The high-risk neonate: can be defined as a newborn, regardless of gestational age or birth weight, who has a greater-than-average chance of morbidity or mortality, because of conditions or c…Full description
Useful guide to assess newbornsFull description
Full description
Deskripsi lengkap
Excavation Risk Assessment SheetFull description
Risk Assessment Methods
HIGH RISK NEWBORN ASSESSMENT FORMAT IDENTIFICATION DATA
Name of the baby
-
Age
-
Sex
-
Date of birth
-
Birth weight
-
HISTORY COLLECTION
Delivery
- singleton/ twins/triplet
Diagnosis
-
Cord
- Normal/ Prolapsed
Condition at birth
- Active/ Asphyxiated
Any birth anomalities
- Present/ Absent
reatment at birth
-
Apgar score
-
at !mt
at "mt
VITAL SIGNS
emperat#re
-
P#lse
-
$espiration
-
ANTHROPOMETRIC MEASUREMENT
%eight
-
&ength
-
'ead circ#mference
-
Chest circ#mference
-
Abdominal circ# rc#mfere erence
-
PHYSICAL ASSESSMENT
Activity
- Active/ D#ll
Body b#ild
- hin / %ell b#ilt
Color
- Pale/ Pin(/ )a#ndiced/ Cyanosed
ext#re
- Smooth/ Dry
#rgor
- Normal/ Dry
S(in
*ernix caseosa
- Present/ Absent
&an#go
- Present/ Absent
+dema
- Present/Absent
,ilia
- Present/ Absent
,ongolian Spot
- Present/ Absent
Sie
- Normal/ ,acrocephaly/ ,icrocephaly
Shape
- Normal/ Abnormal
Anterior fontanels
- Palpable/ Depressed/ B#lging
Posterior fontanels
- Palpable/ Depressed/ B#lging
Cap#t s#ccedane#m
- Present/ Absent
Cephalohematoma
- Present/ Absent
+yelid
- Normal/ +demato#s
.ris color
-
Sclera
- %hite/ Bl#e/ ellow
$ed reflex
- Present/ Absent
Patent nostrils
- Present/ Absent
Nasal discharge
- Present/ Absent
Nasal septal deviation
- Present/ Absent
0laring of nostrils
- Present/ Absent
Symmetry
-
Appearance
-
Pinna in line with eyes
-
Secretions
- Present/ Absent
.ntact lips and palate
-
1ral tr#sh
- Present/ Absent
Sie
- Normal/Abnormal
Nec( webbing
- Present/ Absent
'ead
+yes
Nose
+ar
,o#th
Nec(
Chest Shape
-
,ovement
- Symmetry/ Asymmetry
Breath so#nd
-
'eart so#nd
-
Abdomen Shape
- Normal/ Distended
2mbilical cord
-
%harton3s 4elly
- Present/ Absent
Bowel so#nds
- Present/ Absent
0emale 5enitalia &abia ,a4ora
- Normal/ +demato#s
&abia ,inora
- Normal/ Abnormal
*aginal Discharge
- Present/ Absent
,ale 5enitalia 2rethral opening
- Present/ Absent
estis
- Descended/ 2ndescended
+pispadia
- Present/ Absent
'ypospadia
- Present/ Absent
Spine
- .ntact/ Abnormal
Spina bifida
- Present/ Absent
Abnormal c#rvat#re
- Present/ Absent
Spine
+xtremities Shape
- Symmetric/ Asymmetric
$ange of motion
- Active/ .nactive
Nail B#ds
- Pin(/ Cynosised
,#scle tone
- Normal/ Abnormal
Polydactylity
- Present/ Absent
Syndactylity
- Present/ Absent
Ne#rom#sc#lar Cry
- %ea(/ &o#d/ 'igh pitched
ðargic
- Present/ Absent
Activity
- Active and alert/ Drowsy
$eflexes o
,oro $eflex
o
S#c(ing reflex
o
$ooting $eflex
o
onic nec( reflex
o
5rasp reflex
o
Stepping or wal(ing reflex
o
Babins(i sign
o
5labellar reflex
o
Sneeing reflex
DA.& 1BS+$*A.1N AND CA$+ 10 '+ N+%B1$N P1SNAA& DA 5eneral condition emperat#re P#lse $espiration +ye care Cord care Breast feeding Baby weight Bladder Bowel Sleep Chief Complaints ,edical treatment *accination