequence
goes away
newborn temp
36.5-37.5 C
newborn resp
30-60 breaths/min
newborn HR
100-160 bpm
newborn vitals
temp
resp
HR
length, weight, head circumference
APGAR
at one minute and 5 minutes
appearance, pulse, grimace, activity, respiration
scored 0-10
baby problems
typically respiratory
caput succedaneum
edema above periosteum which crosses suture lines
just watch it, should reabsorb
cephalohematoma
bleeding under periosteum
-does not cross suture lines
edema crossing suture lines
caput succedaneum
choanal atresia
failure of communication between nose and pharynx
difficulty breathing and cyclic cyanosis
can pass feeding tube to check
eye exam
look for red reflex
symmetry, set/shape, discharge, erythema, red light reflex
cataract in eye
retinoblastoma
galactomsemia
epstein pearls
white dots in mouth
not infection
cleft palate and lips
look for other abnormalities
neck
palpate clavicles
-for fracture after hard delivery
cardiac exam
min of 4 spots
dextrocardia - listen on right side
also check femoral pulses
meconium stained umbilical cord
meconium in amniotic fluid
can get sucked into lung
need resuscitated right away
umbilical hernias
will typically go away
sometime surgically removed
exam of back
sacral dimples
abnormal coloration
neurotube defect findings
spina bifida
no external
sacral hair
