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