Newborn Assessment Flashcards

1
Q

What are some characteristics we look at for gestation?

A

Skin

Lanugo

Plantar surface

Breast

Eye/ear

Genitals

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2
Q

What is the tonic neck reflex?

A

Fencing position

Elicited when the newborn is supine and the head is turned to one side. In response, the extremities on the same side straighten whereas the opposite side flex.

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3
Q

What is the rooting reflex?

A

Elicited when the side of the newborns mouth or cheek is touched. In response, the newborn turns towards that side and opens the lips to suck.

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4
Q

What is the sucking reflex?

A

Elicited when an object is placed in the newborns mouth or anything touches the lips

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5
Q

What is the palmar grasping reflex

A

Elicited by stimulating the newborn palm with a finger or object and the newborn grasps and holds the object or finger firmly

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6
Q

What is the moro reflex?

A

Elicited when the newborn is startled by a loud noise or lifted slightly above the crib and then suddenly lowered.

In response, the newborn straightens arms and hands outward while the knees flex

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7
Q

What is the stepping reflex?

A

When held upright with 1 foot touching a flat surface, the newborn puts 1 foot in front of the other end “walks”

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8
Q

Normal heart rate and respiratory rate for newborns?

A

Heart rate: 110-160 bpm

Resp: 30-60

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9
Q

BP for newborns?

A

50/30 - 70/45

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10
Q

Normal weight for newborn?

A

2500-4000 grams

5lb 8oz to 8lb 13 oz

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11
Q

What is the axillary temp for newborns?

A

36.5-37.2 C

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12
Q

When is jaundice normal in newborns?

A

A buildup of bilirubin in the blood is normal after 24 hours up to a week after delivery

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13
Q

What is caput head?

A

Edematous swelling in the fetal scalp caused by pressure from uterus or vaginal wall during delivery and it disappears without treatment

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14
Q

What is normal muscle tone for a full-term baby?

A

Flexed and symmetric

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15
Q

What is lanugo

A

Find hair that baby is born with. More present in preterm babies. Helps keep vernix in place. This finding is normal.

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16
Q

What does it mean if fontanelles are bulging?

A

Too much intracranial pressure

17
Q

What does it mean if fontanelle are sunken?

A

Dehydration

18
Q

What is a cephalhematoma

A

Accumulation of blood under the scalp. It does not cross suture lines.

19
Q

When should a baby pass meconium

A

Within 24-48 hours of life

20
Q

How does meconium look for a breast fed baby?

A

Stool is seedy, yellow mustard gold and soft to liquid; stools more frequent

21
Q

How is meconium for formula fed infants?

A

Stool is pale yellow, formed and firmer

22
Q

What is habituation?

A

Can a baby shut out repetitive stimuli?

23
Q

What is large for gestational age (LGA)

A

Those who plot above the 90th percentile curve on intrauterine growth curves

24
Q

What is appropriate for gestational age (AGA)?

A

Those who plot between the 10th and the 90th percentile growth curse

25
Q

How are newborns assigned a category?

A

It depends on birthweight, length, occipital frontal head circumference, and gestational age