Evaluation of newborn
When should an APGAR be performed?
1 and 5 minutes after birth, redo at 20 minutes for low scoring infants
Normal percentile for AGA (appropriate for gestation age)
10-90th
Caput Succedaneum
Swelling that crosses suture lines
This is given within one hour of birth to prevent gonococcal ophthalmia
E-mycin ointment
Infants should be placed in this position to avoid SIDS
Supine
Do APGAR scores have long term predictive value?
No
120-160
Visual acuity at birth?
20/400 due to immobile lens, improves over 6 months
When is vitamin K administered, and why?
4 hrs to prevent hemorrhagic disease of the newborn.
If pulse oximetry is abnormal on day 2 of life, what should be done?
Normal APGAR score at 1 minute? Some nervous system depression? Severe requiring immediate resuscitation?
8-10, 5-7, 0-4
Newborn respiration rate?
30-60 respiration per min.
Startle reflex disappears at what age?
3 months
Who gets Hep B vaccine and when?
All newborns within 12hrs if mothers status is unknown, HBIG given if mother HBsAg+
If mother and baby are stable, when should breastfeeding occur?
Within one hour of birth.
Normal APGAR score at 5 minutes? High risk category?
8-10, <8
Newborn systolic blood pressure?
50-70, but rises steadily through first week
Palmar grasp disappears at what age?
4 months
What is collected at birth for blood typing?
Chord blood
Healthy full term infants feed how often?
Every 2-5 hours on demand
Primary method for determining gestational age?
New Ballard score
Common heart rhythm?
Irregularly irregular, caused by PACs should resolve in days
White spots in mouth present at birth called?
Epstein pearls-didn't kill himself
Which infants should get bedside blood glucose testing?
All infants at risk for hypoglycemia (mom with GDM, preterm, SGA, LGA, stressed infants). Verify with labs if <45mg/dl
Delay bathing atleast how long after birth?
24 hours, if religious/cultural beliefs require sooner, delay at least 6 hours.