What is Gestational Age?
time between conception and birth
What is the "normal" pregnancy time frame?
38-41 weeks
Pre-term
before 37 weeks
post term
42 weeks and beyond
Gestational Age Assessment - skin (term)
opaque and disappearance of the vernix caseosa
Gestational Age Assessment - Breast Bud (term)
The tissue will measure between 0.5 and 1 m
Gestational Age Assessment - Ear form/cartilage distribution (term)
- some cartilage and slight incurving of the upper pinna
- good recoil
Gestational Age Assessment - Male genitals (term)
testes are generally in the lower scrotum, which is pendulous and covered with rugae
(folds)
Gestational Age Assessment - Female genitals (term)
Labia majora cover the labia minora and clitoris
Gestational Age Assessment - Posture (term)
fully flexed
Gestational Age Assessment - Square Window (term)
30-40 degrees to 0 degree angle
Gestational Age Assessment - Recoil (term)
Increased recoil
Gestational Age Assessment - Popliteal angle (term)
- Push heel with finger toward chest
- A smaller degree of angle indicates more resistance
Gestational Age Assessment - Scarf Sign (term)
- Draw the arm across the chest to the opposite shoulder
- arm will not cross midline
Gestational Age Assessment - Heel to Ear (term)
- looking at hip joint/extension
- Heel will not touch ear
What to look for in general appearance during assessment in newborns
- Observe the newborn undisturbed
- any signs of distress
- flexed position
- behavioral state (asleep/awake/self-consoling techniques)
- Type of cry
, What should the color/texture of a newborn's skin be after birth?
- pink tinged
- smooth and soft
- Vernix present
Characteristics of a newborn's eyes/vision
- bright, clear, and placement
- peripheral vision
- can fixate on near objects
- Can perceive faces, shapes, and colors
- Grayscale
- pupillary reflex is present "PERRLA"
What type of breathers are newborns?
"Nose breathers"
- small and narrow
Newborn respirations
- diaphragmatic
- 30-60 breaths/min
Newborn pulse
110 - 160 BPM
Newborn temperature (axillary)
97.9 - 99.0 F
umbilical cord
- two arteries
- one vein
- initially white and gelatinous
Head circumference is how many cm more than chest
2 cm
What is Epstein"s Pearls?
a whitish yellow cyst that forms on the gums and hard palate of a newborn--they look
like teeth. This is a normal finding in newborns and disappears in the first few weeks
What is thrush?
- Candida albicans (yeast infection) of the mouth
- Caused from: infected vaginal canal, antibiotics, and poor hand washing
What is acrocyanosis?
blue hands & feet → not concerning (withing first 24 hrs)
What does mottling-lacy pattern of blood vessels indicate?
- poor respiratory status
- cold
- sepsis
What is erythema toxicum?
- "newborn rash"
- eruption
- white/pale/yellow
- caused by newborn skin adapting to a new environment
What is Milia?