University:
Middle Georgia State University
Course:
NURS 2010 | Maternal, Newborn & Child Nursing Practice
Academic year:

2022
Views:

495

Pages:

9
Author:

Alexa Livingston

Anthropometric measurement • A. WEIGHT 1. Ave bet 2750g and 4000g (6-9 lb) at term. 2. under 2750 g (5 1/2 lb): Small for gestational age (SGA) 3. Over 4100 g (9 lb): large for gestational age. 4. Initial loss of 5%-10% of body weight normal during first few days; should be regained in 1-2 wks. • B. LENGTH 1. Ave 46 – 55.9 cm ( 18-22in) 2. Under 45.7 cm (18 in); SGA 3. Over 55 cm ( 22 in) :LGA C. HEAD CIRCUMFERENCE 1. Ave circumference 33 – 35.5 cm ( 13- 14 in); equal to or 2-3 cm slightly larger than chest; remeasure after several days if significant molding or caput succedaneum present. 2. Under 31.7 cm ( 12in): Microcephaly/SGA 3. Over 36.8 cm ( 14 in): Hydrocephaly / LGA D. CHEST CIRCUMFERENCE Average is 30-33cm. (12-13 inches) or 1.9 cm (3/4 in) less than head. • E. ABDOMEN 1. Shape – cylindrical protrudes slightly, moves synchronously with chest in respiration. NEWBORN SCREENING Profile of a Newborn 1. HEAD • Disproportionately larger than the body • ¼ larger than the body • In adult head 1/8: body Common features found: 1.Fontanelles 2.Sutures 3.Molding 4.Caput Succedum 5.Cephalhematoma 6.Craniotabs FONTANELS (Soft spot) • • • • A space or opening where skull bones join soft spot where sutures cross meet Too easily felt or identified Should be flat and open; enlarged or bulging may indicate increased intracranial pressure, sunken often indicates dehydration. 2 types: 1.Anterior Fontanel – diamond shaped ; closes in 12-18 month 2.Posterior Fontanel- triangular shaped; closes in 2-3 months

Profile of the Newborn Lecture Part 2

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