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Ass of Neonate

Assessment of Neonate

What is included in Neonate History? Maternal History ; Antepartum (The pregnancy) ; Peripartum (The Labor) ; Delivery ; Apgars
What is included in the physical assessment? Body measurements ; VS ; Posture/movement ; Cry/tone
What do you look for in the Neonates skin? Thickness/turgor ; Acrocyanosis ; Vernix ; Lanugo ; Color/ Jaundice
Petechiae look like what? Purple splotchy skin marks.
What is Milia? Subasious glands full usually on the nose and look like little bumps.
What is the Harlequin sign Half white half pink baby.
Hemangiomas are raised capillary beds that will not go away. (T/F) False they do go away.
What does mottling look like? Like white lace and splotchy pink pattern. Sign of cold stress.
What is a normal head size? Should be 25% of body length.
What are some shapes of the head? Molded ; Caput ; Cephalhematoma ; Sutures ; Fontanels
What do you assess for on the Neonates face , eyes, ears? Face =symmetry. Eyes = symmetry, corneas, sclera , red reflex, doll's eyes. Ears = Shape, positioning, hearing.
What do you assess for on the Neonates Mouth, nose, neck? Mouth= Lips, tongu, palate, gums, reflexes, epstein's pearls, natal teeth. Nose = Symmetry, shape, potency Neck = Appearance, motion, masses or extra folds.
What do you assess for on the Neonates Chest? Clavicles ; Breast tissue ; Lungs = (Diameter/size/shape, location/degree of retractions, rate of breathing, regularity, breath sounds.)
What are the normal FHR, brady, and tacky rates? Normal FHR = 120-160
What do you assess for on the neonates heart? Rate ; Rhythm ; Sounds (murmurs, clicks, Point of maximum impulse) ; Pulses (brachial, femoral, pedal)
What do you assess for on the neonates Abdomen? shape ; size ; sounds ; loops ; soft/firm/color ; skin defects ; umbilical cord.
What do you assess for on the male neonates genitals? Urinary meatus visible, hypospadias, testes, hernia.
What do you assess for on the female neonates genitals? Underdeveloped ; discharge ; skin tags
What do you assess for on the neonates back? Anus = Position and patency Spine = Curving, neural tube defects, dimples, tufts of hair
What might dimple above the butt checks indicate? If it is hole, it might represent spinabifida.
What do you assess for on the neonates Hips? Use barlow and ortolan tests ; symmetry of gluteal and thigh creases
What do you assess for on the neonates Arms, hands, legs, feet? number and formation of digits ; fractures
What do you assess for on the neonates extremities? Hips ; Arms/hands/legs/feet ; pulses ; movement
What is the Barlow-ortolani test? grabbing legs and bringing up to the chest. Checking for hip dysplasia.
What are some neurological signs to assess for in neonates? Jitteriness ; Seizures ; Cry ; Contentment vs. Irritability
What are the neurological reflexes? Rooting and sucking - Palmar grasp reflex - Plantar grasp - Babinski - stepping - Moro - Tonic neck
Created by: zj mepn