Assessment Of Newborns

A number of techniques help you assess the developmental level of newborns. These techniques are often part of a limited-screening pediatric physical examination performed immediately after birth.

Immediate Assessment at Birth: Adaptation to Extrauterine

Life. Examining newborns immediately after birth is important for determining the general condition, developmental status, abnormalities in gesta-tional development, and presence of congenital abnormalities. The examination may reveal diseases of cardiac, respiratory, or neurologic origin. Listen to the anterior thorax with your stethoscope, palpate the abdomen, and inspect the head, face, oral cavity, extremities, genitalia, and perineum.

Apgar Score. The Apgar score is the key initial assessment of the baby immediately after birth. It contains five components for classifying the newborn's neurologic recovery from the birth process and immediate adaptation to extrauterine life. Score each newborn according to the following table, at 1 and 5 minutes after birth. Scoring is based on a 3-point scale (0, 1, or 2) for each component. Total scores may range from 0 to 10. Scoring may continue at 5-minute intervals until the score is greater than 7. If the 5-minute Apgar score is 8 or more, proceed to a more complete examination.

The Apgar Scoring System

Assigned Score

Clinical Sign

Pregnancy Diet Plan

Pregnancy Diet Plan

The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.

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