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Essay / Importance of Neonatal Examinations - 962
Neonatal ExaminationsAt birth, the newborn undergoes many physical changes (Fraser & Cooper, 2009). The most dramatic and difficult moment occurs when the newborn takes his or her first breath (Meeks & Hallsworth, 2010). This breathing triggers changes within the newborn's heart, lungs, blood flow, and all other systems (Coad and Dunstall, 2009). During the first minutes to 6 hours of life, the newborn is considered to be in transition from intrauterine to extrauterine life (Sinha, Miall, & Jardine, 2012). It is during this period that the newborn requires close observation to assess their progress in their new life, demonstrating the importance of neonatal examinations as part of neonatal care (Fraser & Cooper, 2009). Immediately at birth, the APGAR examination is routinely performed (Queensland Neonatal Guideline, 2009). These exams, usually performed one to five minutes after birth, assess the newborn's ability to adapt to extrauterine life (Michaelides, 2012). The APGAR score uses five different factors to assess the infant's condition: hearing rate, respiratory rate, effort, muscle tone, reflex ability, and color (Fraser & Cooper, 2009). The APGAR score is checked periodically for several minutes to give an indication of how the newborn is adapting to life and whether or not their abilities are improving (Sinha, Miall & Jardine, 2012). APGAR scores are not a functional predictor of future problems (Sinha, Miall & Jardine, 2012). Coad and Dunstall, 2009). The essentially low APGAR scores do not vilify the whole story; Due to the rapid changes that take place at birth, some only need minutes or hours to settle (Farrell & Sittlington, 2009). This is one of the reasons why the reliability of this review tool has been questioned due to several limitations (Kenner &...... middle of article...... vie Terine (Michaelides, 2012). Midwives, pediatricians and parents rely on the results of different examinations to determine appropriate actions when planning their care (Durham and Chapman, 2013). Women are best placed to carry out the various newborn examinations, as they interact with mothers and newborns at the time of birth (McDonald, 2008) recommend that midwives follow. additional training to enable them to carry out assessments effectively. In conclusion, it can be seen that the newborn examination plays an important role in the proper assessment of newborns -being, and that midwives-. Women should be equipped with the skills to carry out such examinations and encourage and involve mothers or family members in the examinations as well as in planning the care of newborns..