Nursing 2301 Exam 1 Newborn Assessment
before beginning the NB assessment know what?
moms health hx
prenatal hx
intrapartal (L&D)
apgar hx
get an overall impression
appearance: get a sense of how the baby looks, color, symmetry, respiratory, effort, cry, tone, awareness,
if they have 3 cord vessels vrs 2 cord vessels
in utero babies develop in a
cephalocaudal - "head to toe" body parts near head are more developed first-top to bottom
proximodistal- center to extremities (inside out)
term babies
fully flexed
preterm babies
fully extended
,racial differences (eyes, soles, abdomens,)
white kids/black kids
when shining light through lens looking at red reflex, to see if its opaque
-white babies- red orange color
-black babies-yellow orange color
black babies- less abdominal muscle, so have a wider space in the abdomen
compared to white babies - more prone to umbilical hernias
white babies soles- babies have more wrinkles in sole of foot
black soles- smoother soles
changes over time- after 12 hours skin dries so much even tiny wrinkles will look like deep creases
changes over time
after 12 hours skin dries so much even tiny wrinkles will look like deep creases
behavioral state
better assessment in a quiet/alert state
,can't assess babies reflexes while baby is in a deep sleep
when born, color of black babies
warmish brown tone
color changes and skin characteristics
all healthy babies, full term, well oxygenated, and are considered "Pink"
no matter what their racial background is
when born, white or asian babies color is
pink, reddish, pale
all babies are more ruddy when?
if crying, normal
to get a good idea of future baby color will be look where?
at genitals and ears, more highly pigmented at birth
, melanin
responds to light ; babies have been in the dark for 9 months.
polycythemia
excess of red blood cells - ruddy all the time
If baby low on oxygen - develop more rbc
acrocyanosis is normal when?
first 24hrs
ruddiness while not crying could indicate
indicates hypoxemia and baby produces more RBCs (carry o2)
polycythemia
mottling
especially if cold
lacy pattern of dark and light areas on babies skin
related to vasomotor fluctuations
before beginning the NB assessment know what?
moms health hx
prenatal hx
intrapartal (L&D)
apgar hx
get an overall impression
appearance: get a sense of how the baby looks, color, symmetry, respiratory, effort, cry, tone, awareness,
if they have 3 cord vessels vrs 2 cord vessels
in utero babies develop in a
cephalocaudal - "head to toe" body parts near head are more developed first-top to bottom
proximodistal- center to extremities (inside out)
term babies
fully flexed
preterm babies
fully extended
,racial differences (eyes, soles, abdomens,)
white kids/black kids
when shining light through lens looking at red reflex, to see if its opaque
-white babies- red orange color
-black babies-yellow orange color
black babies- less abdominal muscle, so have a wider space in the abdomen
compared to white babies - more prone to umbilical hernias
white babies soles- babies have more wrinkles in sole of foot
black soles- smoother soles
changes over time- after 12 hours skin dries so much even tiny wrinkles will look like deep creases
changes over time
after 12 hours skin dries so much even tiny wrinkles will look like deep creases
behavioral state
better assessment in a quiet/alert state
,can't assess babies reflexes while baby is in a deep sleep
when born, color of black babies
warmish brown tone
color changes and skin characteristics
all healthy babies, full term, well oxygenated, and are considered "Pink"
no matter what their racial background is
when born, white or asian babies color is
pink, reddish, pale
all babies are more ruddy when?
if crying, normal
to get a good idea of future baby color will be look where?
at genitals and ears, more highly pigmented at birth
, melanin
responds to light ; babies have been in the dark for 9 months.
polycythemia
excess of red blood cells - ruddy all the time
If baby low on oxygen - develop more rbc
acrocyanosis is normal when?
first 24hrs
ruddiness while not crying could indicate
indicates hypoxemia and baby produces more RBCs (carry o2)
polycythemia
mottling
especially if cold
lacy pattern of dark and light areas on babies skin
related to vasomotor fluctuations
