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N143 > Module 8: Newborn assessment > Flashcards

Module 8: Newborn assessment Flashcards

1
Q

What is the APGAR and when should it be performed?

A

1min and 5min immediately following birth

The newborn’s immediate response to extrauterine life
Breathing rate, heart rate, muscle tone, reflexes, and skin color
Each category scored 0 or 1 or 2
Higher score =less intervention needed

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2
Q

What position and preparation is needed to perform the apgar?

A

The infant is supine on a warming table or examination table with an overhead heating element. The infant may be nude except for a diaper over a boy.

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3
Q

What vital signs do you assess?

A

Pulse, respiration, and temperature

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4
Q

What is the normal range for HR?

A

120-160

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5
Q

What is the normal range for BP?

A

85/54

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6
Q

What is the normal range for respiratory rate?

A

30-60BPM

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7
Q

What is the normal axillary temp?

A

36-37.9

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8
Q

What is the proper preparation for newborn assessment?

A

Timing - Best to assess 1 to 2 hours after being fed (trying for not too drowsy or too
hungry). When sleeping listen to the heart, lung, and abdominals

Warm and comfortable environment - overhead heating lamp

Non-verbal and verbal approach - Smile,
eye contact, warm hands and stethoscope,
smooth movement, soft voice

Clean hands and equipment

PPE if chance of bodily fluid exposure

Encourage parent and guardian presence

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9
Q

What is the proper positioning for newborn assessment?

A

Supine on a padded examination table

Parent/guardian’s chest

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10
Q

What does APGAR stand for?

A 
Appearance (skin color)
Pulse
Grimace (reflex irratibility) 
Activity (muscle tone)
Respiration
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11
Q

what vital signs to check for newborn assessment?

A

pulse
Respirations
temp

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12
Q

what is the normal range newborn respirations

A

30-60bmp

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13
Q

what is the normal range for newborn axillary temp?

A

36- 37.5

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14
Q

what is the normal range for newborn Bp?

A

85/54

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15
Q

what is the normal range for newborn HR?

A

120-160bmp

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16
Q

what is the landmark for auscultating the heart?

A

fourth intercostal - lateral to the midclavicular line

17
Q

what is included in the measurement of newborn assessment?

A

Weight
Length
Head Circumference
Plot on growth curves, percentiles used

18
Q

What is the avg newborn weight?

A

3400g

19
Q

What is the avg newborn height?

A

50cm

20
Q

What is the avg newborn head circumference?

A

34cm

21
Q

what is the normal % of body weight a newborn can lose in the first few days?

A

10%

22
Q

what is included in the general survey for newborn assessement?

A 
Body symmetry
Spontaneous postion
Flexion of the head extremeties
Movement
Skin color
Any obvious deformities
Facial features
Alert/response
Strong cry
23
Q

what are the normal findings of the hands and feet of the newborn?

A

cyanosis of hands and feet

24
Q

what are the normal findings for abdomen of the newborn?

A

soft, protrudent abdomen

25
Q

what are the normal findings of fontanelles and sutures? of the newborn?

A
  • Diamond shape anterior

* Triangular shape posterior

26
Q

what are the normal findings of fontanelles and sutures of the newborn?

A
  • Diamond shape anterior

* Triangular shape posterior

27
Q

what are the normal findings for vision of the newborn?

A

Ability to fixate on
moving objects about
20 to 25 cm from
faces

28
Q

What reflexes are assessed?

A 
sucking,
rooting, grasping,
yawning, coughing,
sneezing, hiccupping,
blinking, startling
29
Q

what is a normal expectation for sleep?

A

Sleeping- almost
continuously for the
first 2 to 3 days

30
Q

What is hyperbilirubinemia?

A
  • Excessive bilirubin accumulates in the blood
  • Infant immature liver is unable to balance the
    destruction of RBCs with the use of or excretion of
    byproducts
     Can be toxic
     Phototherapy
31
Q

What are the 3 distinct components of the moro reflex?

A

Spreading out the arms (abduction)
Pulling the arms in (adduction)
Crying (usually)

N143 (10 decks)

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