Ballard Score PRACTICE WORKSHEET PDF

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Summary

Ballard score practicing worksheet for clinicals...

Description

Ballard Maturational Assessment of Gestational Age NEUROMUSCULAR MATURITY NEUROMUSCUL AR MATURITY SIGN

RECOR SCORE D Neuromuscular SCORE : HERE Physical: Total:

SCORE -1

0

1

2

3

4

5

POSTURE

MATURITY RATING

SQUARE WINDOW (Wrist)

ARM RECOIL

POPLITEAL ANGLE

SCARF SIGN

scor e

week s

-10

20

-5

22

0

24

5

26

10

28

15

30

20

32

25

34

30

36

HEEL TO EAR

TOTAL NEUROMUSCULAR MATURITY SCORE

PHYSICAL MATURITY PHYSICAL MATURITY SIGN

SKIN

SCORE -1 sticky, friable, transparent

0

1

2

3

4

superficial parchment, gelatinous, cracking, smooth pink, peeling &/or deep red, pale areas, visible veins rash, few cracking, no translucent rare veins veins vessels thinning

bald areas

5

RECORD SCORE HERE

leathery, cracked, wrinkled

LANUGO

none

sparse

abundant

mostly bald

PLANTAR SURFACE

heel-toe 40-50 mm: -1 50 mm no crease

faint red marks

anterior creases ant. creases over transverse 2/3 entire sole crease only

flat areola no bud

stippled raised areola full areola areola 3-4 mm bud 5-10 mm bud 1-2 mm bud

38

imperceptable

barely perceptable

35

BREAST

well-curved formed & pinna; soft firm but ready instant recoil recoil

40

40

45

42

50

44

EYE / EAR

lids fused loosely: -1 tightly: -2

GENITALS (Male)

scrotum flat, smooth

scrotum testes in testes testes testes down, empty, upper canal, descending, pendulous, good rugae faint rugae rare rugae few rugae deep rugae

GENITALS (Female)

clitoris prominent & labia flat

prominent clitoris & small labia minora

lids open sl. curved pinna flat pinna; soft; stays folded slow recoil

prominent clitoris & enlarging minora

thick cartilage ear stiff

majora & majora cover minora majora large, clitoris & equally minora small minora prominent TOTAL PHYSICAL MATURITY SCORE...