Reactivity: First period of reactivity (6- 8 hours

Transitional Assessment during the period of Respiratory rate Absent Slow, Irregular Good, Crying Evaluation of all five categories are made on 1.To ensure a satisfactory adjustment to extra uterine life.ĪPGAR score: It is method use to assess the newborn’s immediate The newborn requires thorough skilled observation Nursing Instructor, JBFNINursing Instructor, JBFNI The newborn is alert and responsive, heart and respiratory rate are increased, gastric and respiratory secretions are increased, and passage of meconium commonly occurs.įollowing this stage is a period of stabilization of physiologic systems & vacillating patern of sleep & activity. Physiologically the respiratory rate can be as high as 80 breaths/ min, crackles may be heard, heart rate may reach 180 beats/min, bowel sound are active, mucus secretions are increased and temperature may decrease slightly.īegan when the newborn awake from the deep sleep, it lasts about 2-5 hours. Transitional Assessment during the period of reactivityįirst period of reactivity (6- 8 hours after birth):ĭuring the first 30 minutes the newborn is very alert, cries vigorously, may suck a first greedily, and appears very interested in the environment. Grimace (Reflex irritability ) No response Grimace Cough Or SneezeĪctivity(Muscle tone Limp Some flexion Active movement

Pulse (Heart rate)Ěbsent Slow (<100 /> 100/m

Ğvaluations of all five categories are made on 1-5 min after birth.Īppearance (colour) Blue or pale Body pink, Extrimities Blue Completely Pink.

Initial assessment is done by using the APGAR scoring system.ĪPGAR score: It is method use to assess the newborn’s immediate adjustment to extra uterine life.

Health assessment of newborn after delivery can be divided into: The newborn requires thorough skilled observation to ensure a satisfactory adjustment to extra uterine life.