New Born And Pediatric Assessment Flashcards
New born pulse and resp rate
Pulse 100-160
RR-30-60
1-11 months pulse and rr
Pulse-100-150
RR- 25-35
1-3 yr old pulse and RR
Pulse 80-130
RR- 20-30
3-5 yr old pulse and rr
80-120 pulse
RR-20-25
6-10 yr pulse rr
Pulse 70-110
RR 18-22
10-16 pulse& RR
Pulse 60-90
RR 16-20
What age are we looking At their abdominal for respiration because
They are diaphoretic breathers
Children younger than 7
Which age range do you look at their chest because they are thoracic breathers
Older than 7
Since it takes a antipyretic an hour to kick in what do we want to teach parents to do in the mean time ?
Remove layered clothing from child and a cool cloth
What is the first thing to be concerned about when a new born is born
Respiratory is the most critical , typically sitting in the 60% for o2
In order for heart to beat , babies have to breathe
Takes about 10 min for o2 to get back up
What is the second thing to be cautious about when a baby is born
Thermoregulation .. critical to new born survival
Evaporation
Causes heat loss
Conductive
Heating up surfaces like our hands or stethascope before touching the baby
Convection
Loss of oxygen = heat loss
Radiation
Transfer of heat from a cooler object (why we keep babies away from a cold wall)
Important tempature for a new born to stay within
36.5-37.5 c
97.7-99.5f
What factors stimulateNB to breathe
Chemical factors
Thermal factors (cold)
Tactile (drying them off)
Vernix
Cheesy white stuff that gets powdery when it dries .. serves as a protectant
Lanugo
Hair .. protection
Possible Indicators of trisomy 21(not always the case)
Top pinna of ear not aligned with outer canvas
Webbing of the neck or webbing of fingers
One palmar crease
At what ages do you listen to the 5th intercostal space
Children over. 7
What ages do we listen to the 4th intercostal space for apical pulse
Younger than 7
Moro (startle) reflex response
Scarring baby - another way to see symmetry and movement
Within the first 24 hours we should expect babies to
Urinate and the urine should be colorless and odorless
Genitalia for a new born girl
Labia majors and minora hymnal tag
Genteel is for male
Penis foreskin urethra opening scrotum testing
What should we never do to babies foreskin
Retract
Ophthalmic drugs
Erythromycin
Tetracycline
Silver natrate
Why do we apply prophylactic ophthalmic drugs
To protect baby from exposure from chlamida that was passed during labor, c sections mom babies get them as welll. Protect babies eyes from blindness
What do you assess before giving ointment for eyes
PERRLA first and give within first hour of life
What two medication/vaccine given at birth
Vitamin k
1 of 3 hepatitis shots
When does the posterior fontael close
2-4 months
Anterior fontanels when does it close
12-18 mo
When does binocularity occur
3-4 mo
Treatments of stasbimus
Glasses
Patching
Eye drops
Surgical intervention
Amblyopia
Lazy eye can lead to blindness
Signs of hearing impairment in infants
Lack of startle or blink reflex to loud sound
Absence of babble or voice by 7 mo absence of well formed syllabus by 11 mo
Signs of hearing impairment of children
Use of gestures rather than words to express desires
Failure to develop intelligible speech by 24 mo
Asking to repeat statements
Avoidance of social interactions
Can’t hear in school or teach due to big class
Signs of teething
Increase nonnutritive sucking
Ear rubbing pulling
Drooling
Anorexia
By what age do babies have a complet set of teeth
24 month
How many teeth do kids lose starting at age 6
20 primary teeth
How many permanent teeth is gained
32 16 on top 16 on bottom
