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Newborn assesment
Newborn Physical assesment
| Question | Answer |
|---|---|
| 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
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