Newborn Assessment

Question 1

Step 1

Answer 1

Check Doctor’s orders, policy and procedure, Kardex

Question 2

Step 2

Answer 2

Gather equipment, wash hands, identify the infant

Question 3

Step 3

Answer 3

Provide privacy and explain procedure to parents

Question 4

Step 4

Answer 4

General colour: pink, ethnic, jaundice

Question 5

Step 5

Answer 5

Muscle tone: flexed extremities, adducted with hands closed

Question 6

Step 6

Answer 6

Skin: presence of lanugo, some vernix, smooth soft and good turgor

Question 7

Step 7

Answer 7

Weight: 7-8lbs/13oz

Question 8

Step 8

Answer 8

Length: 48-53cm / 19-21in

Question 9

Step 9

Answer 9

Temp: 36.5-37.2

Question 10

Step 10

Answer 10

Circumference: 33-35.5cm / 13-14in

Question 11

Step 11

Answer 11

Fontanelles: anterior fontanelle flat and diamond shaped; posterior fontanelle triangle shaped and non-bulging

Question 12

Step 12

Answer 12

Face: symmetrical alignment, positioning

Question 13

Step 13

Answer 13

Eyes: symmetrical movement, blue/white sclera, tearless crying

Question 14

Step 14

Answer 14

Ears: symmetrical alignment, positioning

Question 15

Step 15

Answer 15

Assess startle reflex

Question 16

Step 16

Answer 16

Mouth: gums pink and moist, no teeth, tongue sometimes extends beyond lips

Question 17

Step 17

Answer 17

Back: flat, straight, c-shaped when sitting, dimple/hair at sacrum

Question 18

Step 18

Answer 18

Chest: symmetrical respirations, 30-60 resps/min, heart rate 110-160 beats/min

Question 19

Step 19

Answer 19

Abdomen: bowel sounds present, umbilical cord, no hernia, passes meconium w/I 24hrs

Question 20

Step 20

Answer 20

Thighs: symmetrical creases on both thighs, ROM

Question 21

Step 21

Answer 21

External Genetalia: normal in appearance, testicle descended, urination w/i 24hrs

Question 22

Step 22

Answer 22

Hands and feet: number of digits, grip reflex

Question 23

Step 23

Answer 23

Document and record.