When is the newborn assessment done - ANSWER ASAP after birth;
done periodically afterwards until discharge from care
Purpose of Newborn Assessment - ANSWER Detect disease in early
stage, determine cause and effect of disease, teach child and parent,
predict future health, determine nature of treatment or care if needed
After initial assessment, how should you assess - ANSWER 1 hour after
feedings; in a neutral environment; in the presence of a parent; gently
and methodically (from top to bottom); systems that require a quiet child
first
Apgar Assessment - ANSWER 1 and 5 minutes after birth; assesses
heart rate, respiratory effort, muscle tone, reflex irritability and colour;
maximum score is 10 the baby is in good condition; <6 at 5 minutes
needs an additional assessment at 10 minutes
Causes of low Apgar score - ANSWER CNS disease, congenital
muscular disease, asphyxia, maternal drugs, prematurity, fetal sepsis
Phases of newborn assessment - ANSWER Initial
Transitional
Assessment of gestational age
Systemic physical examinations
Temperature of newborn - ANSWER Normal 36.5-37.5; hypothermia <
36; hyperthermia >41
Respiratory rate of newborn - ANSWER Normal 35; tachypnea >40;
bradypnea <20
Heart rate of newborn - ANSWER 120-160 bpm
done periodically afterwards until discharge from care
Purpose of Newborn Assessment - ANSWER Detect disease in early
stage, determine cause and effect of disease, teach child and parent,
predict future health, determine nature of treatment or care if needed
After initial assessment, how should you assess - ANSWER 1 hour after
feedings; in a neutral environment; in the presence of a parent; gently
and methodically (from top to bottom); systems that require a quiet child
first
Apgar Assessment - ANSWER 1 and 5 minutes after birth; assesses
heart rate, respiratory effort, muscle tone, reflex irritability and colour;
maximum score is 10 the baby is in good condition; <6 at 5 minutes
needs an additional assessment at 10 minutes
Causes of low Apgar score - ANSWER CNS disease, congenital
muscular disease, asphyxia, maternal drugs, prematurity, fetal sepsis
Phases of newborn assessment - ANSWER Initial
Transitional
Assessment of gestational age
Systemic physical examinations
Temperature of newborn - ANSWER Normal 36.5-37.5; hypothermia <
36; hyperthermia >41
Respiratory rate of newborn - ANSWER Normal 35; tachypnea >40;
bradypnea <20
Heart rate of newborn - ANSWER 120-160 bpm
