Newborn Flashcards
Vital signs (normal): heart rate
100 to 180bpm
Vital signs (normal): respiratory rate
30 to 60 breaths/min
Vital signs (normal): systolic blood pressure
55 to 90 mm Hg
Vital signs (normal): diastolic blood pressure
26 to 55 mm Hg
What is my APGAR score? Heart rate absent Respiration absent Muscle tone limp Reflex irritability no response Colour blue or pale
0
What is my APGAR score? Heart rate slow (<100 beats/min) Respiration slow, irregular Muscle tone some flexion Reflex irritability grimace Color pink body with blue extremities
1
What is my APGAR score? Heart rate >100 beats/min Respiration good, crying Muscle tone active motion Reflex irritability cough, sneeze, cry Color completely pink
2
After birth, 30 seconds Term gestation? Yes Amniotic fluid clear? Yes Breathing or crying? Yes Good muscle tone? Yes
Routine care: Provide warmth Clear airway Dry Assess color
After birth, 30 seconds Term gestation? No Amniotic fluid clear? No Breathing or crying? No Good muscle tone? No
Provide warmth
Position; clear airway (as necessary)
Dry stimulate, reposition
After birth, 1 minute, complications.
Breathing, HR > 100 and pink
Observational care
After birth, 1 minute, complications
Breathing, HR > 100, but cyanotic
Give supplemental oxygen
After birth, 1 minute, complications
Breathing, HR > 100, but cyanotic
Given supplemental oxygen but persistent cyanosis
Provide positive-pressure ventilation
After birth, 1 minute, complications Breathing, HR > 100, but cyanotic Given supplemental oxygen but persistent cyanosis Positive pressure ventilation Effective ventilation, HR > 100 & pink
Post-resuscitation care
After birth, 1 minute 30 seconds, complications
Apneic or HR <100
Positive pressure ventilation
HR <60
Provide positive pressure ventilation
Administer chest compressions
After birth, 1 minute 30 seconds, complications Apneic or HR <100 Positive pressure ventilation HR <60 Chest compressions
Administer epinephrine and/or volume
Endotracheal intubation may be considered
