NEWBORN ASSESSMENT

Question 1

Reminders on Newborn Assessment

Answer 1

• Seek parental consent
• Consider cultural needs
• Discuss with parents:purpose, process,
  timing, and limitations of assessments
• Ask about parental concerns
• Encourage participation

Question 2

Initial exam immediately after birth and
any resuscitation

Answer 2

Newborn Assessment

Question 3

• Full and detailed assessment
  within __hours and always
  prior to discharge

Answer 3

48

Question 4

Preparation is

Answer 4

Explanation
Equipments
Environment

Question 5

Equipments needed are

Answer 5

• Overheadwarmer if
  required
• Stethoscope
• Ophthalmoscope
• Tongue depressor
• Penlight torch
• Tapemeasure,
  infant scales,
  growthcharts
• Pulse oximetry
• Documentation
• Infant Personal Health record
• Medical Health Record

Question 6

Environment should have

Answer 6

adequate warmth
and lighting

Prevent cross infection by
implementing standard
precautions

Question 7

Guidelines in NA

Answer 7

1. General observations to specific measurements.
2. Least disturbing aspects of the examination before more
   intrusive techniques, such as deep palpation and examination
   of the hips.
3. Head-to-toe approach.
   4.The overall physical appearance of the newborn is
   evaluated first, followed by vital signs, weight, and length
4. Thorough head-to-toe assessment follows, ending with
   neurologic reflexes and the gestational age assessment.
5. The behavioral assessment is integrated throughout
   the examination.

Question 8

Indications for further investigation:

Answer 8

Dysmorphic features

Question 9

Clinical Assessment

Answer 9

• Skin, color, integrity, perfusion
• State of Alertness
• Activity, range of spontaneous
  movement
• Posture, muscle tone

Question 10

Looks Floppy
Feels Floppy
Incrased joint mobility

Answer 10

Floppy infant

Question 11

Normal Heart Rate Newborn

Answer 11

110-160

Question 12

Normal RR

Answer 12

30-60

Question 13

Temp

Answer 13

36.5 - 37C

Question 14

BP

Answer 14

60-80/40-45 mm HG

Question 15

the preferred
site for newborn
temperature measurement.

Answer 15

axilla

Question 16

Blood pressures are not taken routinely. If they are measured, the cuff must be
an appropriate size, and the pressure may be measured on an

Answer 16

arm or leg

Question 17

Obtainthe head circumference
by

Answer 17

placing a paper tape measure
around the widest circumference
of the head

Question 18

To measure the chest
circumference,

Answer 18

place the infant on
his or her back with the tape measure
under the lower edge of the scapulae
posteriorly and then bring the tape
forward over the nipple line.

Question 19

Head Circumference

Answer 19

33-35.5cm

Question 20

Chest Circumference

Answer 20

30.5-33cm

Question 21

Document on the appropriate
centile charts:

Answer 21

• Weight
• Length
• Head circumference, C C

Question 22

Indications for further
investigation
Urgent follow-up

Answer 22

 Excessive weight loss

Question 23

Skin Clinical Assessment

Answer 23

Color
* Trauma
* Congenital or subcutaneous
skin lesions
* Edema

Question 24

SKIN - Indicationsfor further investigation
 Urgentfollow-up

Answer 24

Anyjaundice atless than24hours of age
 Central cyanosis

Question 25

a white cheeselike substance that covers thebodyof
the fetus during the secondtrimester.Vernix protects fetal skin fromthe
dryingeffects of amniotic fluid.

Answer 25

Vernix caseosa

Question 26

fine downy hair that is present in abundance on the preterm infant but is found in thinning patches on the shoulders, arms , and back of the term newborn

Answer 26

Lanugo

Question 27

is the best environment
in which to assess for jaundice.
If sunlight is not available inside the nursery,
use indirect lighting

Answer 27

natural sunlight

Question 28

A yellow tinge to the sclera indicates the
presence of

Answer 28

jaundice

Question 29

Press thenewborn’s skin over the
forehead or nose withyour finger andnote
if theblanchedarea

Answer 29

appears yellow