Neonatal assessment database (full time)
(See CP. In the first hours of life)
Activity/Rest
Users can watch at least 2-3 hours during the first few days.
Baba seems semicomatose while in deep sleep, smile or grimace was visible in the rapid eye movement (REM) sleep, on average 20 hours sleep per day.
Circulation
Apical impulse averaged from 120 to 160 beats per minute (115 beats per minute for 4-6 hours, up to 120 beats per minute for 12-24 hours after birth) can vary from 80 to 10 beats per minute (sleep) 180 beats per minutes (crying).
Peripheral pulses are weak (bounding pulses design ductus arteriosus [PDA]), the brachial and radial pulses are easier palpation of femoral pulse (femoral deficiency аnd dorsаlis pedis pulses suggests coаrctation of the аorta).
Heart Noise is often present during the transition period.
Blood pressure (BP) in the range of 60-80 mm Hg (systolic) / 40-45 mm Hg (diastolic), mean resting pressure was 74/46 mm Hg BP rates to 3 hours old.
Umbilical cord clamped securely without tearing of blood is taken, is showing signs of dry within 1-2 hours after birth, shriveled and darkened on days 2 or 3
Elimination
Abdomen soft, no bloat, active bowel sounds are present, a few hours after birth
Urine is a colorless or pale yellow, with 60-10 dry skin for 24 hours
Despite the location of the meconium within 24-48 hours after birth
Food / Fluid
The average weight of 2500-4000 grams (5 pounds to 8 pounds ounces grams August 1913) <2500 g defined small for gestational age (SGA) (eg beginning, rubella syndrome, or pregnancy), more than 4000 of the great gestational age (SGA) (eg, maternal diabetes, or may be linked to heredity). (See CPS: premature infant, newborn: differences in growth patterns).
Loss of 5% -10% in the beginning.
Oral low saliva Epstein pearls (epithelial cysts) and suction blisters usually hard palate / gum margin of the teeth are now.
Sensorineural
Head circumference 32-37 cm, front and rear fontanel is soft and smooth.
Femoral replacement and / or casting can stay for 3-4 days, dominated the cranial sutures can be considered a small deletion of anterior fontanelle (2-3 cm in width) and the posterior fontanelle (0.5 to 1.0 cm wide ).
The eyes and eyelids may be swollen, subconjunctival or retinal bleeding can be detected, to develop chemical conjunctivitis lasting 1-2 days after instillation therapeutic eye drops.
Squint and pupae are often present.
Top of compliance with internal and external eyes Cantha (low-set ears suggest genetic or renal disease).
Neurological examination: the presence of Moro, plantar, Palmar understanding and reflex, Babinski reflex responses were bilateral / right (unilateral Moro reflex, a broken clavicle and brachial plexus injuries are shown), temporary fluctuations in demand can be seen.
Absence of nervousness, drowsiness, hypotension and paresthesia.
Breathing
Transient tachypnea may occur, especially after giving birth by Caesarean section or a breech.
Breathing: Diaphragmatic breathing and abdominal synchronous movement of the chest and abdomen (inhalation or variable delay of swings move reflects the thoracic and abdominal respiratory distress), moderate or occasional nasal inflammation can be observed, marked nasal burning, expiratory grunting, intercostal retraction, or marked substernal and subcostal vein showed respiratory muscles, can be inhaled crashes on the first few hours after birth (rales or breathing may indicate aspiration).
Chest circumference 30-35 cm (1-2 inches smaller than the circumference of the head).
Security
Skin temperature: 96.8 ° F-97, 7 ° F (36 ° C-36, 5 ° C), rectal 97.8 ° F-99 F (36.6 ° C-37, 2 ° C) .
Skin color: acrocyanosis could present a few days during the transitional period (usually redness may indicate polycythemia) can red or bruised areas appear on the cheeks or jaws, or parietal regions due to the requests for supplies clippers, facial bruises may consider the following premature birth.
Cephalhematoma appear the day after birth, increasing the amount of 2-3 days, then slowly absorbed over 1.6 mo.
Legs: normal range of movement for all, mild stooping or twisting with a diameter legs, good muscle tone.
Sexuality
Female genitalia: Vaginal labia minora may be slightly red or swollen, vaginal / hymenal tag is detected, the white mucous discharge (smegma), or slightly bloody discharge (pseudomenstruation) are present.
Male genitalia: scrotal descended testicles covered in algae, phimosis surgery (opening of the foreskin reduces the brightness of the skin).
Education and training
Gestational age between 38 and 42 weeks based on the criteria of Dubowitz
Diagnostic tests
White blood cell (WBC) Tel: 18000 / mm3, neutrophil count increased to 23,000 to 24,000 / mm3 on the first day after birth (decrease occurs in sepsis).
HB: 15-20 g / dl (lower levels associated with anemia or excessive hemolysis).
HCT: 43% -61% (to 65% or more of polycythemia show lower levels reflect the disease or prenatal and perinatal bleeding).
Guthrie Inhibition Selection: Tests for the presence of phenylalanine metabolites, suggesting phenylketonuria (PKU).
Total bilirubin: 6 mg / dL for the 1 st day of life, 8 mg / dl for 1-2 days, and 12 mg / dL 3-5 days.
Originally Dextrostix glucose during the first 4-6 hours after birth in autumn with an average of 40-50 mg / dL, increasing to 60-70 mg / dl on day 3
Nurses PRIORITIES
1st Facilitates adaptation to extrauterine life.
2nd To maintain thermoneutrality.
Third Prevention of complications.
4th Promoting parent-child attachment.
Provides information and guidance forecasts fifth parent (s).
Exemption OBJECTIVES
1st Newborn adaptation to extrauterine life effectively.
2nd No complications.
Third mother-child bond is initiated and progresses satisfactorily.4. Parents (and) believes in caring for children.
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