The Newborn (SIM) Flashcards
5 basic criteria to identify high risk newborn
breathing/crying, good muscle tone and pink color, term and absence of meconium
Routine newborn care consists of
warmth, clearing the airway, observing vital signs
Normal temp of newborn
36.5-37.4C
Normal heart rate of newborn
120-160bpm
Normal respiratory rate of newborn
40-60 breaths per min
Normal BP of newborn
depends on sex and gestational age
Which statement is FALSE
a. neurologic and developmental evaluation of the newborn is best done 2-3 days after birth
b. neurologic and developmental evaluation of the newborn is best done after the transition phase when the newborn has stabilized
c. Percussion is never done in examination of the newborn
d. through assessment of the newborn include inspection, auscultation and palpation
C
What is the Ballard examination for?
categorizing growth
For whom is the Ballard examination valid?
Neonates <26y.o.
When should extremely premature infants undergo the Ballard examination?
witihn 12hours before skin color changes which may alter assessment
When should full term infants be tested?
ASAP witihn 72 hours
Which develops first? Flexor/Extensor Tone?
Flexor
True of passive flexor tone except EXCEPT
A. is not dependent on infant’s level of active motor activity
B.develops earlier in the lower ex
C. not the basis for basic neurologic maneuvers but extensor tone instead
D. eliciting the so called primitive
reflexes like the tonic neck, palmar and plantar grasp reflexes alter the passive flexor tone of the
joint being tested
C
The following statements are true EXCEPT
a. most manuevers should be done with the head in the middle without grasping hands and soles
b. in doing the scarf sign maneuver, the hand is pulled across the chest
c. in performing PE on the newborn, inspection and uscultation should be done first
d. there are no fixed values for normalcy in the newborn, only ranges of values
B
[posture score]
Full flexion of arms and legs
4
[posture score]
Moderate flexion of arms and legs
2
[posture score]
Arms and legs extended
0
[posture score]
Slight or moderate flexion of arms and legs
1
[posture score]
Legs flexed and abducted, arms slightly flexed
3
Test done by exerting gentle pressure on 3rd metacarpal and observing the angle between the hypothenar eminence and the anterior aspect of the forearm
Square Window
[square window score]
>90degrees
-1
[square window score]
0 degrees
4
[square window score]
45degrees
2
[square window score]
90degrees
0
[square window score]
60degrees
1
[square window score]
30degrees
3
[arm recoil score]
Remains!extended 180 degrees,or with random movements
0
[arm recoil score]
Small amount of flexion, 110 – 140 degrees
2
[arm recoil score]
Minimal flexion 140-180degrees
1
[arm recoil score]
moderate flexion, 90-100degrees
3
[arm recoil score]
brisk return to full flexion, <90
4
[Popliteal angle score]
180deg
-1