neonatal assessment Flashcards
2 tests for newborn hearing screen, which is preferred?
auditory brainstem response*, otoacoustic emissions
what is the most common birth defect?
hearing loss
when should children with risk for hearing loss be screened?
before age 2
when is the heart formed? brain? lungs?
heart- 7 weeks
brain 6-7 weeks
lungs 37 weeks
what is the “age of viability”?
21-22 weeks
when are APGARs taken, what is normal/abnormal?
take at 1 and 5 minutes
normal 7 and up
abnormal 4 and below
APGAR stands for:
Appearance (color) Pulse Grimace (reflex irritability) Activity (muscle tone) Respirations
Grades for appearance
0- blue
1- pink trunk, blue extremities
2- pink all over
grades for pulse
0- absent
1- less than 100
2- over 100
grades for grimace
0- no response
1- facial grimace
2- foot w/d, sneeze, cry
grades for activity
0- flaccid
1- weak, inactive
2- strong, active
grades for respiration
0- absent
1- irregular, slow
2- good, crying
what is the use of the ballard score?
to estimate true gestational age after birth
what are the 2 areas examined in ballard score?
neuromuscular and physical
grasp reflex
baby will close fingers around object placed in hand (28 weeks)
moro reflex
with loss of support/feeling like they are falling, baby will abduct arms, then adduct, then usually cry (28 weeks)
tonic neck reflex
turn head to one side, on the side the head is turned to baby will extend arm/leg and will flex the opposite side arm/leg (35 weeks)
placing reflex
put anterior tibia against a surface and baby will lift leg, as to step up
