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123na
newborn assessment
| Question | Answer |
|---|---|
| normal heart rate | 120-160 |
| normal respiratory rate | 30-60 |
| normal temperature | 97.8-99 |
| normal blood pressure | 80/46 |
| head circumference | 32-36.8 cm or 13-14 in |
| microcephaly | small head related to body size |
| craniostenosis | premature closure of the skull sutures |
| if head circumference is > or equal to 4 cm more than the chest than what is suspected | hydrocephaly |
| normal chest circumference | 30-33 cm or 12-13 in |
| normal length | 18-22 in |
| if longer than normal may be a sign of? | chromosonal abberation |
| normal weight | 2500-4000 grams or 5-9 lbs |
| healthy newborn needs how many kcal/hr | 90-120 kcal/hr |
| skin texture should be | soft without scales |
| turgor is best done | over the sternum |
| subcutaneous fat | insulates newborn from temperature extremes |
| vernix caseosa | white cheesy substance found on the skin after birth. Consider this a body fluid. |
| lanugo | downy fine hair found on shoulder, pinea of the ear, and forehead. Preterm baby will have more. |
| acrocyanosis | body is pink and extremities are blue |
| cyanosis | over all body, very dangerous sign |
| harlequin color change | unknown in origin, is a color discrepency between light and dark. |
| Jaundice | yellowish tint related to excessive billirubin. Normal after 24 hour. check sclera |
| pallor | may be a sign of cardiovascular disease |
| erythema toxicum | normal newborn rash, dark red in color, normaly found on abdomen, back, and diaper area, goes away in 24-48 hours |
| milia | small pin size pearly balls on nose and face. Clogged sebaceous glands |
| diaper rash | generalized rash, contact dermatitis, with or without vesicles, papules, or pustules |
| capillary hemangioma | blood filled bIrth marks, vascular lesions from newly formed capillaries |
| telangiectatic nevi | (stork bite)pink irregular shaped flat areas. blanch with pressure. most commonly occurs on the upper eyelids or back of the neck.fades between 1st qnd 2nd year of life |
| nevus flammeus | composed of newly formed capillaries in the (PORT WINE STAIN) papillary layer of the skin. red/purple, flat birth mark, huge in appearance, usually on the face or thigh. Doesn't blanch and goes away on its own |
| nevus vasculosus | (strawberry mark) bright or dark red raised areas caused by dilated, newly formed capillaries. 75% found on head. Can remain till school age or longer. |
| mongolian spot | bruised appearance. most common on buttocks. usually in dark skinned individuals, only 9% in caucasions. Fades over months or years |
| petechiae | caused by increase in vascular pressure. disappears in 1-2 days |
| edema normally found on | hands feet and pubis, disappears in 2-3 days |
| nails should | Extend beyond nail bed |
| molding | over riding of the sutures of the skull |
| caput succedaneum | edematous swelling beneath the scalp. caused by prolonged pressure of head against cervix. COVERS SUTURE LINE Most common over occiput, disappears in 3-4 days |
| cephalohematoma | not present at birth, develops 24 hrs. soft bulge, DOESN'T CROSS SUTURE LINE, disappears in 3-6 wks |
| plagiocephaly | flattened occiput on one side and prominence of frontal region. Caused by lying in one position, can be permanent |
| dry and brittle hair indicates | endocrine disorder |
| fontanels | found on infants head, should be open, flat and slightly depressed |
| anterior fontanel | diamond shaped, closes at 18 months, 1-6 cm sagital and coronal sutures |
| posterior fontanel | triangle in shape, closes at 2 months, 1-2cm, sagital and lamdoidal sutures |
| bulging of fontanel indicates | increased intracranial pressure |
| depression of fontanel indicates | dehydration |
| is edema of eye lids normal | yes for 2 days after birth |
| Mongoloid slant of the eyes indicates | Down Syndrome |
| Normal color of Iris | grey or blue in caucasion, blue to brown in other races |
| red light reflex if abnormal indicates | if white could be tumor or congenital cataracts |
| corneal light reflex | shine a light in eyes, look for reflection light should fall equally in each pupil |
| if pinna of ear is below outer canthus of eye then this could indicate | kidney problems or mental retardation |
| lack of cartilage in ear indicates | prematurity |
| preauricular tags | extra skin around ears. kidney problems |
| flaring of the nose after 1st 15 mins indicates | respiratory distress |
| epstein's pearls | pin size white or yellow elevated epithelial cysta, normal variant |
| thrush | milk white spots, contraced when baby passes through birth canal |
Created by:
gemjema
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