OB REPORT - NEWBORN

8/14/2019 OB REPORT - NEWBORN

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YSIOLOGIC ADJUSTMEO EXTRAUTERINE LIF


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f irregular adjustment in the first 6 hours of

, :uring this time the baby is


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Assessment ( .)First Period First 15 30 minCOLOR Acrocyanosis

TEMPERATURE Temperature begins to fall from intrauterine temperature of

. ( . )about 100 6 F 38 1 CHEART RATE

,Rapid as much as 180 bmp whilecrying

RESPIRATIONS

; -Irregular 30 90 breaths per min; ,while crying some nasal flaring

occasional retraction may be.present

ACTIVITY ;Alert watching ABILITY TO RESPOND TOSTIMULATION

Vigorous in mouth

MUCUS Visible in mouthBOWEL SOUNDS .Can be heard after first 15 min


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RESTING PERIOD

.Heart beat and respiratory rates slow .Typically sleeps for 90 minutes


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Assessment ( .)First Period First 15 30 min

COLOR Color stabilizing

TEMPERATURE Temperature stabilizes at about

( . ).99 F 37 2 C

HEART RATE - .Slow to 120 140bpm

RESPIRATIONSSlowing to 30 50 breaths per

; .min barreling of chest occurs

ACTIVITY Sleeping

ABILITY TO RESPOND TOSTIMULATION

Difficult to arouse

MUCUS Small amount

BOWEL SOUNDS Present


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OF REACTIVITY .6 hours of life

he baby wakes again and choking on mucus that has accumulate

again alert and responsive.urroundings


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APPEARANCE OF A

NEWBORN


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PHYSICAL APPEARANCEPHYSICAL APPEARANCE

, ,and legs flexed moves actively head moves from


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, , .Thick skin no lanugo with vernix caseosa

SKINSKIN


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COLORCOLOR

Ruddy complexion.irst month Infants with poor central nervous syste

.Gray color newborns indicates INFECTION


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CYANOSIS> /due to the presence of 5g dl deoxygenated he


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ACROCYANOSIS,he digits most commonly occurring in the hands althoug

.24 to 48 hours after birth


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Types of Cyanosis

NOSIS , .Circumoral pallor around the mouthCYANOSIS ,The body is pinkish extremities ar

HYPERBILIRUBENEMIA

n in which there is too much bilirubin in the b the 2 nd or 3 rd %day of life in about 50 of all


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esponse to the baby's limited ability to ex

.birth


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CEPHALHEMATOMA.od vessels crossing the periosteum Because the


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PALLOR,h can be caused by illness emotional shock or s


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HARLEQUIN SIGN dependent side of the body and pale the upper s


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BIRTHMARKS

HEMANGIOMAS.in

- .ULAR PURPLE or DARK RED LESION

levated area are formed by IMMATURE CAPILLARIES an

.ated VASCULAR SPACES


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MONGOLIAN SPOTS

-te gray patches across the sacrum or buttocks an


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VERNIX CASEOSA

ch covers and protects the skin of the fetus in


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LANUGO

, , .orn s shoulders back and upper arm It may foun

d


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DESQUAMATION

.ecome extremely dry The dryness is particularl


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MILIA

an be found on the cheek or across the bridge o .Disappear by 2 4 weeks of age


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ERYTHEMA TOXICUM

s in the 1 st to 4 th ,day of life but may appear


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FORCEPS MARKS

ircular or linear contusion matching the rim of


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SKIN TURGOR

skin is grasped between the thumb and finge


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.ut of the total body height The forehead of a

HEADHEAD


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FONTANELLES are spaces or openings were the

Anterior fontanelle .closes 12 18 months Posterior fontanellecloses 2 3 months


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( )ad that engages the cervix usually the vertex i

ANEUM.scalp at the presenting part of the head


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nes that is probably caused by pressure of the f


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EYESEYES

,sly because their lacrimal ducts do not fully mat;wborns are gray or blue the sclera may be blue


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EARSEARS

,completely formed as it will be eventually so t

.lp hair


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NOSENOSE

,the infant grows the rest of the face grows more


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MOUTHMOUTH

.venly when he or she cries Tongues appears large


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NECKNECK

. .lds The head should rotate freely on it The neck


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.ead is large in proportion Until 2 years of age

CHEST CHEST


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ABDOMENABDOMEN

The contour of a newborn abdomen looks slig

Bowel sounds should be present within 1 hou


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Documents

OB REPORT - NEWBORN