Pediatrics Sesh 11-07-22 !

Heart rate is measured to assess the infant’s

! If unsterile, neonatal tetanus may happen.
! Perfect APGAR score is not possible due to
acrocyanosis.
- First minute and five minute.
- If APGAR score is <4, prepare for resuscitation.
adaptation to external environment.
! Refer to OB if HR is <90.
! Cough, Gag, and Blinking Reflex do not fade over
time.
! Palmar fades earlier than Plantar ( up to 9mos-1
year).

Anthropometric Measures !Proximo-Distal = Midline

Weight = 2,500 – 4,000 g (5-8 lbs or 8-13 oz.). !Pincer Grasp

! Weigh everyday for accuracy, same time. Same

clothes in adult. ! 20 Deciduous Teeth at 6-7 month.
! Babies are expected to lose weight due to
excretions (i.e. urine and meconium).

Length = 48 – 53cm (19-21 in.)

Head Circumference = 33 to 35 cm

! Head is larger by 2-3cm than chest.

Chest Circumference = 30.5 to 33cm.

! The least mature sense in neonates is vision

(B&W).

! Hypothermia (through convection; wrapping too)

can result to Hypoxia (low O2 Sat in tissues) and
Bradycardia.

! Position the crib away from the wall.

! Advise the mother to bath the baby avoiding to

wet the umbilicus.

! Erythromycin in the eyes (anti-bacterial)

! Before delivery, assist mother to STI Screening. If

syphilis is evident, cesarean session is advised.

! The changes in environmental condition causes

the neonate to cry.