
ZA Dubowitz/Ballard Exam for Gestational Age - KwaZulu-Natal 2009-2025 free printable template
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Ballard score brought to you by BSN — nightingale ro1 now what is thBallardrd score it is a technique used for gestational age assessment for a neonate it assigns scores to six different criteria the same of which gives an estimate for gestational age there are also two different categories which are the physical and neuromuscular criteria which is very important and there are two different categories of which you'll be adding later on the scoring allows for the estimation of an age range between 26 weeks to 44 weeks now some more information about the ballad score the scoring relies on intrauterine changes that the fetus undergoes through maturation the physical part depends on anatomical changes while the neuromuscular part depends mostly on muscle tone now looking at the criteria for the neuromuscular maturity there are six different parts for it posture square window which is the wrist arm recoil popliteal angle scarf sign and heel to ear now you can see that some parts are missing that's because a four for posture can also be considered a five so might be a little confusing, but there is no 5 for some of them and that's okay so just put a 4 for that and that's basically the best that you can get so the lower the score which is it going all the way to negative the worse it is a higher the score the better now what does this all mean posture means the positioning very conducive to the picture there as you can see on how the baby can look next is the square window which is the flexibility of the wrists looking back to the picture that angle should be the wrist now if it can't go more than 90 degrees if the wrist can't flex more than 90 degrees that's the worse you can get if the neonates' wrist can completely flex all the way where the wrist is all the way down to the arm that's the best score you can get next is the arm recoil which is the flexibility of the elbows so same thing here the more that it can flex the better, the less it can flex the worse it is so if the baby can't flex his arms that's bad it could flex completely more than 90 degrees that's the best you can get popliteal angle the flexibility of the knees now it is checking for the knees the worse that they can't flex it the worse the score is they can flex it more than 90 degrees that's the best score that they can get now is the scarf sign which is one of the more confusing criteria scarf sign determines the flexion and resistance of the shoulder so as you can see from the picture in scarf sign if you can completely put the elbow past the mid-line all the way to the other part of the chest that is the worst part because you want the shoulder to give resistance versus the best one where the shoulder is giving significant resistance which is the best result that you can get and the midline part of it the semi-good one is the number two where the elbow is still at midline, but there is some resistance and finally is heel to ear heel to ear is the resistance now of the knees now...
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