[Verified Answer]: ASSESSMENT OF THE NEWBORN NAME:…

ASSESSMENT OF THE NEWBORN NAME: _______________________________ DATE Completed: ______________________ Goal: Assessing the baby for normal signs of adjustment to extrauterine life. Directions: Evaluate first by looking over the whole infant from head to toe. Then proceed to examine each part: head, chest, abdomen, genitalia, extremities. Assess for gestational age using the separate NB rating score sheet. Perform the behavioral assessment by using the “Infant-State Related Behavior Chart” found on Canvas (Competency 8’s Required Learning Activities). Describe your findings from these observations and from the infant’s chart using the space provided indicating if the data is not WNL. History: Age __________ Sex: ______ Apgar Scores-1/5 min. _______, _______ Birth Weight _______ Length ___________ Head Circumference ______ Delivery data: Type: Presentation: Labor and/or Birth Complications, Resuscitative measures: Relevant Maternal Medications, Anesthesia/analgesia: Current Observations: (Describe the following:) Weight: ________ Percent of weight loss to date: ____ Fontanelles: Skin color/turgor, condition: Muscle Tone: Breath Sounds/Respiratory rate, rhythm and cry: Apical heart rate and rhythm: Temperature: Abdomen/Bowel Sounds: Cord Condition: Elimination (Bowel & Bladder): Page 2 – NEWBORN ASSESSMENT (cont’d.) Using the Ballard NB rating score sheet, make your estimation of gestational age and indicate if SGA, AGA or LGA. Discuss the findings and implications of this evaluation: Describe the behavioral assessment of this infant and indicate relevant parent teaching implications. (Use Infant-State Related Behavior Chart). NUTRITIONAL INTAKE: Method of feeding: Any regurgitation? Amount taken/feeding: Amount expected for this day of age? Calculate feeding requirement for a twenty-four hour period if this infant was bottle-feeding: 1) Determine daily calories needed; and 2) Determine ounces per feeding required. DEVELOPMENTAL REFLEXES: Describe responses and indicate if abnormal. Moro – Sucking and Rooting – Palmer Grasp – Babinski – Stepping – Lab Work Ordered/Completed: NEWBORN ASSESSMENT (Cont’d.) Page 3 SUMMARY AND CONCLUSIONS FOR CARE PLANNING: Write an assessment summary. Include any birth problems affecting recover, adaptation to extrauterine life in the first 24 hours, progress in feeding and weight gain. Describe the parent-infant interaction, teaching required and given, and discuss achievement potential of the infant’s development task. Describe any variations from what would normally be expected in the behavioral and physical assessment. BASED ON YOUR ASSESSMENT FINDINGS, COMPLETE A NURSING CARE PLAN.