00:01
So now, let's review all of the
assessments for the newborn
in a nutshell.
00:07
Fetal heart rate
and respiratory rate
must be counted for a full minute
to obtain an accurate result.
00:13
Newborns may experience
periods of apnea,
but they should never
last longer than 20 seconds.
00:19
We want to always assess the infant
in a cephalocaudal progression
so we don't miss out on
any, any organs or systems.
00:27
We want to observe the head
for symmetry, masses.
00:31
We're going to palpate for molding,
caput, or cephalohematoma.
00:35
We're going to observe the nares
for flaring and potency.
00:39
We're going to ensure that
the hard and soft palate are intact.
00:43
We want to palpate the clavicle
for signs of crepitus.
00:47
We'll examine
extremities for masses,
range of motion, and extra digits.
00:54
The nurse should observe
the abdomen for signs of distress.
00:58
Also palpate the
abdomen for tenderness
and auscultation the abdomen
for bowel sounds.
01:03
Although, that should be done
prior to any physical assessment
of the abdomen.
01:08
Female genitalia
may appear edematous
and pseudo menses may be present,
and we should let
the parents know about that.
01:16
We should assess the scrotum to
be sure the testes have descended.
01:21
Ortolani and Barlo technique
may be used to check
for hip dislocation and dysplasia.
01:26
Although this assessment
will be performed by the provider.
01:30
The New Ballard Scale
can be used to assess
the physical and neurological age
of the newborn
during the first four days of life
when gestational age
is not otherwise known.
01:41
If the parents elect for a baby
to have a circumcision,
they must sign a consent.
01:46
The nurse should offer comfort
strategies during the circumcision
and monitor for signs of
bleeding, micturition, voiding,
and infection afterwards.
01:56
All newborns should receive
a newborn screen,
a hearing test,
and a cardiovascular test
prior to discharge.
02:03
Newborns typically lose
about 5% of their body weight
within the first few days of life,
but any loss of more than 7%
should be evaluated.
02:12
Infants will double their
birth weight after six months
and triple their birth weight
after one year.
02:19
And parents should report a newborn
who was lethargic, not eating,
has a fever greater than
100.4 degrees Fahrenheit
or an unexplained rash
to the provider.
02:32
All done.