Card Set Information
Infant Inspection Auscultation Percussion
Developmental Care of the Infant
- protuberant, symmetrical; may see umbilical
hernia at 2-3 wks, esp. w/ crying - dissappears by 1 yr;
diastasis recti - separation of rectus muscle along
midline. Visible peristalsis, abdominal breathing.
- fine, superficial venous pattern
- white at birth surrounded by wharton's
jelly; Dries within 1 week, hardens, falls off by 10-14
days; skin covers area by 3-4 wks.
Bowel sounds normal
No vascular sounds should be heard
- bruit or venous hum.
- very loud splash in upper abdomen when rocked side to side - increased air/fluid in stomach - pyloric obstruction or large hiatus hernia.
- w/ projectile vomiting in newborn - pyloric stenosis - appears in 3rd-4th wk. After eating, peristalic waves L to R, projectile vomiting, olive-shaped mass in RUQ. Refer promptly!
Flex baby's knees with one hand while palpating the other OR hold upper back and flex neck slightlly with one hand.
Offer pacifier if crying.
- liver may be palpable at edge (1-2cm below rib).
- rectum may be palpable - feels like sausage in left inguinal area.
- 1st should be meconium within 24 hrs of birth. Day 4 - breast-fed are brown-yellow, firmer, and fecal smelling.