Nursing Process
NEWBORN ASSESSMENT
i. Vital Information
Name: __________________ Date of Delivery: ___________________ Time of Delivery: _____________ Sex: ________ Address: _______________________________________________ Ordinal Position in the Family: _________ Parents: Mother: _________________ Father: __________________ OB AOG (based on LMP): Clinical AOG (Based ion the new Ballard Scoring): Type of Delivery: _____________________ Newborn Screening: ( )done ( ) not done
ii. Physical assessment
A. Measurements:
Birth weight: _________ Length: _________ Head circumference: _________ Chest Circumference: _________ Temperature: _________ APGAR Score: _________ Respiratory Rate: _________ Pulse Rate: _________
j. Neurological Assessment
REFLEXES
HOW ELICITED
EVALUATION
b. Baby bath
d. Sunlight exposure
e. Babys Diet
g. Clothing
h. Immunization
j. Others