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Bé Sơ Sinh
 

Những chỉ số chung của trẻ sơ sinh đủ tháng

Ảnh: jugfan.com
1. Định nghĩa trẻ sơ sinh đủ tháng

Trẻ sơ sinh được xem như đủ tháng khi tuổi thai (tính từ ngày đầu của kỳ kinh cuối) trong khoảng 37–42 tuần, trung bình là 40 tuần hay 280 ngày.

2. Nhận định một trẻ sơ sinh đủ tháng:

Đặc điểm lâm sàng của trẻ sơ sinh thay đổi tùy theo tuổi thai. Vì vậy có thể dựa vào các dấu hiệu thực thể ở trẻ để xác định tuổi thai một cách gần đúng.

a. Cân đo:

 - Trọng lượng    Trẻ gái 2.900g–3.000g

                  Trẻ trai 3.000g–3.100g

- Chiều dài      50cm

- Vòng đầu      34cm – 35cm

- Vòng ngực    33cm – 34cm

b. Tiêu chuẩn về hình thể bên ngoài:

- Sụn vành tai cứng, độ cong vành tai tròn đều.

- Kích thước núm vú – độ nổi cộm ≥ 7mm.

- Có nhiều nếp nhăn ở khắp lòng bàn chân, ít nhất đến 2/3 sau lòng bàn chân.

- Bộ phận sinh dục ngoài:

Ở trẻ gái, môi nhỏ và âm vật được che phủ bởi hai môi lớn.

Ở trẻ trai, tinh hoàn đã xuống nằm trong túi bìu, da túi bìu có nhiều nếp nhăn.

- Dấu hiệu phụ:

+ Tóc trẻ mượt, dài khoảng 2cm.

+ Vầng trán nở nang, rộng.

c. Tiêu chuẩn về trương lực cơ:

- Tư thế trẻ co nhiều hơn duỗi (tăng trương lực cơ).

- Góc kheo (góc đùi và cẳng chân): 90o

- Khi kéo duỗi cẳng tay rồi buông ra, trẻ co cẳng tay lại dù bị kéo duỗi lâu.

- Khuỷu tay không kéo qua đường giữa được.

- Khi bàn chân trẻ tiếp xúc với mặt phẳng cứng sẽ có sự nhún lên của chi dưới .

- Thử nghiệm kéo đầu, trẻ sẽ giữ được đầu.

- Các phản xạ nguyên thủy đều đầy đủ.

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