Head-to-Toe Newborn Assessment (01:25)
After an initial assessment, nurses perform in-depth assessments that help educate parents. The assessment is performed with the infant lying in a radiant warmer or on the mother's chest. In the event of distress, the nurse will address the problem.
Vital Signs (00:51)
Radiant warmers usually have a body temperature probe. Axillary or tympanic temperatures should be at least 97.5 degrees Fahrenheit or 36.4 degrees Celsius.
Eye Care (00:40)
Eye prophylaxis is important to prevent blindness in the event that the mother has undiagnosed gonorrhea. Antibacterial ointment should be placed in each eye.
Initial weight is measured soon after birth, and recorded in grams. Hear factors affecting birth weight and view normal weight and length ranges. Length and head, chest, and abdominal circumference are measured using a disposable measuring tape. Measurements are plotted on a graph and compared to averages.
Neonate Trunk (01:16)
Gently palpate the clavicle or collarbone and observe the infant for symmetry in arm movement. The clavicle can fracture during delivery and is painful; diagnosis is confirmed by X-ray. Palpate the nipple bud for size— a factor in determining gestational age.
Umbilical Cord (00:51)
Examine the umbilical cord for the presence of three vessels. It should be kept clean, dry, and uncovered. The cord clamp is removed in 24 hours.
Assess the skin for intactness, quality, turgor and color. Milia is seen in 50% of newborns. Instruct parents to wash with warm water. Jaundice occurs in the hemoglobin maturation process. The infant's spine should not deviate from midline. Report any lesions.
Observe the infant's activity and posture. Healthy newborns hold arms and legs in a flexed position, and should reflexively grasp a finger placed against the palm or foot sole. Observe for webbing between fingers and toes and for extra digits. The brachial pulse should be palpable on each arm; record rate and quality.
Genitalia and Anus (02:07)
The urethral opening should be visualized and the infant should void within the first 12-24 hours. The opening should be centered on the glans penis in male newborns. The anal opening should visible and centered on the external sphincter. The newborn should pass meconium within 24-48 hours.
Newborn Screening (02:58)
Irregular areas of discoloration on the back or buttocks are normal. Inform parents about routine testing for Phenylketonuria (PHU) and other disorders. Pre-warm the infant's heel and fill in the test paper with blood samples. Hearing tests are painless and done after 12 hours.
Credits: Head-to-Toe Assessment: Assessment of the Newborn (00:16)
Credits: Head-to-Toe Assessment: Assessment of the Newborn
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