NEWBORN PE: VS & Anthropometrics Flashcards

1
Q

VITAL SIGNS of NEWBORN are monitored every ____ minutes after birth until _____

A

VITAL SIGNS of NEWBORN are monitored every 15-30 minutes after birth until 2 hours

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2
Q

Usual Range of temperature (axillary) for newborns

A

36.5-37.5

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3
Q

Usual Range of CR of Newborns

A

120-160 bpm

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4
Q

Usual Range of RR of Newborns

A

40-60 cpm

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5
Q

BP - not routinely taken unless _____

A

CV problems are present

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6
Q

Axillary temp is ______ C lower than rectal

A

0.3-0.6 C

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7
Q

FLUSH METHOD for BLOOD PRESSURE

  1. Neonatal cuff covering ___ of the arm is placed around upper/lower extremity
  2. Inflate the cough gradually until ____
  3. Upon deflation of cuff, stop when ____
  4. The point where ___________ corresponds to the __________
A
  1. Neonatal cuff covering 2/3 of the arm is placed around upper/lower extremity
  2. Inflate the cough gradually until skin blanches
  3. Upon deflation of cuff, stop when there is a return or flush of color
  4. The point where there is flush of color corresponds to the SYSTOLIC PRESSURE
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8
Q

______ can measure both Systolic and Diastolic pressure

A

Doppler can measure both Systolic and Diastolic Pressure

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9
Q

When to repeat taking of vital signs of the newborn?

When is final PE done?

A

Repeat PE at 12 hours and daily thereafter. Final PE is done prior to discharge!

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10
Q

At what age do we start taking BP?

A

3 yrs old

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11
Q

BP cuff should be at least ____% of arm circumference?

A

80%

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12
Q

INDICATIONS for BP MEASUREMENT IN <3 Y/O

Give at least 4
9 yun

A

Prematurity <32 wks AOG

  • SGA
  • VLBW
  • Heart Disease
  • Recurrent UTI/Renal pathology
  • Malignancy
  • Evidence of increased ICP
  • Drugs known to increase BP
  • Neurofibromatosis, Tuberous sclerosis

BP taking - syempre gaya sa adult, may mga may problema sa puso (CHD, taking drugs known to increase BP)
Pag payat (SGA, VLBW)
infection/immunocompromised (UTI, Cancer)

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13
Q

Usual weight of neonate

A

2800-3200

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14
Q

Usual length of a neonate

A

50 cm

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15
Q

Usual HC of a neonate

A

35 cm +,- 5cm

32-37 cm

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16
Q

CC should be _____ cm small than HC at BIRTH

A

1-2 cm

17
Q

What are the parameters we should consider for “SGA”?
Alin yung mga icoconsider natin if below 10th percentile

When did the insult occur?

A

SGA
-birth weight,
length,
HC below 10th percentile;

insult occurred early !!!

18
Q

Average weight gain of neonate during the 1st month

A

30 g per day

19
Q

Birth weight doubled at which month?

Tripled at which month?

A

4th month

12th month

20
Q

Formula for estimated weight of 1-6 yo:

A

Age in years x 2 + 8

21
Q

What device do you use to measure the length in children <2 yo?

A

Infantometer

22
Q

For measurement of HC, saan ilalagay tape measure? Give landmarks.

A

Tape measure placed over supraorbital ridge in front

Extended circumferentially to the most prominent part of occiput

23
Q

HC increases by ___ cm from birth to ____

A

HC increases by 10 cm from birth to 1 yr old

24
Q

Give landmarks sa measurement for chest circumference

A

Mid-inspiration

Xiphoid Notch as ref point

25
Q

ABDOMINAL CIRCUMFERENCE

Give landmarks sa measurement for

Infants - ?
Older children - ?

A

For Infants: Measure across UMBILICUS
In older children: midway from lowest rib (inf. Margin to iliac crest)

**Record to the nearest 0.1 cm at the end of expiration

26
Q

How to measure Arm Span

A

Arm outstretched sidewise

Measure from tip of right middle finger to tip of left

27
Q

How to measure U:L ratio

for 0-3 yo?

For >3yo?

A

0-3 yr old: supine, from umbilicus to tip of toes, feet flexed 90 degrees

> 3 yr old: standing, ASIS to floor

28
Q

T/F: Upper segemnt is measure when getting the U:L ratio of a child?

A

Upper segment is not measure

29
Q

Give the age + normal values when assessing U:L ratio in children

A

Birth: 1.7
1-3 mos: 1.3
>7 yo: 1.0

30
Q

Reminder lang to Study WHO child growth chart z-score interpretation

A

Reminder lang to Study WHO child growth chart z-score interpretation