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 |