Newborn

Assessments
BY: SARAH LAFFEY
HEALTH SCIENCE ISM 2018-2019
FINAL PRESENTATION
MRS. CLICK
Disclaimer

Some of this content

comes from
outside sources
 My Mentor
Julie D. Carlisle, RN, MSN, CPNP
Pediatric Newborn Nursery Nurse Practitioner
-Master of Science in Nursing -The University of
Texas at Arlington, Arlington, TX
-Bachelor of Science in Nursing -University of
Texas-Health Science Center, Houston, Texas
-Nursing Prerequisites -University of Houston,
Houston, Texas
 My Mentor Site
UTMB Galveston- John Sealy
Hospital Building. WIC Floors
3, 6, 7, & 8.

R., CHESTER. “JOHN SEALY HOSPITAL.” The Handbook of Texas

Online| Texas State Historical Association (TSHA), 15 June
2010, tshaonline.org/handbook/online/articles/sbj01.

Hadly, Stephen. “Impact.” Psychosocial Development,

www.utmb.edu/impact/home/2016/05/17/second-
phase-of-john-sealy-hospital-modernization-underway.
 What’s ISM?
ISM stands for Independent study Requirements:
mentorship. This is a course designed for • Complete 3 hours of mentorship
junior and/or senior students ready to each week
study an occupation in a business • Complete a journal entry each
setting under the wing of a business week
professional serving as a mentor. With • Complete an ISM online portfolio
the mentor and the teacher facilitator, • Complete collegiate level
each ISM student creates a plan of research project
study. ISM is a one-semester advanced • Complete activity logs weekly
• Complete collegiate level
academics class.
product for project
• Complete any assignments that
https://sarahlaffeyismportfolio.weebly.com/ are assigned through the weeks
 Newborn Assessment
My project topic is what a Pediatric Nurse
Practitioner does during a Newborn
Assessment and the mechanics behind it and
why it is done. I chose this topic because I
would really love to become a Pediatric
Nurse Practitioner in the Newborn Nursey or
NICU. I wanted to learn what they do and
experience first hand what they do on a daily
bases. The newborn assessment is one
primary aspect of the job. They preform it on
every baby they see. This is a very important “AboutKidsHealth.” AboutKidsHealth, SickKids Hospital
Staff, 18 Oct. 2009, www.aboutkidshealth.ca/.
part of their job.
What I will be going over?
 The different things done in a newborn assessment.
 Different types of assessments.
 The main things to look for in during an assessment.
 The tools used for an assessment.
 What will happen if something is abnormal.
 The different things done in a
newborn assessment.
What different steps are there when doing an
assessment?
• They will see the baby at least in the first hour of life
• First, they will get the measurements of the head, body, and
chest
• They will then neuromuscular maturity exam
• Followed by a physical maturity exam

The purpose of each step?

• All exams are score based so all scores are added up the get a
maturity rating of there gestational age
 Different types of assessments.

What are the different types of assessments?

• The Neuromuscular Maturity exam is the score of 6 nerve
and muscle development
• The Physical Maturity exam is the score of 6 physical
development
• Measurements of the head circumference, chest, and
length

Why each assessment is used?

All the exams come together making a score to determined the
gestational age of newborn.
The main things to look for in during
an assessment.
When doing each step what to look for?
Neuromuscular Maturity you look for…
• Posture, square window(wrist), arm recoil, popliteal angle,
scarf sign, and heel to ear.
Physical Maturity you look for…
• Skin, lanugo, plantar surface, breast buds, ear/eye, and
genitals maturity
What different thing will you see?
Depending on how many weeks (gestational age) the baby Rust, Courtney. “Newborn Screenings: What Tests Will My
Baby Get in the Hospital?” Whattoexpect, WhattoExpect,
was born you will see different results in every baby, all babies 2 Mar. 2018, www.whattoexpect.com/first-year/health-
and-safety/newborn-screening-tests-and-procedures/.
are unique in their results.
The tools used for an assessment.

Your text here

Aby, Janelle. “Head.” EHR National Symposium, Newborn

Nursery, med.stanford.edu/newborns/professional-
education/photo-gallery/head.html.

“Welch Allyn Coaxial

Ophthalmoscope with C-Cell
Handle in Hard Case.” UK Medisave
UK View,
MedisaveUK. “Littmann Classic II Infant
www.medisave.co.uk/welch-allyn-
Stethoscope: Pearl Pink 2120.” Medisave,
35v-coaxial-ophthalmoscope-with-
www.medisave.net/littmann-classic-ii-infant-
ccell-handle.html.
stethoscope-pearl-pink-2120.html.
 What will happen if something is
abnormal?
What are some thing that can be abnormal?
• Oxygen level
• Respiration rate
• Respiratory effort
• Temperature
• Heart Rate

What the protocol is when something is abnormal? Oak, Lauren. “Premature Baby in Isolette.” Twiniversity, 30
June 2016, www.twiniversity.com/2016/07/premature-love-
2/untitled-design-354/.
When something is abnormal the baby is usually are taken to the
newborn intensive care unit to either be put on oxygen or put in an
isolate to regulate what ever is abnormal and if unable to do so,
they will then be transferred to NICU.
 Current Event
23 infants infected at CHOP after eye exams with
contaminated equipment.
• August 30, 2018 at Children’s Hospital of Philadelphia.
• 23 infants contracted viral eye infection due to lack of clean equipment
and failure to wear gloves.
• The infection consisted of adenovirus and was most likely transmitted by
the instrument called ophthalmoscope.
“Welch Allyn Coaxial Ophthalmoscope with

• For the patients being neonates, this is very dangerous due to the infants C-Cell Handle in Hard Case.” UK Medisave
UK View, www.medisave.co.uk/welch-allyn-

being very vulnerable to infectious diseases. 35v-coaxial-ophthalmoscope-with-ccell-

handle.html.

• Not only did infants get this infection, but 6 of the staff and 3 of the parents
contracted the infection as well.
• This lead to 2 out of the 23 died with the theory of the infection being the
cause and 5 developing pneumonia.
 Product
My product is a tri-fold board showing
what a newborn assessment is and why
it is done, and what is looked for. My
main goal for my product was to
resemble an information board a new
mom might see, so they know exactly
what the exam consist of.
 Conclusion

In conclusion I am very glad I was able to have

this opportunity and I have learned so much
about newborn assessments and what it take
to become a pediatric nurse practitioner.
 Thank you
I want send Thank you to…
My mentor for allowing me follow her,
Mrs. Click for teaching this class so am able to have
this opportunity,
My family for supporting me,
And all you here today viewing my presentation.
 Work Cited
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www.stanfordchildrens.org/en/topic/default?id=assessments-for-newborn-babies-90-P02336.

“Assessments for Newborn Babies.” Edited by Donna Freeborn and Kimberly Lee, Ice Packs vs. Warm Compresses For Pain - Health
Encyclopedia - University of Rochester Medical Center,
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Aby, Janelle. “Newborn Exam.” EHR National Symposium, Newborn Nursery, med.stanford.edu/newborns/clinical-
rotations/students/students-newborn-exam.html.

Lewis, Mary L. “A Comprehensive Newborn Exam: Part I. General, Head and Neck, Cardiopulmonary.” AAFP Home, 1 Sept. 2014,
www.aafp.org/afp/2014/0901/p289.html.

Lewis, Mary L. “A Comprehensive Newborn Exam: Part II. Skin, Trunk, Extremities, Neurologic.” AAFP Home, 1 Sept. 2014,
www.aafp.org/afp/2014/0901/p297.html.

Avril, Tom. “23 Infants Infected at CHOP after Eye Exams with Contaminated Equipment.” Http://www2.Philly.com, The Philadelphia
Inquirer, Daily News and Philly.com, 30 Aug. 2018, www2.philly.com/philly/health/premature-baby-deaths-childrens-hospital-
philadelphia-eye-infection-lawsuit-20180830.html.

Ksiazek, Michael C, and Jeffrey A Krawitz. “23 Infants Contracted Infections at CHOP.” Pennsylvania Law Monitor, 21 Sept. 2018,
palawblog.stark-stark.com/2018/09/articles/medical-malpractice/23-infants-contracted-infections-at-chop/.

Consolini, Deborah M, et al. “Physical Examination of the Newborn - Children's Health Issues.” Merck Manuals Consumer Version, Apr.
2017, www.merckmanuals.com/home/children-s-health-issues/care-of-newborns-and-infants/physical-examination-of-the-newborn.

“Assessments for Newborn Babies.” Assessments for Newborn Babies - Health Encyclopedia - University of Rochester Medical Center,
University of Rochester Medical Center , www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02336

Fuloria, Mamta, and Shelley Kreiter. “The Newborn Examination: Part II. Emergencies and Common Abnormalities Involving the
Abdomen. Pelvis, Extremities, Genitalia, and Spine.” American Family Physician, Wake Forest University School of Medicine, 15 Jan. 2002,
www.aafp.org/afp/2002/0115/p265.html.