Texas A&M University, Corpus Christi NURS 3550 | NURSING ASSESSMENT OF THE NEWBORN | Complete.

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NURSING ASSESSMENT OF THE NEWBORN

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NEWBORN: 82 _Gender £
Initials Age 3%.|
Apgars @imin 4§ @ 5 min_Q_

Weeks Gestation via Dubowitz/Ballard (maturity rating)_Zj‘fi
Weeks Gestation via LMP 53- |
(\P3 $02.
Birth weight &@M Weight today (g‘bfi Blood type/RhL

Developmental percentile (AGA, SGA, or LGA)_AGA




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Fetal delivery presentation Cefna\iC — Ve ctexX
Complications of birth/early neonatal period N/a

Date/time of first feed 10/1% @5:20
Breast or bottle feed Brenst
3F
~/A
Date/time of first void_\0/ 1% 1523 Date/time of first stool

Congenital anomalies_N/A

Gravida 5_ Para 3 Term 3 Preterm O Ab | Lc3
MOTHER:
Age 30 Race 3 335

Deliveryaa%e 19/\%~ 8 Type of Delivery voginal
i6 \
If ¢/s or(inductiop, reason/indication:

Length of time membranes ruptured_28 min
Length of labor & b
Maternal Temp prior to birth

Anesthesia £piduron Meds in labor €8 Ampiciim, Prdctin

Tron, Prenakal
Meds during pregnancy firnfig« bby Asdivin, Procacdicng0my, viramin

Blood type/RhAY__ Group|B strep Postrve
started .
Date/Trimester prenatal ca
Creatadsonat piapetes
;
| Antepartum risk factors

Genetic concerns (\1 estobkinnol Drabcrea


Complications of past pregnancies Positive (129, Obeaity, Crestoronon
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Chronit
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na me _{ QA re ny C EOTFA— Assessment
tudent Newborn ignificall
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Cues/Findirengsplan of all 2 di
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quality) |~ —————
Respirations
| (count for 1 full m inute, note rate & Aveay
["Apical Pulse | \o- S——— — .= _ al-as 7
1 full min
| (count fort arm ute) _ ©-


pomor2 zInos L PR s R
eV — +he normort
& right leg —
pre/post ductal) Aa/uys
B Nf;rma\-
“BP (righ bl |
AT 2 eretes

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al)
~02 Saturation (pre/post duct res.5\bs
e oW, a tod wowld
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boway a.2% ih (i
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on PACK N
| Length YT S ey
e B;thor\‘— UAIS ~ b5
|
-
Colev B PoTMAL Pod =N
| (inches) Skin v, Mo — N
[ skin Terure 15 o e 59015
Color for vace,
i meneo kel (N)
rgor ceCoils | any recoiled
< Texture Sm ocme Tuen
h, rar
otgd
Tr
% no ecerra
o ovnd 3y (ND
Turgor Present,
a Divhhmocy
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veeniy¥ aQ,a
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[*Baby hos o
Lanugo =
SN nevr tack “wo rask ~(N)
sPoiS on


s vosinosboeondsa
Rashes
° Slate gray ‘
Mongolian butets
Spots |
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Vernix



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Socol Ve TelteYes
Reflexes
re\'\c) PuUPlls are
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| ALWUE to
% Pupillary reflex
sessment with h cocoversheet, meds_ Revised spring
spring 2023
set -Newborn Physical A 2(



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