CHARACTERISTICS
OF A
NEWBORN
SKIN
At birth, the skin of a normal infant is purplish-
red in color, then within minutes, the skin pinks
up. Blueness of the hands and feet is frequently
seen during the early hours of life.
Jaundice. More than half of newborns have
some degree of jaundice in the first week of life.
In most cases, this condition is due to the
immaturity of the liver and is not a threat to the
baby.
HEAD
Molding refers to the long, narrow, cone-shaped
head that results from passage through a tight
birth canal. If a vacuum is used to deliver your
baby, you may notice more molding and
bruising. The head returns to a normal shape in
a few days.
"soft spot" is found in the top front part of the
head
closes with bone when the baby is between 12
and 18 months of age.
EYES
puffy because of pressure on the face
during delivery.
producing "crossed-eyes" and jerky
uneven movements, are normal. The
muscle control of eye movement is still
developing.
NOSE
misshapen during the birth process. It may
be flattened or pushed to one side. It will
look normal by 1 week of age.
REPORDUCTIVE ORGANS
Swollen breasts are present during the
first week of life in many female and male
babies.
swollen genitals
Erections occur commonly in a newborn
boy, mean bladder is full and nerves are
normal
FEET
Feet may be turned in any direction inside
the cramped quarters of the womb.
HAIR
Lanugo is the fine downy hair that is
sometimes present on the back and
shoulders. It is more common in
premature infants
APGAR SCALE
A score is given for each sign at one minute and
five minutes after the birth. If there are problems
with the baby an additional score is given at 10
minutes.
Cesarean section the baby is additionally
assessed at 15 minutes after delivery.
A-Activity movement of muscles
P-Pulse
G-Grimace- response to care
A-Appearance of skin
R-Respiration breathing
Sign 0 Points 1 Point 2 Points
Activity (Muscle Arms and Legs
A Absent Active Movement
Tone) Flexed
P Pulse Absent Below 100 bpm Above 100 bpm
Grimace (Reflex
Sneeze, cough,
G Irritability during No Response Grimace
pulls away
suctioning)
A
Appearance (Skin Blue-gray, pale Normal, except for Normal over entire
Color) all over extremities body
R Respiration Absent Slow, irregular Good, crying
What does the score mean?
A score of 7-10 is considered normal,
4-7 might require some resuscitative
measures
Baby with Apgar of 3 and below requires
immediate resuscitation.