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The PALS guidelines comment on this issue: "There are no data regarding the safety or efficacy of adjusting the doses of resuscitation medications in obese patients. Therefore, regardless of the patient’s habitus, use the actual body weight for calculating initial resuscitation drug doses or use a body length tape with pre-calculated doses."
The Ballard Maturational Assessment, Ballard Score, or Ballard Scale, is a commonly used technique of gestational age assessment. It was devised by Dr Jeanne L. Ballard, Professor Emeritus of Pediatrics, Obstetrics and Gynecology at the University of Cincinnati College of Medicine.
These scores measure a variety of areas including the "neurological, social, and behavioral aspects of a newborn's functioning." [ 1 ] Additionally, "factors such as reflexes, responses to stress, startle reactions, cuddliness, motor maturity, ability to habituate to sensory stimuli, and hand-mouth coordination are all assessed."
The Apgar score is a quick way for health professionals to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. [1] It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, to address the need for a standardized way to evaluate infants shortly after birth.
After returning from postnatal care, bathing a newborn can be challenging for parents. Bathing in the immediate postbirth period can carry risks such as hypothermia, respiratory compromise and increased oxygen consumption. If using a bathtub shared by adults, ensure that the bath equipment is disinfected before and after each use.
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Example checklist. While the check sheets discussed above are all for capturing and categorizing observations, the checklist is intended as a mistake-proofing aid when carrying out multi-step procedures, particularly during the checking and finishing of process outputs. This type of check sheet consists of the following:
Learning about child development involves studying patterns of growth and development, from which guidelines for 'normal' development are construed. Developmental norms are sometimes called milestones – they define the recognized development pattern that children are expected to follow.
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