Flashcards in Physical Exam Deck (136)
-neonatal: 1-28 days
-postneonatal: 29 days-1 year
What is the purpose the Apgar Score?
assess neurologic recover from birth and adaptation to extrauterine life
What are the components of the Apgar score?
What does Apgar stand for?
What is a normal Apgar score at 1 minute?
An Apgar score of ___ indicates some nervous system depression.
An Apgar score of ___ indicates severe depression requiring immediate resuscitation.
What is a normal Apgar score at 5 minutes?
Preterm Appropriate for gestational age infants are more prone to...
-respiratory distress syndrome
-patent ductus arteriorsus
Risks for Large for gestational age infatns
-metabolic abnormalities shortly after birth
What is a risk factor for an infant to be LGA?
Newborn Exam sequence
-head, neck, thorax, abdomen, genitourinary system
-ears, mouth when open
-skin, as you go
What is paradoxic breathing?
when the chest moves inward during inhalation instead of expiration
What is the Flush Technique?
a way to measure BP in infants
==>empty vessels and release pressure slowly until arm "flushes" to usual color
What happens if the cuff is too wide or too narrow?
wide: underestimate BP
narrow: artificially high BP
What are the most accurate temperature readings in a newborn?
rectal or axillary
==> children >5 inc axillary reading by 1 degree
How should you measure an infant?
from top of head to heel with the foot dorsiflexed
When is the head circumference taken?
every "health visit" yoa
What is measured for head circumference?
==>glabella to EOP
Where do you measure chest circumference?
measure around the nipple line to the nearest 1/8th
Breastfed infants correlate more with ___ growth rates.
Formula infants correlate more with ___ growth rates.
What is the average birth weight?
5lbs 8oz- 8lb 13oz