2 .
A full neurologic assessment of a newborn includes evaluation of each newborn reflex. List the newborn reflexes and the expected finding for each.
3 .
A newborn is feeding and acting fussy when the nurse walks into the room to complete a Ballard Assessment. What should the nurse know about timing the Ballard Assessment?
4 .
Explain why it is important that the nurse not perform the Ballard Assessment on a newborn that is possibly withdrawing from substances.
5 .
Summarize why the nurse must wear gloves the entire time they are completing an assessment on a newborn that has not yet had a bath post birth.
6 .
Describe two reasons the nurse would want to perform a behavioral assessment on a newborn before discharge home.
7 .
After completing a physical assessment and noting weight and measurements, the nurse completes a Ballard Assessment on a newborn.
|
SIGN
|
SCORE
|
|
Posture
|
3
|
|
Square Window
|
2
|
|
Arm Recoil
|
3
|
|
Popliteal Angle
|
3
|
|
Scarf Sign
|
3
|
|
Heel to Ear
|
2
|
|
TOTAL SCORE
|
|
Table 23.4
Neuromuscular Maturity Scoring
|
SIGN
|
SCORE
|
|
Skin
|
2
|
|
Lanugo
|
2
|
|
Plantar Surface
|
3
|
|
Breast
|
2
|
|
Eye/Ear
|
2
|
|
Genitals (Male/Female)
|
2 female
|
|
TOTAL SCORE
|
|
Table 23.5
Physical Maturity Score
Based on the indicated scores, what overall maturity score would this newborn receive?