Newborn Physical Assessment with norms PDF

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Summary

Newborn physical assessment useful for OB simulations and OB Clinical...

Description

Newborn Physical Assessment Parameters

Normal Findings

Alterations/Possible Causes

Actual Findings (flag abnorms)

Respirations (count for 1 full minute)

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Apical Pulse (count for 1 full minute)

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30-60 breaths/minute Synchronization of chest and abdominal movements Diaphragmatic and abdominal breathing Transient tachypnea

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120-160 bpm (if asleep 100 bpm; if crying, up to 180 bpm)

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Temperature (rectal)

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Weight (lb/oz)

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Rectal 97.8-99*F (36.6-37.2*C); 98.8*F desired Axilla 97.5-99*F (36.4-37.2*C) Heavier neonates tend to have higher body temps

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5# 8 oz – 8# 13 oz 2500-4000g

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 Length (inches)

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18-22 in (48-56 cm) Grows 3 in (10 cm) during first 3 months

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Tachypnea (pneumonia, RDS) Rapid, shallow breathing (hypermagnesemia due to large doses given to mothers with PIH) Expiratory grunting, subcostal and substernal retractions; flaring of nares (respiratory distress); apnea (cold stress, respiratory disorder) Weak pulse (decreased cardiac output) Bradycardia (severe asphyxia, arrhythmia) Tachycardia (over 160 bpm at rest) (infection, CNS problems, arrhythmia) Elevated temperature (room too warm, too much clothing or covers, dehydration, sepsis, brain damage) Subnormal temperature (brain stem involvement, cold, sepsis) Swings of more than 2F from one reading to next or subnormal temperature (infection)...