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Ballards

This document appears to be assessing gestational age and physical maturity of a newborn using the Ballard Maturational Assessment. It contains two sections that assess neuromuscular maturity and physical maturity by assigning scores on various physical signs. The total score from both sections is then used to estimate gestational age in weeks.

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Fulgene Wandag
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179 views

Ballards

This document appears to be assessing gestational age and physical maturity of a newborn using the Ballard Maturational Assessment. It contains two sections that assess neuromuscular maturity and physical maturity by assigning scores on various physical signs. The total score from both sections is then used to estimate gestational age in weeks.

Uploaded by

Fulgene Wandag
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Ballard Maturational Assessment of Gestational Age

NEUROMUSCULAR MATURITY

NEUROMUSCULAR MATURITY SIGN POSTURE SQUARE WINDOW (Wrist) ARM RECOIL POPLITEAL ANGLE SCARF SIGN HEEL TO EAR

SCORE -1 0 1 2 3 4 5

RECORD SCORE HERE

TOTAL NEUROMUSCULAR MATURITY SCORE

PHYSICAL MATURITY

PHYSICAL MATURITY SIGN SKIN LANUGO PLANTAR SURFACE BREAST EYE / EAR GENITALS (Male) GENITALS (Female)

SCORE -1 sticky, friable, transparent none heel-toe 40-50 mm: -1 <40 mm: -2 imperceptable lids fused loosely: -1 tightly: -2 scrotum flat, smooth clitoris prominent & labia flat 0 2 superficial gelatinous, red, smooth pink, peeling &/or translucent visible veins rash, few veins sparse abundant thinning anterior >50 mm faint red marks transverse no crease crease only barely flat areola stippled areola perceptable no bud 1-2 mm bud lids open well-curved sl. curved pinna; pinna flat pinna; soft but soft; slow recoil stays folded ready recoil testes in upper testes scrotum empty, canal, descending, faint rugae rare rugae few rugae prominent prominent majora & clitoris & clitoris & small minora equally enlarging labia minora prominent minora 1 3 4 5 parchment, deep leathery, cracking, pale cracking, no cracked, areas, rare veins vessels wrinkled bald areas mostly bald creases ant. 2/3 raised areola 3-4 mm bud formed & firm instant recoil testes down, good rugae majora large, minora small creases over entire sole full areola 5-10 mm bud thick cartilage ear stiff testes pendulous, deep rugae majora cover clitoris & minora TOTAL PHYSICAL MATURITY SCORE

RECORD SCORE HERE

MATURITY RATING TOTAL SCORE (NEUROMUSCULAR WEEKS + PHYSICAL) -10 -5 0 5 10 15 20 25 30 35 40 45 50 20 22 24 26 28 30 32 34 36 38 40 42 44

SCORE Neuromuscular: Physical: Total:

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