Homework Lance
THIS VIDEO will guide you through the normal newborn assessment that typically occurs about two hours after delivery. Our expert nurse educator starts by emphasizing the importance of vital signs and offers practical tips on accurately counting the respiratory and heart rates despite their irregularity in newborns. You’ll learn why it’s essential to conduct these measurements early while the baby is calm and understand the expected ranges for respiration, heart rate, and temperature.
We cover the typical respiratory rate for newborns, which ranges from 30 to 60 breaths per minute and the necessity of counting respirations for a full minute due to their irregularity and provides insights into listening over the lung fields to ensure accuracy. The instructor offers practical techniques such as tapping your foot or finger to keep an accurate count, making this process more manageable.
The video also delves into the significance of recognizing heart murmurs in newborns, explaining that while these are often normal due to the closure of fetal circulation structures like the ductus arteriosus and foramen ovale, they should still be reported to ensure no complications are overlooked.
When it comes to measuring temperature, the video discusses the preferred method of taking axillary temperatures, explaining the historical shift away from routine rectal temperatures due to advancements in evidence-based practice. The normal temperature range for newborns is outlined as 97.7 to 99.7 degrees Fahrenheit (36.5 to 37.5 degrees Celsius).
Blood pressure in newborns is another critical topic covered in this video. Although it’s not checked on every baby, the video explains scenarios where it becomes necessary and provides the normal ranges of 50 to 75 systolic over 30 to 45 diastolic. This section helps nursing students grasp the conditions under which blood pressure monitoring is warranted and how to interpret these values.
This comprehensive guide is designed to equip nursing students with the skills and knowledge needed to perform a complete head-to-toe assessment of a newborn. By integrating these best practices into your clinical routine, you can ensure accurate monitoring and early detection of any potential issues. The video aims to boost your confidence and proficiency in neonatal care, crucial for your success in the NCLEX and your future nursing career.
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