RO18:L03:1- Postnatal Checks for Baby
- Created by: bethxalston
- Created on: 08-07-21 13:57
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- Postnatal Checks for Baby
- APGAR
- Assessing 5 Vital Signs
- Heartbeat
- Breathing
- Muscle Tone
- Reflex Response
- Colour
- Score given to evaluate physical condition of a newborn.
- Conducted straight after birth and then every five minutes until the baby scores a 6.
- Most children score a 9/10.
- Assessing 5 Vital Signs
- Skin
- Salmon Patches
- Flat red/pink patches.
- More noticeable when the child cries.
- Can take between 3 months- 4+ years to fade.
- Appear on eyelids, neck or forehead at birth.
- Mongolian Spots
- Blueish patches can look like bruises.
- More common on black skin or on the babies bottom.
- Usually disappear by the age of 4.
- Infantile Haemangiomas (Strawberry Marks)
- Raised red marks on skin.
- Appear anywhere on the skin.
- Grow in the first 6mths and disappear by the age of 7yrs
- Vernix and Lanugo
- Vernix
- White waxy substance that covers baby's skin in womb.
- Babies still have this on their skin at birth.
- Natural Moisturiser and protective layer that protect baby from infection.
- If baby is overdue, vernix will already have absorbed and they baby will have dry, cracked skin.
- Lanugo
- Soft, fine hair; usually unpigmented
- Helps regulate the baby's temperature and is normally shed around the 7-8th month of pregnancy.
- Sometimes the baby will be born with the layer of lanugo, but it will be shed in a few days.
- Vernix
- Salmon Patches
- Physical Checks
- Weight and Length
- Recorded on centile charts.
- 6-9lbs and 50-53cm
- So comparisons can be made to check the child is developing at the correct rate.
- Head Circumference
- Took to track the baby's development.
- Shape and Circumference is assessed at birth.
- A squashed appearance is common as a result of the baby being pushed through the birth canal.
- Fontanelle
- Skull bones not fully fused together yer.
- These spots are covered by a tough protective membrane.
- Take 1yr+ before fused together.
- Eyes
- Don't check Vision
- Check for conditions such as Cataracts.
- Shine a light to check reflex.
- Mouth
- Check for Sucking Reflex.
- Place a finger in mouth to check roof of mouth is complete.
- Feet
- Toes are counted and checked for webbing.
- Check foots Natural Resting Position
- Hands
- Fingers are counted and checked for webbing.
- Check palm of hand for 2 creases as 1 crease is associated with Downs
- Hips
- Check for Developmental Dysplasia of the Hips.
- Check hip joints join properly
- Weight and Length
- Reflexes
- Sucking Reflex
- Touch roof of baby's mouth they will make sucking mtions
- Rooting Reflex
- When the Baby's lips or cheek is touched, they will root for the ****** or teat.
- Grasp Reflex
- Touch a baby's palm they will grasp your finger.
- Standing/ Walking Reflex
- When help up right a baby will make stepping movemnets.
- Startle Reflex
- If a baby wakes suddenly or hears a loud noise they will make a fist and move still arms away from their body.
- Sucking Reflex
- APGAR
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