Professional Documents
Culture Documents
Newborn Profile
Newborn Profile
Newborn Profile
1
TERMS:
By birth By gestational
age
weight
By both GA and BW
TERMS:
BW3000
g GA 34
w,
BW2000
g
CONT
…
• Total score=10
• .No depression:7-10
• .Mild depression:4-6
• .Severe depression:0-3
• Assessment should be done in a comfortable warm
room with good light. Safety measures should be
followed especially, about prevention of infection.
All information should be recorded immediately, if
possible mother should be allowed to be along with
baby to promote bonding process
Assessment:
8
Apgar Score of the Newborn
SIGNSCORE 0 1 2
13
Stage
1:
During the first 30 min. through
which the baby is characterized
as Physiologically unstable (
), very
alert, cries vigorously, may suck
a fist greedily, &
appears very
interested in the environment.
14
Stage 2:
It lasts for about 2-4 hours, through
this period; all V.S & mucus
production are decreased. The
newborn is in state of sleep and
relative calm.
15
Second period of
reactivity
It lasts for about 2-5 hours,
through which the newborn is alert
and responsive, heart &
respiratory rate, gastric &
respiratory
secretions are increased & passage
of meconium commonly occurs.
16
Following this stage is a period
of stabilization through
which the
baby & a becomes
stable vacillating pattern
physiologically
of sleep and activity.
17
TERM BABY
Silky, black coarse and individual strants
– PHYSICAL CHARACTERISTICS
Pink, scanty lanugo and only large veins
• Hair texture and distribution on are seen. Good elasticity and turgor
scalp
More than 10mm diameter breast
tissue and nipple raised above skin level
• Skin texture and opacity
Pinna is firm with definite cartilage and
Instant recoil
• Breast nodule and nipple
formation Entire sole covered with deep creases
At least one testes descends in the
scrotum
• Ear cartilage Prominent rugae and deep pigmentation
• Genitalia-Female
Labia majora completely cover the
• Planter creases labia minora and clitoris.
• Genitalia-Male
PHYSICAL
EXAM
• A complete physical exam is an important part of newborn
care. The healthcare provider checks each body system is
carefully for health and normal function. The provider also
looks for any signs of illness or birth defects. Physical
exam of a newborn often includes:
• Skin. This looks at skin color, texture, nails, and any rashes.
• Head and neck. This looks at the shape of head, the soft
spots (fontanelles) on the baby’s skull, and the bones across
the upper chest (clavicles).
• Face. This looks at the eyes, ears, nose, and cheeks.
• Mouth. This looks at the roof of the mouth (palate),
tongue, and throat.
• Lungs. This looks at the sounds the baby makes when
he or she breathes. This also looks at the breathing
pattern.
• Heart sounds and pulses in the groin (femoral)
• Abdomen. This looks for any masses or hernias.
• Genitals and anus. This checks that the baby has open
passages for urine and stool.
• Arms and legs. This checks the baby’s movement and
development
Take Anthropometric
Measurements
Length – 45-55 cm
HC – 33-55 cm,2-3 cm larger than chest CC
– 30-33cm, AC-29-33 cm
Assessment of Growth
Head Circumference
HC – 33-55 cm,
2-3 cm larger than chest
Take Anthropometric Measurements
Abdomen Circumference
Fontanelles
The anterior fontanel is located
at the intersection of the sutures
of the two parietal bones and
the frontal bones.
Anterior: diamond shape about 2-
3-4 cm, will close in about 12 to
18 mos;
The posterior fontanel is located
between of the sutures of the 2
parietal bones and occipital bone.
It is small, triangular shaped,
normally closes at 1,5 to 3 mos of
age.
Respiratory system
Blood pressure:
from 46 to 80 mmHg (systolic)
Hemotological system
Sucking reflex
touch a finger to
the neonate’s
cheek or the
corner of mouth.
neonate turns the head toward the stimulus, opens the mouth and
searches for the stimulus
Newborn Reflex
Extrusion Reflex -
newborn extrudes any
substance that is placed on
the anterior portion of the
tongue.
This protective reflex
prevents the swallowing
reflex of inedible substance.
It disappears at about 4
months of age
Thermoregulation
Newborn physiology
•Normal temperature: 36.5–37.5°C
•Hypothermia: < 36.5°C --Significant contribution to
deaths in low birth weight infants and preterm newborns
•Stabilization period: 1st 6–12 hours after birth
1- Evaporation:
Heat loss that
resulted from expenditure of
internal thermal
energy to convert liquid on an
exposed surface to gases, e.g.:
amniotic fluid, sweat.
Prevention:
Carefully dry the
infant after delivery or after
53
Heat loss
occurred from direct contact
between body surface and
cooler solid object.
Prevention:
Warm all
objects before the infant
comes into contact with
them.
54
infant to direct source of
air draft.
Prevention:
·Keep infant out
of drafts
·Close one end of heat
shield in incubator
to reduce velocity of
air.
55
4- Radiation:
It occurred
56
:هيميلعتالفادهدال عبات
همادختسإ تمي يتمو فيكو راجبأ سايقمل هنوكمال رصانعالةفرعم 3.
هتيمهأ كاردإ مثن oمoو.
.4 .يرساللبحال
بهيانعالةفيك ةفرعم
5 .اتبث يلع نانئمطمال روف دولوملل هنيتورال هيانعال ميدقت
هيعيبطالاهتلدعم لوح هيويحالتoooاملعال.
.هعاضرال ءاطعإ يف ركبمالءدبالتازيممو ةيمهأ كاردإ 6
بءاوس يهعيبط.ال
دولومال,أ م للبهسنال
57
SKIN
Observation and palpation
SKIN
Common
variations
Acrocyanosis - result
of sluggish peripheral
circulation.
Physiologic jaundice
Neonatal jaundice
is often seen in
infants around the
second day after
birth, lasting until
day 8 in term
births, or
to around day 14
in premature
births.
Mili
-a all newborn
sebaceous glands are
immature.
- White papule can be
found on the cheek or
across the bridge of
the nose of every
newborn.
- Disappear by 2 to 4
weeks of age, as
sebaceous glands
mature and drain.
Erythema Toxicum
Erythematous macules and
firm 1-3 mm yellow or
white papules or pustules
Pustules contain eosinophils
and are sterile
Appear in the first 3-4 days
of life
Range: Birth to 14 days
Benign and self limited
Lanug
o
term preterm
• Enlargement of the
breasts and production of
milk may occur at the age of
3 to 5 days in some newborn
boys or girls. This stops at
the postnatal age of 2 to 3
weeks.