2. The 1 st 24 hours of Life The first 24 hours of life is a very significant and a highly vulnerable time due to critical transition from intrauterine to extrauterine life
27. 051104 Neonatal Care APGAR Scoring System INDICATORS 2 1 0 Activity Active, spontaneous Some flexion of extremities No movement (flaccid, limp) Pulse >100 bpm < 100 bpm Absent Grimace Pulls away, sneezes, coughs Facial grimace only No response with stimulation Appearance Completely pink Acrocyanosis Bluish-gray or pale all over Respiration Good vigorous cry Slow, irregular Weak cry Absent
28. 051104 Neonatal Care Score Interpretation Score Interpretation Nursing Interventions 7 to 10 Well baby Rarely needs resuscitation 4 to 6 At risk INFANT NEEDS INTENSIVE CARE Requires resuscitation Suction Dry immediately Ventilate until stable Careful observation 0 to 3 Sick baby PROGNOSIS FOR NB IS GRAVE Intensive resuscitation ET/ Ambu bag Ventilate with 100% O 2 CPR Maintain body temperature Parental support
151. Usher’s Criteria 051104 Neonatal Care FINDINGS 0-36 WKS 37-38 WKS 39 WKS AND OVER Sole creases Anterior transverse crease only Occl creases in ant 2/3 Sole covered with creases Breast nodule diameter (mm) 2 4 7 Scalp hair Fine and fuzzy Fine and fuzzy Coarse and silky Ear lobe Pliable; no cartilage Some cartilage Stiffened by thick cartilage Testes and scrotum Testes in lower canal; scrotum small; few rugae Intermediate Testes pendulous, scrotum full; extensive rugae
162. 051104 Neonatal Care Disorder Screened If not screened If screened Congenital Hypothyroidism Severe mental retardation Normal Congenital Adrenal Hyperplasia Death Alive and Normal Galactosemia Death or Cataracts Alive and normal PKU Severe mental retardation Normal G6PD Deficiency Severe Anemia, Kernicterus Normal
