infants are at a higher risk for Asphyxia Meconium aspiration syndrome

Infants are at a higher risk for asphyxia meconium

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infants are at a higher risk for: Asphyxia Meconium aspiration syndrome Congenital anomalies Term infants: Are typically your healthiest NBs’ Physical Components: ( bottom of Ballard form) Skin Lanugo Plantar Surfaces
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Breast Tissue Eyes/Ears Genitalia Term baby: Skin: Soft, silky, supple skin Good amount of adipose/fat tissue Not as many visible veins Lanugo: Balding areas on cheek, ear, & forearm Plantar surfaces/Creasing: Creasing down entire foot Breast Bud/Tissue: Palpable thick bud Ears/Eyes: Look at ears only (ear recoil) Genitalia: Use gender specific line Male genitalia: Scrotum will be pendulous Testes should be descended Scrotal sac seems heavier darker pigmentation & deep Rugae Female genitalia : Labia majora covers labia minora Hymenal tag may be present 18 mos to 2 years hymnal tag retracts>>vaginal orifice Preterm baby: Skin: Thin, Shiny, fragile, gelatinous depending how preterm Not much adipose/fat tissue Many blood vessels visible/ closer to skin Lanugo: Lanugo everywhere No balding Plantar surfaces/Creasing: Some creasing if late preterm (top half of foot) If early preterm no creasing at all Breast Bud/Tissue: May not be as full If early preterm Barely perceptible Ears/Eyes: If early preterm only assess eyelids only eyes fused closed
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Preterm look at both eye & ears eyes open ears soft No ear recoil If late preterm /close to term 34/35 weeks look at ears only (ear recoil) Genitalia: Use gender specific line Post date baby: Skin: No blood vessels Lots of adipose/fat tissue Dry skin/peeling/cracked Lanugo: May have some not a ton though Plantar Surfaces/Creasing: All down foot/over foot Breast Bud/Tissue: Palpable Ears/Eyes: Look at ears only (ear recoil) Genitalia: Use gender specific line Neuromuscular Components: (top of Ballard form)
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Posture Square Window Popliteal Angle Scarf Sign Heel to toe Term baby: Posture: More neuromuscular strength Hold close to body Strong Square Window: More flexibility Lay hand down to wrist Bend to almost flat 38-40 weeks gestation POPLITEAL ANGLE: Immediate resistance given back Very strong at term Where do you feel it/ at what point Scarf Sign: Baby on its back Pull arm across to the other side They resist you Heel to Ear: Baby flat on back Draw baby’s heel to ear See where you feel them resist Almost instantaneous resistance in term baby Preterm baby: Posture: No NM strength Open posture Square Window: Lean hand will see square window 90 degree angle etc.
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  • Winter '17
  • Deborah Cridor

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