Normal Newborn Flashcards
How old is a neonate?
The first 28 days of life
When is the highest rate of mortality?
1st 24 hours of life
What is the most critical time after birth?
1st hour of life
When is the APGAR done?
1 minute and 5 minutes of life
Why is an APGAR done?
Is an immediate assessment to evaluate transition to extrauterine life
-Done by the nurse
What does the first A in APGAR stand for?
Activity (muscle tone)
0 = absent
1 = Arms and legs flexed
2 = Active movement
What does the P in APGAR stand for?
Pulse
0 = Absent
1 = Below 100 bpm
2 = Over 100 bpm
What does the G in APGAR stand for?
Grimace (reflex irritability)
0 = Flaccid
1 = Some flexion of extremities
2 = Active motion (sneeze, cough, pull away)
What does the second A in APGAR stand for?
Appearance (skin color)
0 = Blue, pale
1 = Body pink; extremities blue
2 = Completely pink
What does the R in APGAR stand for?
Respiration
0 = Absent
1 = Slow, irregular
2 = Vigorous cry
Severely Depressed APGAR score
0 - 3
Moderately Depressed APGAR score
4 - 6
Excellent Condition APGAR score
7 - 10
General Survey of Newborn
- Posture - normal resting position is flexed
- Color
- Activity
- Anomalies that may cause distress (extra digit, tuft of hair on spine)
- Bruising or other consequences of delivery
- State of alertness
Normal Temperatures for newborns
- 9 F - 99.7 F
36. 5 C - 37.5 C
Normal HR for Newborn
110 - 160
Normal RR for Newborn
30 - 60
Which VS should be taken first on newborn patients?
Respiratory rate because hopefully they won’t be crying at the beginning of the assessment.
What is not normally assessed in healthy term newborns?
- BP
2. Pulse oximetry
Pain Scales
- NIPS (Neonatal Infant Pain Scale)
- FLACC (3 months - 7 years)
- PIPP (Premature Infant Pain Profile)
- N-PASS (for premies)
When to re-asses for NIPS
Re-asses Q1hr if scoring 4 or > on NIPS
Non-pharmacological pain interventions
- Swaddling
- Pacifier
- Sucrose
- Skin to skin contact with parent/caregiver
Normal newborn weight
2500 - 4000 g
* Newborns lose 10% of birthweight in first few days, regain in approximately 10 days
Preterm
36 weeks and 6 days or less