Neonatal Assessment

Question 1

New Ballard Tool

Answer 1

assesses gestation btw 20-44 weeks

Question 2

Eval of Anterior Vascular Lens Capsule Optic Exam

Answer 2

Assesses stage of normal embryonic lens development and atrophy between 27 and 34 weeks GA, requires opthalmascope, cannot be performed before 27 weeks, must be done within 48 hours
Grade 4 - still completely present - 27-28 weeks
Grade 3 - mostly present - 29-30
Grade 2 - less present - 31-32
Grade 1 - almost gone 32-34

Question 3

Square window

Answer 3

Angle decreases as gestation progesses - extreme immaturity - 90 degree angle - progressing to 0

Question 4

Ballard- Arm Recoil

Answer 4

Recoil increases as gestation increases

Question 5

Ballard- popliteal angle

Answer 5

Angle decreases as gestation increases - extreme premature legs fold all the way to the head - Term babies - knee angle < 90 degrees

Question 6

Ballard scarf sign

Answer 6

decreases as gestation increases - In extreme prematurity the elbow can go the the other side of the body before resistance is felt. Resistance is felt earlier as gestation progresses.

Question 7

Ballard - lanugo

Answer 7

present at 20-28 weeks and decreases as gestation increases

Question 8

Ballard plantar creases

Answer 8

first appear on anterior sole at 28-30 weeks, increase to heel with increasing gestation - may be accellerated with oligo and not accurate after 12 hours

Question 9

Ballard - Eyes

Answer 9

eyes unfuse at 26-28 weeks,

Question 10

ballard - ears

Answer 10

ear cartilage increases with increasing gestation

Question 11

Ballard genitalia

Answer 11

Female - clitoris becomes less visible with increasing gestation and fat deposits in labia major increase with gestation
Male - testes descend, Rugae of scrotum increase as gestation increases