Newborn Assessment Flashcards
What are four mechanisms of heat loss in newborns?
Conduction: skin to cold surface
Convection: cold air onto body
Evaporative: skin is wet
Radiation: close to cold object
What is assessed in the APGAR?
Appearance (colour) Pulse (heart rate) Grimace (reflex) Activity (muscle tone) Respiratory (vigorous cry)
What are the normal vital signs in a newborn?
Temperature: 36.5-37
Heart Rate: 110-160 (above a 100)
Respiratory: 30-60 bpm
BP: 60-80/40-45
What are six normal skin manifestations on a newborn?
Describe each using a key term:
Milia:white spots Newborn rash: harmless rash Mongolian Spot: bluish black Stork Bites:pale pink blanch when pressed Port Wine Stain:purple does not blanch
Describe the difference between Caput Succedaneum and Cephalhematoma
Which one do you assess for jaundice?
Cephalhematoma:
Caused by bleeding
Does not cross suture lines
Caput Succedaneum:
Swelling of soft tissue
Caused by overlapping cranial bones
Cephalhematoma
What are normal reflexes for infants?
Suck Palmar Grasp Stepping Moro Reflex Tonic neck (fencing position)
Signs of hypoglycemia in a newborns
Jitteriness Poor feeding Listlessness Irritability Low temp Crying
Why does the newborn receive vitamin K within the first 24 hours?
To prevent hemorrhage
In an APGAR score what score will make the newborn be considered “vigorous”
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