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Newborn Assessment in a child health nursing

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MGM SCHOOL/COLLEGE OF NURSING
MGM SCHOOL/COLLEGE OF NURSING

Newborn assessment in a pediatric nursing

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Assessment of Newborn PRESENTED BY: MRS. PRECILLA B. THOPPIL
Reflexes Expected behavioral response Age of appearance Age of disappearance A). Reflexes of eye 1. Blinking. Infant blinks, exit an appearance of bright light or approach of any object awards I Birth Does not disappear 2. Pupillary reaction. Pupil constricts when bright light falls on it Birth Does not disappear 3. Dolls eye As head is moved to right or left, eyes lag behind and do not immediately adjust to new position Birth 3-4months
Newborn Assessment in a child health nursing
Newborn Assessment in a child health nursing
Newborn Assessment in a child health nursing
B). Reflexes of Nose 4. Sneeze Spontaneous response of nasal passage to any irritant Birth Does not disappear 5. Glabellar Tapping briskly on bridge of nose causes eyes to close tightly Birth Does not disappear
C. Reflexes of mouth 6. Rooting The infant turns his head towards any object that touches his cheek and actively seeks the nipple and begins to suck Birth 3-4 months 7. Sucking Baby begins to suck in response to stimulation of circumoral area Birth Persists during infancy 8. Gag Stimulation of posterior pharynx by food or suction causes infant to gag Birth Persists throughout life 9. Extrusion When tongue is touched or depressed, infant responds by forcing it outward Birth 4 months 10. Cough Irritation of mucous membrane of larynx causes cough Birth Persists life long
D. Reflexes of extremities 11. Grasp Touching palms of hands or soles of feet near base of digits causes flexion of hand (palmar grasp) and soles (plantar grasp) Birth Palmar grasp at 3 months and plantar 12. Babinski Stroking outer sole of foot upward from heel across ball of foot causes toes to hyperextend ` Birth 1 year
E. Mass Reflexes 13. Moros When loud voice is made or there is sudden change in equilibrium, it causes sudden extension and abduction of extremities and fanning of fingers Birth 3-4 months 14. Perez When infant is prone on a firm surface, thumb is pressed along spine from sacrum to neck, infant responds by crying, flexing extremities and elevating pelvis and head and lordosis lordosis of spine Birth 4-6 months 15. Tonic neck When infants head is turned to one side, arm and leg extend on that side and opposite arm and leg flex 2nd month 3-4 months
16. Galant reflex Stroking infant back alongside spine causes hip to move towards stimulated side At birth R weeks 17. Dance or stepping If infant is held such that sole of foot touches a hard surface, there is reciprocal flexion and extension of legs At birth 3-4 weeks 18. Crawl When placed on abdomen, infant makes crawling movements Birth 5 weeks
Newborn Assessment in a child health nursing

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Newborn Assessment in a child health nursing

  • 2. Reflexes Expected behavioral response Age of appearance Age of disappearance A). Reflexes of eye 1. Blinking. Infant blinks, exit an appearance of bright light or approach of any object awards I Birth Does not disappear 2. Pupillary reaction. Pupil constricts when bright light falls on it Birth Does not disappear 3. Dolls eye As head is moved to right or left, eyes lag behind and do not immediately adjust to new position Birth 3-4months
  • 6. B). Reflexes of Nose 4. Sneeze Spontaneous response of nasal passage to any irritant Birth Does not disappear 5. Glabellar Tapping briskly on bridge of nose causes eyes to close tightly Birth Does not disappear
  • 7. C. Reflexes of mouth 6. Rooting The infant turns his head towards any object that touches his cheek and actively seeks the nipple and begins to suck Birth 3-4 months 7. Sucking Baby begins to suck in response to stimulation of circumoral area Birth Persists during infancy 8. Gag Stimulation of posterior pharynx by food or suction causes infant to gag Birth Persists throughout life 9. Extrusion When tongue is touched or depressed, infant responds by forcing it outward Birth 4 months 10. Cough Irritation of mucous membrane of larynx causes cough Birth Persists life long
  • 8. D. Reflexes of extremities 11. Grasp Touching palms of hands or soles of feet near base of digits causes flexion of hand (palmar grasp) and soles (plantar grasp) Birth Palmar grasp at 3 months and plantar 12. Babinski Stroking outer sole of foot upward from heel across ball of foot causes toes to hyperextend ` Birth 1 year
  • 9. E. Mass Reflexes 13. Moros When loud voice is made or there is sudden change in equilibrium, it causes sudden extension and abduction of extremities and fanning of fingers Birth 3-4 months 14. Perez When infant is prone on a firm surface, thumb is pressed along spine from sacrum to neck, infant responds by crying, flexing extremities and elevating pelvis and head and lordosis lordosis of spine Birth 4-6 months 15. Tonic neck When infants head is turned to one side, arm and leg extend on that side and opposite arm and leg flex 2nd month 3-4 months
  • 10. 16. Galant reflex Stroking infant back alongside spine causes hip to move towards stimulated side At birth R weeks 17. Dance or stepping If infant is held such that sole of foot touches a hard surface, there is reciprocal flexion and extension of legs At birth 3-4 weeks 18. Crawl When placed on abdomen, infant makes crawling movements Birth 5 weeks