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born requires reliable, skilled investigation to ensure reasonable adjustments for extra-uterine life assessment following the issuance can be divided into three phases: an initial assessment using the Apgar scoring system, evaluation of the reactivity of transition time and evaluated regularly. . through routine screening physical understanding of the normal expected results during the process of all assessment helps the doctor identify any deviation that may prevent young children from progressing uneventfully through the first period after giving birth

previous inspection: . Apgar scoring In the first seconds of life of infants, has complex physiologic changes occur is important for the doctor to make astute observations of this time .. One of the methods used to measure the infant’s rapid adjustment to extra-uterine life is Apgar scoring system, developed by Virginia Apgar in 1952

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score is based on the investigation of heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each product is given a score of 0, 1 or 2 assessment. al groups of five is made in the first and fifth minute after birth and can be repeated until the situation stabilizes the infant’s total score of 0-3 represents mild schizophrenia., a score of 4 to 6 show the average hardness, and score of 7 and 10 indicate the absence and difficulties in dealing with life Studies have shown 5-minute tooth marks 0 or 1 correlates with the rate of 50% of neonatal deaths .. In the case of illness, children with Apgar score of 0-3 exhibits three times as many impaired abnormalities at age 1 year as do children with a score 5 to 7 minutes or higher

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heart rate is more than five items evaluative heart rate. below 100 beats / minute is indicative of severe asphyxia and usually means that some form of resurrection, it is important to tachycardia, or heart rate greater than 160 beats / minute., shows an average, but recently, the lack of air and may be poor prognostic signs correctly., heart rate should be counted for one minute and the connection with the activities of infants, apical pulse detection should be done with stethoscope, although palpation of the cord center at its junction with the stomach is a reliable, and visible pulsations of the cord can be counted

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Respiratory effort is a report of the assessment as adequate ventilation. If respirations are slow, deep, odd, or gasping, is indicative of respiratory distress.

muscle tone involves a degree of flexion and the resistance offered by the neonate when the doctor attempts to expand its position of normal extremities of infants is one. flexion-extremities are flexed and close to the body and fist tightly clenched fists. At the other extreme, asphyxiated infants is weak and offers no resistance

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Reflex irritability is judged by neonate stage to pass through the nasal catheter after suctioning also be transferred to the sole of the foot slap slapping. Flicking a finger on the soles of the feet or buttocks slapping should be avoided when trying to elicit answers .. common response from children who are born healthy are huge, angry babies cry much sorrow shows his annoyance with facial grimace, but not severely depressed neonate’s behavioral responses

Color is. . . symptoms or peripheral tissue oxygenation quite a few newborns pink in the first minutes after birth, many continue to be the blueness of the extremities, where the rest of the body is white and pink all over the body cyanosis is a sign of severely asphyxiated neonate. . In evaluating the colors of nonwhite newborns, it is important to inspect the color of the mucous membranes of the mouth and conjunctiva with pale lips, palms of hands and soles of feet.

infants assessed at birth, Apgar scoring system Score ’0 ‘ This is due to sign when there is a lack of heart rate and respiratory effort . Limp muscle tone, reflex irritability and response to color is pale blue or pale

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’1 ‘logo At the heart rate is slow (less than 100 beats / minute) and efforts to reduce or normal breathing. Also mark is given when there is some flexion of extremities, reflex irritability grimace PF and body color is pink, extremities are blue

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’2 ‘color While heart rate is greater than 100 beats / minute the baby is crying loudly and beautiful., there is movement of the child, cough or sneeze is experienced by the child and skin color is completely color pink

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