Immediate Care PDF

A)r.}t -,uli\ ;, l, Lectr:rer: Dr. Asniahatr Qasim trrohatntnecl c-5 \ )a',:.. !jiE-...

A)r.}t -,uli\ ;, l, Lectr:rer: Dr. Asniahatr Qasim trrohatntnecl c-5 \ )a',:.. !jiE- -"*-J:r,*Jl &-{ik* Home Care After E,arly Discharge). h ;i li /;;i :i !t, t::t i i::':'i 1i '.,, Newborns requires skilled observation to ensure a satisfactory adjustment to extrauterine life. Physical assessment after delivery can be divided into fotrr phases: A. Initial assessment (Apgar scoring system) B. Clinical assessment of gestational age C. Systematic physical exam D. T'ransitional assessment during the periods of reactivity. The most frequently used n-rethod to assess newborrls' it-nmediate adjr-rstment to extrauterine life'iS the.iiu'1,1';:;:,.ti'i'..:.;".iit'11:;1"':'"r':':1:tirll, which iS baSed On newborn heart rate, reSpiratOry effOrt, muscle tone, reflex irritatrility, and color. Each item is given a score of 0. 1, or 2- Evaluations of 5 categories are made at 1 and 5 minutes after birth and repeated every 5 minutes gntil the infant's condition stabilizes. The Apgar score is affected by the degree of physiologic immaturiry. inlection. congenital mallormations. tnaternal sedation or analgesia. and neuromuscular disorders.  [-ectuler: Dr. Asrnahan Qasim ntohamrned Infant Evaluation at Birth-Apgar Scoring System Heart rate Absent Slow, or less than More than 100 100 beats/min beats/min Respiratory Absent Irregular, slow, weak Cry Good, strong cry effort Muscle tone Flaccid Some flexion of Well flexed extremities Reflex No Grimace Cry, sneeze irritability response Color Blue, pale Body pink, Completely extremities blue pink ":, :l' '-:. Totai scores of 0 to 3 represent severe distress. scores of 4 to 6 signify moderate difficulty. scores of 7 to 10 indicate absence of difficulty in adjusting to ertrauterine life. Many healthy newborns do not achieve a score of l0 because the body is not completely pink B. Clinical Assessment of Gestational Age ,,', t,.,, ; Assessment of gestational age is an important criterion because perinatal morbidiry and rnorlality are related to gestational age and birlh weight. Gestationirl Age assessed by:. Last menstrual period (LMP). Ultrasound ' New Ballard Scale (NBS) is a method used to assess Gestational Age (six external physical and six neuromuscular signs). Each sign has a number score, and the 'cumulatit",e sccre correlates.rith amaturifi rating of l0 to.14 l..,eeks.of gestation.  LectLrrer: Dr. Asrnalran Qasinr ntohatrlned PHYSiCAL i,4lrTUfiiTY luiATlj H i TY HATi irj.-i '., ii:-!.; l'::1;;:titt.nl ,-:a:J'ii-l i :-:t:;ri:: '|ti:a! jil*-ir* tr.J- ii.tt:!.lii]. itflk " ,ii-r )r*iri ,,,.L':. tr&Jl6*iirfii, ;:At*t*,.eif:z &r,;i re.th, anr tt:jt jii:i lJi.t{sil,.':t i? t,-1,,,t F,:'1lti-, Ldtl;iu ?' f..",:-.ri 1#4r':ti: il.:,Ittltli aaa '11!i1a, I fr* t ,i nr. r:dJ rr+ro:, 'l' r,i':]llr,ltx ',ll*r:rg::i fii**eri I!:.if,ii r6tl.*ri.... 1J".11ft,ii:,i*rriil ::i:ri. :.44. ;xrrlr: ":: r; r*:1-' $a?1a::ttr s*r::4 i* ;, 'rI t{) :firli*d t;l:*i J*?,1gtr:+ie.:E'^?eA f@t !fi#e.tf,lirr 5-'i:t rrAF &?te:€$;;i5;.6 1.1 min 2r:rl 1..i mr rui !i.,c l1l ,,,.. i.,.,.-,.;.. 1:,rr.t;:i ,ii s:i.{s{:d l1t6.i, l$tritE,,t::f i;1i,t1ai Eifi:f jt.i ;r',A: rrt{:il_*:l* ,...r,. 1,,. tr rii I lijt -!t.i.,il ksfitiv; € uiLitt; iLrtlsi 1:.: i f1l1t I; Ir:;i? lftalri a&;t- d,-.1:: lruus;r: - iLi t: ut,.r: ,t:5it1i i! i lc:iH3:: ,, :,,., ,i : ,t: -r:1zpti fisF8, faBa:l ,iiff6€:.t:nt*,,4 it+;n ',. ,:lt@+:r* ', ta 3i1 ':*4: ilr : :,arfli,q::{r-n€ **+fJ t!,r+1{ iii.ii*4ii.ti*i4ri+i *.**tt*x w /:. -r t-d" 4s*:"+r4 llri'liiii :' r,aar"lafl11 'Jl:'::t:: 5, ]riifl61x1 1;8*rc*ii Jtr :il*.*na-i lilU1r 1l;ll i\:f..a+f, tr{:'tssit 4t41x irt ,, q*I1d q::ial(,rit ,,,1,.,;:;, lTttXSt& l'ilt; Ii: \ fi1'l$fnz:i:} I11 Neurcmuscular Maluril y /-r^-*. : t'{'t--'r- -' LL--r'.-., \-]-- *-r*,-: 1 I I f-1 fr 1 ! I , i t 906 I 'g rio 1 I 1 f. 454 t 3*6 I {Je 1 fi 11 f ql' ,iJ ? t{.J*1..)-h1\ t/{ 'r. ll\ I BO" t/] 140"* 180! l-j i 1 i II{.tc Id1.)' t}' 9(i- 11r3o I i Yr"-.- 900 i.,} is* rr ) ,I]:] i 1 LUJ ,Y-al ,t s00 r, 4O" lllOt sflb r Q f 'l tr t, n r) Il{ ll -D * 1.\f #\ :'\ :, /**, -- -A IL_.) Ll.-y a  I-ectrrrer: Dr' Asrnahait Qasirn ntoitantrrrrcl C) Sl,sternatic physic:r I er:t rn General Measurenlents' Vital Sigrrs, Ceneral Appearance, Skin, Heacl, Eyes, Ears, Nose, Mouth and Throat, Neck, Chest, Lungs, Heart, Abdornen, Back and Rectum, Extremities. Neuromuscular System. D. Transitional Assessment: periods of Reactivity ,, , , : , ,f rr:l...,.*fl\r, Lu J.l F-rf S i:f trnrti'ca$ ft>r n{..,!,.i {:o,a-n, rI r{,qeJrrrl *.} rqrt r:f c,:*ru}" * T"h{?r8 *3t-tr Ci:;:r-lHr-S rg-] hf,;rrt r,:tC,, s-Lr*prrAttf}s-.r. 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