Newborn Assessment : Fine Tuning Your Assessment Skills Kim McCullen, NNP-BC Munson Medical Center.
-
Upload
abigail-marshall -
Category
Documents
-
view
219 -
download
1
Transcript of Newborn Assessment : Fine Tuning Your Assessment Skills Kim McCullen, NNP-BC Munson Medical Center.
Newborn Assessment:Fine Tuning Your Assessment Skills
Kim McCullen, NNP-BCMunson Medical Center
Organizing the Newborn Exam
• The significance of OBSERVATION• Tools used to complete the Physical Exam (PE)– Auscultation– Palpation– Percussion – http://newborns.stanford.edu/PhotoGallery/
VSD4.html
Perinatal History
• Brief review of the Perinatal History for “clues” to potential pathology
• The newborn’s history begins with conception and includes events that occur throughout gestation, labor, and delivery.
• Categorization of High-Risk Pregnancy Factors -Socioeconomic Factors, Demographic Factors, Medical Factors, Current Maternal Obstetric Status, Habits
Basic Newborn Assessment of the Term Neonate
Skin
• PE of the skin, what does and can it mean?– Cutis Marmorata– Harlequin Color Change– Ecchymosis– Macule– Petechiae– Vesicle– Pustule
Cutis Marmorata
Harlequin Color Change
Ecchymosis (Bruising)Increases Risk for Jaundice
Macule
Petechiae
Vesicle
Head to Toe Assessment!
Head
• Measurement: Microcephaly? Macrocephaly?• Shape: molding?
Skull: fontanels and sutures
Face
Ears
Eyes
Nose
Mouth
Chest
Heart
• Murmur?• 4 limb Blood Pressure• Pulses
Fetal Circulation
Normal Heart
PDA
Coarctation of the Aorta
Abdomen
• Size• Shape• Movement
Abdomen
Genitourinary
Hypospadius
Hymenal Tag
Musculoskeletal
Late Preterm Newborn
• Hypothermia• Hypoglycemia• Respiratory distress• Apnea• Hyperbilirubinemia• Feeding difficulties
Medications At Birth
Vitamin K
• http://www.cdc.gov/ncbddd/blooddisorders/documents/vitamin-k.pdf
Hepatitis B Vaccine
• http://www.cdc.gov/hepatitis/B/
Public Health Services
• Newborn Screen• CCHD Screen• Hearing Screen
Questions?
Newborn Assessment: Fine Tuning Your Assessment Skills
•Interactional reference for physical examination:
•http://newborns.stanford.edu/PhotoGallery/
•Vitamin K reference:
•http://www.cdc.gov/ncbddd/blooddisorders/doc uments/vitamin-k.pdf
•Hepatitis B Vaccine reference:
•http://www.cdc.gov/hepatitis/B/