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It consists of the assessment of heart rate, respiratory effort, muscle tone, reflex irritability, and generalized skin color. Apgar scoring is performed one minute and five minutes after birth. Scoring ranges from 0 to 10, with 0 indicating severe neonatal distress and 10 indicating a smooth transition to extrauterine life. [1]
Asymmetry of the Moro reflex is especially useful to note, as it is almost always a feature of root, plexus, or nerve disease. [4] The Moro reflex is impaired or absent in infants with kernicterus. [5] An exaggerated Moro reflex can be seen in infants with severe brain damage that occurred in-utero, including microcephaly and hydranencephaly. [6]
The general movements assessment involves measuring movements that occur spontaneously among those less than four months of age and appears to be most accurate test for the condition. [1] [3] These include the tonic neck reflex, grasp reflex, Moro reflex, tongue thrust reflex and rooting reflexes. [4]
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.
The tonic labyrinthine reflex is a primitive reflex found in newborn humans. With this reflex, tilting the head back while lying on the back causes the back to stiffen and even arch backwards, the legs to straighten, stiffen, and push together, the toes to point, the arms to bend at the elbows and wrists, and the hands to become fisted or the ...
Knee jerk or patellar reflex — a kick caused by striking the patellar tendon with a tendon hammer just below the patella, stimulating the L4 and L3 reflex arcs. Moro reflex, a primitive reflex— only in all infants up to 4 or 5 months of age: a sudden symmetric spreading of the arms, then unspreading and crying, caused by an unexpected loud ...
These reflexes are believed to be "hard-wired" before birth, and are therefore able to be elicited in the newborn. As the brain matures, certain areas (usually within the frontal lobes) exert an inhibitory effect, thus causing the reflex to disappear. When disease processes disrupt these inhibitory pathways, the reflex is "released" from ...
The Neonatal Behavioral Assessment Scale (NBAS), also known as the Brazelton Neonatal Assessment Scale (BNAS), [1] was developed in 1973 by T. Berry Brazelton and his colleagues. [2] This test purports to provide an index of a newborn's abilities, and is usually given to an infant somewhere between the age of 3 days to 4 weeks old. [1]