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Newborn assesment

Newborn Physical assesment

Normal Newborn Vital Signs Respiration Rate-normally 30-50/minute; quite shallow, irregular. Breathing usually abdominal or diaphragmatic. Transient tachypnea. Breath sound may be difficult to localize - clear to rales & rhonchi.
Normal Newborn Vital Signs Pulse Beat heard 5th intercostal space. May hear murmurs first or second day which may be physiologic. After this time, notify physician. 120-150 beats/min (if asleep, 80-90/min; if crying, up to 180/min. May be regular or irregular, strong, pulses equal.
Normal Newborn Vital Signs Blood Pressure Normal average 80/40 at birth to 100/50 by 10 days; depends on age and weight of infant. Difficult to obtain diastolic pressure with standard sphygmomanometer - Blood pressures not routinely done on normal newborns - only those who are premature.
Normal Newborn Vital Signs Temperature Rectal 36.5-37.2o C(97.7-99oF) Axillary 36.5-37.2o C(97.7-98.6 F). Temperature stabilizes within 8-12 hours after delivery.
Normal Newborn Weight Average birth weight about 7 pounds 8 oz. (3405 Gm. Males usually weigh slightly more than females, white babies more than non-white, second more than first. Average physiologic weight loss about 5-10% of birth weight.
Normal Newborn Length Average-50 cm (20 inches) both sexes grow 1 inch per month for the first 6 months.
Normal Physical Newborn Characteristics Head Large in comparison to rest of body; 1/4 of body size. Circumference about 33-35 cm. and is approximately 2 cm greater than chest circumference, (although the first day they may equal due to molding). Asymmetrical due to molding during birth.
Normal Physical Newborn Characteristics Head May see bruising due to trauma of delivery; Caput succedaneum-swelling or edema of scalp near presenting portion; crosses suture lines. Cephalhematoma-soft mass of irreductible blood accumulating, between periosteum and flat skull bone
Created by: asta60656