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1 24 hours
st
of Life
1 2 3 4 5
051104 Neonatal Care 26
INDICATORS 2 1 0
Activity Active, Some flexion No movement
spontaneous of extremities (flaccid, limp)
Pulse >100 bpm < 100 bpm Absent
Intensive resuscitation
ET/ Ambu bag
0 to 3 Sick baby Ventilate with 100% O2
PROGNOSIS FOR CPR
NB IS GRAVE Maintain body temperature
Parental support
051104 Neonatal Care 28
General Guidelines
• Keep warm during examination
• From general to specific
• Least disturbing first
• Document ALL abnormal findings &
provide nursing care
2
051104 Neonatal Care 44
Example
2
051104 Neonatal Care Score: 5 45
Score Interpretation
Score Interpretation
0-3 No RDS
Moderate RDS
4-6
Severe RDS
7-10
!
cil ck
Breast nodule 2 4 7
diameter (mm)
Scalp hair Fine and fuzzy Fine and fuzzy Coarse and silky
Ear lobe Pliable; no Some cartilage Stiffened by thick
cartilage cartilage
19
051104 Neonatal Care 156
Neuromuscular Maturity
17
051104 Neonatal Care 157
Scoring
19+17=36
36 39
Procedure:
• support head in the crook of your arm
• encircle the body with your arm
• press baby firmly against your side
• use other hand to support bottom and thigh
Procedure:
• draw baby towards your chest with one forearm
• bracing his back and your hand cradling his head
• support your baby’s bottom and thighs with your other
arm
• gently press his head against shoulder