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GESTATIONAL AGE ASSESSMENT The extremely premature infant has transparent, friable skin and would be awarded -1 points.
2:53 6:00 New Ballard Score Chapter 3 - YouTube YouTube Start of suggested clip End of suggested clip With the infant lying supine. The lower extremity is flexed at the hip. So that it rests on theMoreWith the infant lying supine. The lower extremity is flexed at the hip. So that it rests on the mattress alongside. The infant's trunk the examiner holds the infant's thigh alongside.
The Dubowitz/Ballard Examination evaluates a baby's appearance, skin texture, motor function, and reflexes. The physical maturity part of the examination is done in the first 2 hours of birth. The neuromuscular maturity examination is completed within 24 hours after delivery.
The Ballard score is based on the neonate's physical and neuromuscular maturity and can be used up to 4 days after birth (in practice, the Ballard score is usually used in the first 24 hours). The neuromuscular components are more consistent over time because the physical components mature quickly after birth.
The Dubowitz/Ballard Examination evaluates a baby's appearance, skin texture, motor function, and reflexes. The physical maturity part of the examination is done in the first 2 hours of birth. The neuromuscular maturity examination is completed within 24 hours after delivery.
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The New Ballard Score takes a look at six criteria of each and scores them on a scale from -1 to 5. The physical criteria are: the skin, lanugo, plantar surface, breast, eyes/ears, and the genitalia. The neuromuscular criteria are: the posture, square window, scarf sign, arm recoil, popliteal angle, and heel to ear.
The physical criteria -13Plantar surfaceHeel-toe 40\u201350 mm: -1 <40 mm: -2Creases over anterior 2/3 of soleBreastImperceptibleRaised areola 3\u20134 mm budEye and EarLids fused Loosely: -1 Tightly: -2Formed & firm instant recoilGenitals (Male)Scrotum flat, smoothTestes down, good rugae3 more rows
The most accurate estimation of gestational age is achieved by considering prenatal date (ie, last menstrual period [LMP] and early ultrasound [if available]) in combination with physical and neurologic features of the newborn.
Gestational age determination is important for anticipating each infant's medical risks, preventing complications, distinguishing the infant's developmental capabilities in feeding, sleep, and interactive behaviors with the parents, and establishing the infant's nursing care needs on a timely basis.
Gestational age assessment means figuring out the number of weeks of your pregnancy. A full-term pregnancy is usually 40 weeks. It's important to assess if gestational age is uncertain or if your baby is smaller or larger than expected. The Ballard score is commonly used to determine gestational age.

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