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Newborn Assessment

Following birth, each newborn baby is carefully examined to assess for signs of problems or complications. Newborn assessment is represented in this Picmonic by the newborn assess-man. Within 1- and 5-minutes of birth, the newborn&rsquo;s heart rate, respiratory rate, muscle tone, reflexes, and skin color are assessed using the APGAR scoring system, illustrated by Virginia APGAR. The&nbsp;umbilical cord, shown literally by the assess-man swinging from his umbilical cord, is clamped and cut and a blood sample is collected to assess for a number of factors. The stump of the umbilical cord is checked for 2 arteries and 1 vein, shown by the 2 archery-arteries and 1 vine-vein. To protect the newborn from bacterial infections during delivery, eye drops or an ointment containing antibiotic medication is applied to the newborn's eyes within 1 hour of birth. Newborn eye prophylaxis is represented by the eye with purple-axes. The newborn&rsquo;s fontanels, illustrated by the fountain, are assessed, and an intramuscular vitamin K injection, shown by the Viking King with syringe, is administered as newborns are unable to synthesize vitamin K until a few weeks after birth. A&nbsp;gestational age assessment (GAA), shown by the GAA score, is performed to measure physical and neuromuscular maturity. This includes taking a birthweight, shown by the weight-scale, with the average weight of a newborn infant ranging between 5 lbs 8 oz and 8 lbs 13 oz. Other measurements taken of each baby include head circumference, shown by the newborn with a measuring tape around his head, and length, shown by the newborn having his length measured. Length is measured from the crown of the head to the heel. Newborns lack the fat stores to maintain thermoregulation so after delivery be sure to keep the newborn warm, shown by the warm fire. This is critical in preventing cold stress leading to complications. Lastly, shortly after delivery, matching ID bands, shown by the ID band the newborn is wearing, are placed on the infant&rsquo;s ankle and parents to maintain identity and prevent abduction. So let&rsquo;s review the components of a newborn assessment. An APGAR score is taken, the umbilical cord is checked for 2 arteries and 1 vein, and antibiotic eye prophylaxis is administered. The fontanels are assessed, intramuscular vitamin K is given, and a gestational age assessment is performed. Newborn measurements include birth weight, head circumference, and body length. Keeping the infant warm is critical since neonates lack sufficient fat stores to maintain temperature, and after birth, an ID band is placed on the infant's ankle and on the parents.

educational

story

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Newborn Assess-man

Newborn Management

Physical Examination of the Newborn

Hemolytic disease of the newborn

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Virginia APGAR

APGAR

Which of the following is an acronym or mnemonic associated with newborn assessment?

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Umbilical Cord

What determines fetal circulation in pregnancy?

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2 Archery-arteries and 1 Vine-vein

2 Arteries 1 Vein

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Eye with Purple-axes

Eye Prophylaxis

Erythromycin is commonly used in newborn care as what?

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Fountain

Fontanels

What anatomic feature can quickly be assessed on physical exam to determine hydration status of a newborn?

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Viking King with Syringe

Vitamin K Injection (Phytonadione)

Newborns are all recommended to receive what?

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GAA score

Gestational Age Assessment (GAA)

The New Ballard Score is used to assess what?

Measurements

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Weight-scale

Birthweight

The average newborn _______ ranges from 5 lbs 8 oz to 8 lbs 13 oz.

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Head Circumference

The average newborn _______ is 33-35.5 cm (13-14 inches).

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Length

The average newborn _______ is 45-53 cm (19-21 inches).

Considerations

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Warm-fire

Keep Warm

Which of the following is important to remember when caring for a newborn?

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ID Band

ID Bands

Which of the following is important to remember when caring for a hospitalized newborn?

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Master The Boards USMLE Step 2 CK, 3E

Just after birth, every newborn is put through a series of trials to see what they're made of. &nbsp;And the&nbsp;newborn assess-man came out raring to go. &nbsp;First, he overcame Virginia APGAR's obstacles where his appearance, pulse, grimace, activity, and respirations were all put to the test at both 1 and 5 minutes. &nbsp;He passed with flying colors and went leaping towards his next trial, a test of his umbilical cord. &nbsp;He was made to swing passed 2 archery-arteries launching arrows using only the single vine-vein inside of his cord. &nbsp;This is because you need to check the umbilical cord for 2 arteries and 1 vein. &nbsp;As he swings, the newborn-assess man defeats an eye monster with purple-axes in the pit below using ointment. &nbsp;This takes care of the eye prophylaxis used on newborns to prevent the transmission of gonorrhea&nbsp;&nbsp;from mother to child. Having defeated the beast, the newborn assess-man let go of the vine and landed safely in a fountain to have his fontanels checked. &nbsp;They weren't bulging, so he continued on to receive&nbsp;his final score from the viking king. &nbsp;The king took one look at the newborn and his score and knew he had the right stuff. &nbsp;He was knighted on the spot with a syringe and given a vitamin k injection, which helped him make clotting factors. &nbsp;Having dominated the trials like no baby before, the newborn assess-man received&nbsp;a top score on his Gestational Age Assessment. &nbsp;A ceremony was in order. &nbsp;He was weighed on a scale for a custom throne. &nbsp;His length was measured for royal garbs. &nbsp;And his head circumference was recorded for a crown. &nbsp;The newborn assess-man became the new king and his new royal apparel&nbsp;kept him quite warm by the castle's fire. &nbsp;And just in case anyone dared question his claim to the throne, he wore a jewel encrusted ID bracelet which told of his valor throughout the newborn trials.

Assessing the umbilical cord for two veins, one artery.

Administering newborn eye prophylaxis within one hour of birth.

Placing newborn in a pre-warmed crib or radiant warmer immediately after birth.

Placing an identification bracelet on newborn's ankle.

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 01/2021/06

Picmonic NCLEX Question of the Day 01/06/2021

Picmonic NCLEX® Question of the Day

You are a new nurse on the labor and delivery unit and there are babies popping out around the clock today! As a new nurse, you are sure not to forget any parts of the newborn assessment. What does this include? Select all that apply:

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