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GP > Newborn Asessment > Flashcards

Newborn Asessment Flashcards

1
Q

What does APGAR score stand for?

A

Appearance
Pulse
Grimace
Activity
Respiration

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2
Q

What are the components of each of the parts of the APGAR score

A

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

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3
Q

When is the newborn assessment done?

A

In first 24 hours and repeated at 6-8 weeks

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4
Q

What is the newborn assessment for?

A
  • to identify abnormalities
  • to provide health education + parental reassurance
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5
Q

Before starting newborn examination what should be done?

A
  • 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
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6
Q

What are the three component of a successful Moro’s reflex?

A

Abduction of arms
ADduction of arms
Startled look/crying

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7
Q

Outline Moro’s reflex

A
  • 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
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8
Q

What does an absent/abnormal Moro’s reflex indicate?

A
  • unilateral: shoulder or brachial plexus injury
  • bilateral: brain or spinal cord damage
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9
Q

What is suggested if the Moro’s reflex persists past 4/5 months?

A

Severe neurological problem

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10
Q

Explain the Barlow test

A
  • 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
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11
Q

Explain Ortoleni test

A
  • complete after Barlow test
  • hip is abducted
  • pressure is applied to proximal thigh from behind
  • attempt to relocate femoral head
  • clunk felt if successful
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12
Q

Go through new born assessment on notability

A
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GP (5 decks)

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