During neonatal resuscitation, international resuscitation guidelines recommend assessing a newborn’s HR by ‘listening to the precordium with a stethoscope, feeling for pulsations at the base of the umbilical cord, or feeling the brachial or femoral pulses’ .
Where should you first assess the heart rate for an infant?
In infants and young children, the apical pulse is located at the fourth intercostal space at the left midclavicular line. In adults, the apical pulse is located at the fifth intercostal space at the left midclavicular line (OER #1). See Figure 3.5 below.
What is the most accurate method of determining a newborn’s heart rate?
The accuracy of routinely applied methods varies, with palpation and auscultation being the least accurate and electrocardiogram being the most accurate. More research is needed on Doppler ultrasound before its clinical use.
Where do you Auscultate a newborn’s heart?
Time to assess the baby’s heart beat. After you’ve assessed the chest and respiratory status of the newborn, auscultate for heart sounds. These are best heard along the left sternal border (left side of the chest bone).
What is a normal heart rate for a newborn?
For resting heart rate: Newborns 0 to 1 month old: 70 to 190 beats per minute. Infants 1 to 11 months old: 80 to 160 beats per minute. Children 1 to 2 years old: 80 to 130 beats per minute.
When assessing a newborn infant’s heart rate which technique is most important for the nurse to use?
 concluded that auscultation is superior to palpation, although neither technique provides an accurate assessment of current HR and both are intermittent. ECG remains the gold standard to continuously monitor an infant’s HR in the neonatal intensive care unit (NICU) .
How do you assess heart rate?
To check your pulse at your wrist, place two fingers between the bone and the tendon over your radial artery — which is located on the thumb side of your wrist. When you feel your pulse, count the number of beats in 15 seconds. Multiply this number by four to calculate your beats per minute.