Neonate

APGAR

• done 1 minute after birth and 5 minutes after birth • Appearance (color), Pulse (heart rate), Grimace (irritability), Activtiy (muscle tone), Respiration -2 points each (10 points total = perfect score)

Pulse 120-160 BP 60-90/30-35 Respiration 25-40 Temp 99

• pulse 80-130 • BP 70-80/45-65 • Respiration 20-35 • temperature 98.6

• pulse 70-110 • BP 90-110/50-70 • Respiration 15-25 • temperature 98.6

• pulse: 60-100 • BP 95-130/60-80 • Respiration 10-20 • temperature 98.6

• pulse 50-90 • BP 110/70 • Respiration 15-20 • temperature 98.6

Normal = greater than 2500 grams Preemie = <2500 grams, <37 weeks, smoker, “extension”, ears not rolled out (decreased cartilage)

Fetus feces

Cheesy, sticky, lotion

Soft hair

Unilateral bruise from suction cups

“Cap = B/L = crosses sutures” From delivery suction cups

18 months to never

2 months

Projectile vomiting, RUQ olive mass, “string sign” on X-ray (pyloric channel)

Less than 24 hours is life threatening More than 3 days is self limiting

Infant seborrheic dermatitis

Iron - human milk is low, helps RBC’s Vitamin D - muscle/bone integrity Zinc - deficient in preemies, helps protein synthesis Vitamin A - kids low more likely to die from measles

• primitive reflex - MOST primitive reflex

• primitive reflex - tap under lip and baby purses lips (disappearance variable but often soon after birth)

• primitive reflex - touch cheek, turn toward stimulus (disappears within 3-4 months )

• present at birth • lay the baby supine, turn their head, arm and leg extend on the ipsilateral side, flex on the contra lateral side • disappears within 2-6 months

Startle and acoustic reflexes • baby raises arms bilaterally in response to loud noise or light change (disappears in 4-6 months)