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skill demonstration

newborn assessment

TermDefinition
Newborn Assessment Step 1 Inspect General Appearance and look for well flexed arms and legs, full range of motion and spontaneous movement.
Newborn Assessment Step 2 Assess vital signs of the newborn: temperature, pulse, respirations, blood pressure (assess blood pressure in all 4 extremities if heart murmur noted).
Newborn Assessment Step 3 Complete body measurements: Weight, Recumbent Length, Head Circumference, and Chest Circumference. Plot measurements on a growth chart.
Newborn Assessment Step 4 Inspect and palpate the skin. Assessing for: Color: pink or cyanosis, Vernix, Acrocyanosis, Mongolian spots, Mottling, Jaundice, Milia,Petichiae, Bruises or Edema.
Newborn Assessment Step 5 Inspect and palpate the head: Symmetrical and round, Face symmetrical resting and crying, Anterior and Posterior Fontanels: soft and flat, Sutures: approximated or separated, Caput, Molding, or Cephalahematoma.
Newborn Assessment Step 6 Inspect Eyes: Distance between eyes (2-3 cm), Sclera (white), Pupils (round, equal, reactive to light), and Edema, Red eye reflex, Corneal light reflex, assess for discharge.
Newborn Assessment Step 7 Inspect and Palpate the Ears: pinna and cartilage, assess for low set ears (compare outer canthus of eye with top of pinna), note skin tags or pits.
Newborn Assessment Step 8 Inspect the nose to ensure patency and assess for any nasal flaring.
Newborn Assessment Step 9 Inspect the mouth and throat: Mucosa and gums (pink and moist), Tongue (moves freely), Palates (hard, intact, and dome shaped), Check sucking reflex (present), Gag reflex (present), Percocious /natal teeth.
Newborn Assessment Step 10 Inspect and palpate the Neck: Should be short and thick, turns easily to each side, clavicles (intact/no crepitus), some head control. Assess for head lag.
Newborn Assessment Step 11 Inspection and palpate the chest: Evident xiphoid process, symmetrical movements, symmetrical nipples, appropriate chest diameter (measured), breast tissue, and for any accessory nipples.
Newborn Assessment Step 12 Auscultate breath sounds: clear, wheezes, rhonchi, crackles, diminished, grunting, nasal flaring, retractions.
Newborn Assessment Step 13 Auscultate heart sounds (no murmur), assess brachial and femoral pulses, capillary refill < 2 seconds.
Newborn Assessment Step 14 Assess the abdomen: Using observation, inspection, auscultation, and palpation. Assess for softness and dome shaped, 3 vessel cord (AVA), check for umbilical hernia, and auscultate for bowel sounds.
Newborn Assessment Step 15 Assess Genitalia: Inspect and Palpate: Note if sacral dimple. Female: Edematous labia, labia majora larger than labia minora, vaginal discharge, urethral meatus midline Male: Palpable testes in scrotum, urinary meatus visible, circumcision
Newborn Assessment Step 16 Inspect and palpate back: Spine intact midline, straight, and without masses, assess for dimples, mongolian spots, tuft of hair, or lanugo.
Newborn Assessment Step 17 Inspect rectum. Assess for first meconium within 24 hours of birth.
Newborn Assessment Step 18 Inspect ,palpate extremities: equal movement tone, equal length, 10 fingers / 10 toes, no syndactyly or polydactyly, hands held fisted, nails present, palpate femoral / peripheral pulses, palmer&plantar creases, assess for equal gluteal and thigh folds, &
Newborn Assessment Step 19 Complete a gestational age assessment: Use a standardized gestational age assessment tool. Assess newborn's physical characteristic: skin, lanugo, plantar surface, breast, eye/ear, genitals. Assess neuromuscular maturity: posture, square window, arm reco
Post Procedure Step 1 Ensure client is comfortable.
Post Procedure Step 2 Student is professional and courteous with their communication.
Post Procedure Step 3 Ensures client has their call light.
Post Procedure Step 4 Ensure client's personal items are in reach.
Post Procedure Step 5 Washes hands.
Created by: mimispeaks
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