neonate neuro test 2 Flashcards
what is a APGAR score!
Universal method to assess status of newborn after birth
Used to assess newborn response to transition/resuscitation
what is not do the score APGAR
Not used to predict morbidity and mortality
Not used to make diagnoses
what are the parts of the APGAR score
appearence (pink good +2)
pulse (fast good above 100 = +2)
grimace (cry good +2)
activity (flexed good +2)
respirations (cry good robust +2)
normal axillary temp
36.1°C - 37 °C or (97 °F - 98.6 °F)
normal respiratory rate
30 - 60 /min
Oxygen takes ____ to reach normal levels
10 minutes
heart rate awake?
120-160
fever?
Fever is ≥ 38°C (100.4°F) obtained rectally
heart rate alseep?
80-90
blood pressure?
Blood pressure varies by gestational age, birth weight, chronological age
what is the new ballard score!!!
used to estimate the gestational age of a newborn based on 6 physical and 6 neurologic criteria
how do you add up the score to equal gestational age?
score plus 2! so a score of 40 = 42 weeks
what is the physical criteria of ballard score (maybe to indepth)
skin, lanugo hair, plantar surface of the foot, breast, eyes and ears, and genitalia
What is the new ballard score neuro criteria (maybe to indepth)
posture, square window, arm recoil, popliteal angle, scarf sign and heel to ear
what do you measure with posture?
flexion
what do you measure with square window?
angle between palm of hand and forearm with wrist held in full flexion
what do you measure with arm recoil?
by the angle of flexion at the elbow created by the position that the forearm returns to from full extenstion
what do you measure with popliteal angle?
Flex thigh onto abdomen fully and then extend at knee. The score is determined by the angle of extension at the knee
what do you measure with Scarf sign?
The score is determined by the degree to which the elbow can be easily pulled across the chest toward the opposite shoulder:
what do you measure with heel to ear? (baby contortionist)
With infant supine, bring the anterior surface of the thigh toward the mattress alongside the infant’s trunk. Support the thigh with one hand, while using your other hand to stretch the foot toward the ipsilateral ear.
palpable ridge over a suture line that persists for longer than two to three weeks after birth is concerning for?
craniosynostosis
results from edema of the scalp due to pressure of the presenting part of the head against the cervix. Swelling crosses sutures lines. Resolves in day
Caput succedaneum
this is not associated with caput succedaneum
cranial bleeding
results from bleeding into the potential space between the periosteum and skull. Swelling does not cross suture lines. Resolves in weeks.
Cephalohematoma