NEWBORN PE: VS & Anthropometrics Flashcards
VITAL SIGNS of NEWBORN are monitored every ____ minutes after birth until _____
VITAL SIGNS of NEWBORN are monitored every 15-30 minutes after birth until 2 hours
Usual Range of temperature (axillary) for newborns
36.5-37.5
Usual Range of CR of Newborns
120-160 bpm
Usual Range of RR of Newborns
40-60 cpm
BP - not routinely taken unless _____
CV problems are present
Axillary temp is ______ C lower than rectal
0.3-0.6 C
FLUSH METHOD for BLOOD PRESSURE
- Neonatal cuff covering ___ of the arm is placed around upper/lower extremity
- Inflate the cough gradually until ____
- Upon deflation of cuff, stop when ____
- The point where ___________ corresponds to the __________
- Neonatal cuff covering 2/3 of the arm is placed around upper/lower extremity
- Inflate the cough gradually until skin blanches
- Upon deflation of cuff, stop when there is a return or flush of color
- The point where there is flush of color corresponds to the SYSTOLIC PRESSURE
______ can measure both Systolic and Diastolic pressure
Doppler can measure both Systolic and Diastolic Pressure
When to repeat taking of vital signs of the newborn?
When is final PE done?
Repeat PE at 12 hours and daily thereafter. Final PE is done prior to discharge!
At what age do we start taking BP?
3 yrs old
BP cuff should be at least ____% of arm circumference?
80%
INDICATIONS for BP MEASUREMENT IN <3 Y/O
Give at least 4
9 yun
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)
Usual weight of neonate
2800-3200
Usual length of a neonate
50 cm
Usual HC of a neonate
35 cm +,- 5cm
32-37 cm
CC should be _____ cm small than HC at BIRTH
1-2 cm
What are the parameters we should consider for “SGA”?
Alin yung mga icoconsider natin if below 10th percentile
When did the insult occur?
SGA
-birth weight,
length,
HC below 10th percentile;
insult occurred early !!!
Average weight gain of neonate during the 1st month
30 g per day
Birth weight doubled at which month?
Tripled at which month?
4th month
12th month
Formula for estimated weight of 1-6 yo:
Age in years x 2 + 8
What device do you use to measure the length in children <2 yo?
Infantometer
For measurement of HC, saan ilalagay tape measure? Give landmarks.
Tape measure placed over supraorbital ridge in front
Extended circumferentially to the most prominent part of occiput
HC increases by ___ cm from birth to ____
HC increases by 10 cm from birth to 1 yr old
Give landmarks sa measurement for chest circumference
Mid-inspiration
Xiphoid Notch as ref point
ABDOMINAL CIRCUMFERENCE
Give landmarks sa measurement for
Infants - ?
Older children - ?
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
How to measure Arm Span
Arm outstretched sidewise
Measure from tip of right middle finger to tip of left
How to measure U:L ratio
for 0-3 yo?
For >3yo?
0-3 yr old: supine, from umbilicus to tip of toes, feet flexed 90 degrees
> 3 yr old: standing, ASIS to floor
T/F: Upper segemnt is measure when getting the U:L ratio of a child?
Upper segment is not measure
Give the age + normal values when assessing U:L ratio in children
Birth: 1.7
1-3 mos: 1.3
>7 yo: 1.0
Reminder lang to Study WHO child growth chart z-score interpretation
Reminder lang to Study WHO child growth chart z-score interpretation
