reproduction clinical vitals and weight

Adult Temperature expected range

36.0-38.0C or 97.0- 100.4F

if greater than 37.5C (99.5F) has to be retested within an hour

Heart rate Adult

60s to 90s

if out of range look a previous pattern and history, pain status, recent ambilatoin think about why

respiratory rate adult

12-20

20 is ocnsidered high and should be followed up on

blood pressure adult

very important to see how it is trending and how it compares to rpevious assessmentes

systolic: 90-119

diastolic 60-79

o2 saturation adults

92-100%
post surgical range: often >= 95%

temp dips to be expected

if hematocrit is <=30% then the value may not be informative of actual status

most healthy clients greater than 95

pain adults

Mild 1-3
Moderate 4-7
Severe 8-10

expected ranfe: less than clients stated tolderable pain level

if greater than 8 very concerning

typicall charted when patients want to be medicated, this si diff for everyone but greater than 8 interferes with breathing and safety

we always believe the vclients ratings. we do not subsitiute our own assessment. people can be distracted from their pain but it does not decrease pain levels

Temperature newborn

36.5-37.5C or 97.7-99.5F

Recheck the temperature axillary under other arm
• Notify your Resource Nurse
• Best next step is naked baby, skin to skin with mom, blanket over top
• Recheck temp in 30-60 min
• If mom not available then naked baby under radiant warmer, set temp 36.2 to 36.5 on servo warmer (get RN help)

Heart rate newborn

110-160

lower rates closer to term. postdates (42 weeks)

higher rates with activity or preterm

respiratory rate newborn

30-60

grunting? flaring? retracting?

blood pressure newborns

not done on NB

o2 saturation newborn

94-100%

CCHD

CCHD

CCHD (Critical Congenital Heart Disease) & Newborn O₂:

• Serious heart defects that cause low oxygen levels or differences between upper and lower body.

• Screened at 24–48 hrs with pulse oximetry (right hand + one foot).

• Pass: O₂ ≥95% in both & ≤3% difference.

• Fail: O₂ <90% OR <95% on repeat checks OR >3% difference.

• Early detection prevents shock/collapse when ductus arteriosus closes.

Would you like me to make this into a 1-card flashcard with Q (what is CCHD screening?) and A (the summary)?

measurements Newborn

weight

2.5-4 kg

5lb 8oz - 8lbs 13oz

Length

46-56cm

18-22inches

head

32-37cm

12.5 - 114.5 inches

usually done w/o diaper

scale can be zereod with diaper and hten infant weighed in diaper

preterms are more flexible

term have more tone

if resuscitaed may lave less tone when measured immediately after birth

conversioin of weight

lbs to kg - devide by 2.2

kgs to lbs - multiply by 2.2

lbs to grams - multiply by 454 grams

tsp to ml

1 tsp = 5 ml

(g)grain to mg

1 gr = 60mg

gram to ml and cc (blood loss)

1 gram = 1ml = 1 cc

oz and cups to ml 
(intake output)

1 oz = 30ml

one cup = 240 ml

LATCH score

Total Score	Meaning
8–10	Good latch — effective breastfeeding
6–7	Fair latch — may need some support or guidance
≤5	Poor latch — requires significant assistance or reassessment