Observation

Question 1

Rubric - Observation

Answer 1

Observation – 10 points
State - awake, alert, crying (1)
Tone – flexion (1)
Color – pink, acrocyanosis, cyanosis (1)
Skin – rashes, birth marks, lesions (1)
Respiration – rate, grunting, nasal flaring (2)
Gender – male/female (1)
Lanugo (1)
Vernix (1)
Gross anomalies (1)

Question 2

Video

Answer 2

• Place baby under radiant warmer.
• Uncover baby.
• Observe baby: General look over the baby:
• -What is the baby’s state? Is s/he awake and alert?
• -Look at the tone of the baby. Is it flexed (arms bent, etc)? (Flexion is tone.)
• -What is the baby’s color? Is it pink, or is there acrocyanosis or cyanosis?
• -Look at the skin – are there rashes, birth marks, lesions? Is there lanugo? How much vernix is covering the newborn?
• -Look at respirations: Look at respiratory effort, are there any signs of distress? Any retractions or nasal flaring? Is the baby grunting? What is the rate?
• -Assess genitalia.
• -Look for gross anomalies. Check symmetry.

Question 3

acrocyanosis

Answer 3

A blue or purple mottled discoloration of the extremities, especially of the fingers, toes, and or nose.

Question 4

Lanugo

Answer 4

downy hair covering the body.

Fine downy hairs that cover the body of the fetus, esp. when premature. The presence and amount of lanugo aids in estimating the gestational age of preterm infants. The fetus first exhibits lanugo between weeks 13 and 16. By gestational week 20, it covers the face and body. The amount of lanugo is greatest between weeks 28 and 30. As the 3rd trimester progresses, lanugo disappears from the face, trunk, and extremities.

Question 5

Vernix

Answer 5

A protective sebaceous deposit covering the fetus during intrauterine life, consisting of exfoliations of the outer skin layer, lanugo, and secretions of the sebaceous glands. It helps the neonate conserve body heat. It is most abundant in the creases and flexor surfaces. Not necessary to remove upon delivery.