Assessment of the Normal Newborn

1
Assessment of theNormal Newborn

• Unit 4
• Chapter 20

2
Early Assessments

• Cardio-respiratory status
• Assessing for anomalies
• Thermoregulation
• More thorough assess when infant stable

3
Assessment of Cardio-Respiratory Status

• History
• Airway
• Color
• Heart Sounds
• Brachial/Femoral Pulses
• Blood Pressure
• Capillary Refill

4
Newborn AssessmentHead to Toe

• Thermoregulation
• Assessing for anomalies
• Assessment of body systems
• Assessment of gestational age
• Assessment of behavior

5
Head/Neck

• Molding
• Fontanels
• Caput Succedaneum
• Cephalhematoma
• Face

6
Extremities

• Cord
• Hands Feet
• Hips
• Vertebral Column
• Measurements
• Weight, length, head, chest

7
Neurologic System

• Reflexes
• Sensory
• Sense of smell
• Jitteriness
• Seizures
• High pitched cry

8
Hepatic/GI/GU Systems

• Hepatic
• blood glucose
• bilirubin
• GI
• mouth
• suck
• feeding
• abdomen
• stools

• GU
• kidneys
• urine
• genitalia

9
Integumentary System

• Skin
• color
• vernix
• lanugo
• milia
• erythema toxicum
• birthmarks
• delivery marks

• Breast
• Hair and Nails
• Documentation

10
Assessment ofGestational Age

• Posture
• Square window
• Arm recoil
• Polpiteal angle
• Scarf sign
• Heel to ear

• Skin
• Lanugo
• Plantar surface
• Breasts
• Eyes and ears
• Genitals

11
Assessment ofBehavior

• Periods of reactivity
• Behavioral changes
• Orientation
• Habituation
• Self-consoling
• Parents response