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newborn assessment

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