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Ass of Neonate
Assessment of Neonate
| Question | Answer |
|---|---|
| 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
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