3 types of assessment on the basis time of performing
- Immediate assessment of newborn
- Transitional assessment during period of reactivity
- Periodic assessment
when does detailed examination of newborn is performed?
after 24 hours of birth
a quantitative method of assessing infant’s respiratory, circulatory, and neurological status
APGAR Scoring
when does APGAR scoring is done
1 min & 5 mins after birth
meaning of APGAR
Appearance
Pulse
Grimace
Activity
Respiratory
used to measure crown to heel length
infantometer
characteristic of the skin of normal newborn
- pink color
- peripheral cyanosis and acrocyanosis within 1st 24 hours of birth
- erythematous macules and firm 1-3 mm yellow or white papules or pustules
- pustules contain eosinophils and are sterile
Erythema Toxicum
- Vesicular, pustular, or bullous lesions developing as early as day of life 2-3 up to 2 weeks of life
Impetigo Neonatorum
- Slate-gray to blue-black lesions
- usually over lumbosacral area and buttocks
Mongolian spots
whitish pin head sized spots on around the nose or the chin may be present
Milia
normal RR of newborn
40-60 breaths per minute
normal HR of newborn
120-160 beats/min
normal axillary temp
36.5-37.5 C or 95.5-99.3 F
normal head circumference
33-35.5 cm
chest circumference of the newborn
31-35 cm or 12-13 inch
1 inch or 2-3cm less than HC
a diamond shaped, flat, soft and firm
Anterior fontanelle
measurement of anterior fontanelle
2.4 - 4.0 cm
triangular in shape, 1-2 cm wide
posterior fontanelle
premature closure of one or more cranial suture
craniosynostosis
pink or brown papules along the milk line, most commonly on the chest or abdomen
supernumerary nipples
4 fundamental observations in the neurologic assessment
- muscle tone
- joint mobility
- reflexes
- body movements
