In the first hours of life

The main focus at this point is the transition from intrauterine to extrauterine life, with the introduction of family members, as required by the state of the child.

Neonatal assessment database (full time)


Apical impulse can vary from 110 to 180 beats per minute (BPM).
Blood pressure 60-80 mm Hg (systolic), 40-45 mm Hg (diastolic).
Hart Show: It is located in the mediastinum to the point of maximum intensity just to the left midsternum third or fourth intercostal space.
Noise in the first few hours of life.
White lead and gelatinous, containing two arteries and one eye.


It can be the difference in birth
Established at birth, meconium

Food / Fluid

Weight: 2500-4000 g (5 pounds 8 ounces, 8 pounds 13 ounces)
Length: 44-55 cm (18-22 in)
Elastic skin turgor (depending on gestational age)


Muscle tone: hypertonic contraction of the limbs.
Wake up and running, sucking reflex demonstrates for the first 30 minutes after birth (the first period of reactivity).
Asymmetric appearance (casting, swelling, hematoma).
Crying loud, hard, medium range (high cry gene abnormalities, hypoglycemia, or prolonged drug effect).


Apgar score: fifth best score of 70-10
Prices range from 30-60/min, the observed periodic
Breath sounds bilateral joint cracking speed
Cylindrical chest, front articular cartilage xiphoid


The temperature ranged from 97.7 ° F-99, 4 ° F (36.5 ° C-37, 5 ° C).
Some of vernix present (quantity and distribution according to gestational age).
Skin: Smooth, smooth, peeling of the hands / feet can be known, the pink-red color or shade to be seen as a bit of bruising (eg terminals), or the color brindle, petechiae in the head / face change (this may indicate increased pressure associated with the supply or nuchal cord), wine stains, telangiectatic nevi (eyelids, between the eyebrows, or occipital), or Mongolian spots (mostly lower back and buttocks) are taken.
Scalp abrasion may be present (inner electrode placement).

Diagnostic tests

Cable PH: 7:20 to 7:24 Level reflects preacidotic status, lower levels have a significant asphyxia.
HB / HCT, Hb level of 15-20 g HCT of 43% -61%.
Direct Coombs test on cord blood: determination of the presence of anti-complex of red blood cells (RBC) membrane reflects the hemolytic disease.


1st Promotion of effective cardiopulmonary effort.
Provides a second thermo-neutral environment and keeping the body temperature.
3rd To prevent injury or complications.
4th Promoting parent-child attachment.

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