Newborn Labs
Normal newborn hemoglobin level
What is 14-24 g/dL?
Bluish/purple spots found on the shoulders, back or buttocks
What are mongolian spots?
Elicited when stroking the outer edge the sole of the foot, moving up toward the toes. The toes fan upward and out and lasts up to 1 year of age
What is the babinski reflex?
Normal newborn temperature
What is 97.7-99.5 degrees F?
Newborns who are at risk for hypoglycemia
What is SGA, LGA, premature, >42 weeks, born to mothers with diabetes?
Normal newborn platelet count
What is 150,000-300,000 mm3?
A pink rash with white centers that comes and goes quickly
What is erythema toxicum or newborn rash?
Elicited by stroking the cheek, the newborn will turn their head to the side and open the mouth
What is the rooting reflex?
Normal newborn heart rate
What is 110-160 BPM?
Nursing interventions for newborn's with neonatal substance withdrawal
What is clustering care, swaddling, pacifiers, monitor for withdrawl s/s, monitor ability to feed, hold upright after feedings, I/O, monitor skin integrity?
Normal newborn hematocrit
What is 44%-64%?
Swelling of the soft tissues of the head that crosses the suture lines
What is a caput succedaneum?
Elicited by placing the newborn supine. When the examiner turns the newborns head quickly to one side, the newborn's arm and leg on that side extend and the opposing arm and leg flex
What is the tonic neck reflex (fencing)?
Heat loss resulting from direct contact with a cooler surface
What is conduction?
Signs and symptoms of hypoglycemia
What is tachypnea, nasal flaring, grunting, retractions, apnea, cyanosis, lethargy, flaccidity, seizures, jitteriness?
Normal newborn glucose
What is >40 mg/dL?
The collection of blood between the scalp and the skull that does NOT cross the suture lines
What is a cephalohematoma?
Elicited by pulling the newborn's hands so that the back and part of the head come off the bed. When letting go, the newborn symmetrically extends and abducts the arms at the elbows and the fingers splay
What is the moro reflex (startle reflex)?
Normal newborn respiratory rate
What is 30-60 breaths per minute?
Expected findings of the postmature infant
What is a wasted appearance, decreased subcutaneous fat, peeling, cracked, leathery skin, meconium staining, hypoglycemia, cold stress?
Normal newborn bilirubin
What is <7 mg/dL?
The bluish coloration to the hands and feet
What is acrocyanosis?
Elicited by placing the examiner's finger in the palm of the newborn's hand
What is the palmar reflex?
Heat loss resulting from a cooler solid surface that is close to, but not in direct contact with the newborn
What is radiation?
Signs and symptoms of newborn sepsis
What is decreased temperature, poor feeding, blood sugar instability, abdominal distention, respiratory distress, lethargy, poor muscle tone and color changes?