Newborn Asessment Flashcards
(12 cards)
What does APGAR score stand for?
Appearance
Pulse
Grimace
Activity
Respiration
What are the components of each of the parts of the APGAR score
Points from 0 | 1 | 2
- Appearance: cyanotic/pale all over | peripheral cyanosis only | pink
- Pulse: 0 | <100 | 100-140
- Grimace: no response to stimulation | grimace or weak cry when stimulated |cry when stimulated
- Activity: floppy | some flexion | well flexed and resisting extension
- Respiration: absent | slow and irregular | vigorous cry
When is the newborn assessment done?
In first 24 hours and repeated at 6-8 weeks
What is the newborn assessment for?
- to identify abnormalities
- to provide health education + parental reassurance
Before starting newborn examination what should be done?
- examine maternal + baby’s notes incl. birth weight, height, any known issues + APGAR
- ask about maternal and antenatal history - USS + bloods
- social history - child protection?
- ask parents if they have any concerns or problems feeding
- ask if baby has passed urine or meconium yet
What are the three component of a successful Moro’s reflex?
Abduction of arms
ADduction of arms
Startled look/crying
Outline Moro’s reflex
- one hand on baby’s head to slightly lift from table
- other hand holds baby’s arms across chest
- release to allow baby to fall briefly
- abduction, adduction and crying should occur
What does an absent/abnormal Moro’s reflex indicate?
- unilateral: shoulder or brachial plexus injury
- bilateral: brain or spinal cord damage
What is suggested if the Moro’s reflex persists past 4/5 months?
Severe neurological problem
Explain the Barlow test
- hold baby’s thigh near hip
- with gentle posterior/lateral pressure attempt to dislocate femoral head
- there should be no rotation
- if the hip dislocates, a clunk can be felt > then do Ortoleni test
Explain Ortoleni test
- complete after Barlow test
- hip is abducted
- pressure is applied to proximal thigh from behind
- attempt to relocate femoral head
- clunk felt if successful
Go through new born assessment on notability
