Exam (elaborations)
PN 133 MODULE 1 NEWBORN CARE TEST
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PN 133 MODULE 1 NEWBORN CARE TEST...
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what to use to assess newborn (8)-apgar scoring tool
-bulb syringe (suction excess from mouth and nose)
-stethoscope with pediatric head (HR, breath sounds, bowel sounds)
-axillary thermometer
-BP cuff
-weight scale with a protective cover in place
-tape measure with centimetre
-clean gloves
what are apgar score (9)
-1 and 5mins
-Activity: 0-flaccid, 2-ext well flexed
-Pulse: 0-absent; 2->100
-grimance- 0- no resp, 2-cry
-appearance: 0-pale or blue; 1- pink with ext blue, 2-all pink
-respiration: 0-absent; 2-good cry
-0-3- severe distress,. req resus
-4-6- mod diff
-7-10- minimal or no diff
what is the intial data collected for newborn
-external (7)
-chest (4)
-abdomen (1)
-neurologic (3)
-other (1)
-weight (1)
-length (1)
-chest circum ()
-head circum (1)
,External data collection
-skin color
-peeling
-birthmarks
-foot creases
-breast tissue
-nasal patency
-meconium staining
chest
-point of maximal impulse location
-ease of breathing
-auscultation for heart rate and quality of tones
-resp for crackles, wheezes, equality of bilateral breath sounds
abdomen
-rounded abdomen and umbilical cord with one vein two arteries
neurologic
-muscle tone and reflex reaction
-palpation for presence and size of fontanels and sutures
-data collection of fontanels for fullness or bulge
other observation
-inspect for gross structural malformations
weight- 2.5 to 4kg (5.5 to 8.8lb)
Length- 45 to 55cm (18 to 22inch)
Head circum 32 to 36.8cm (12.6 to 14.5inch)
Chest circum 30 to 33cm (12 to 13 inch)
, What are vital signs expectation for newborn (9)
RR
-30-60/min
-up to 15secs of apnea normal
-assess for wheezing or crackles
-grunting and nasal flaring are resp distress
HR
-110-160/min
-document heart murmurs
BP
-60-80/40-50
Temp
-36.5-37.5 (97.7- 99.5)
-at risk for hypothermia and hyperthermia
what are normal expectation for skin for newborn (12)
-initial deep red to purple with acrocyanosis
-jaundice can appear on third day
-skin turgor quick
-texture dry, soft, smooth, good hydration, cracks in hand and feet
-at full term, desquamation (peeling)
-vernix caseosa (protective, thick, cheesy covering)
-lanugo (fine drowsy hair)
-Milia (small raised pearly or white spot on nose, chin, forehead) don't squeeze
-Mongolian spots (spots of pigmentation, blue, gray, brown, black) on back and
buttock, more on dark skin and genetics, document location and presence
-telangiectatic nevi (stork bites) flat pink or red marks that blanch, on back of
neck, nose, upper eyelid, middle of forehead, fade by second year
-nevus flammeus (port wine stain) capillary angioma below surface of skin that
is purple or red, varies in size, shape, on face, doesn't blanch or disappear
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