Nutrition Score for Newborn









Overview :


The Nutrition Score is used to assess the subcutaneous fat deposits of the newborn infant.


Areas examined:


(1) face


(2) chest


(3) thigh


(4) buttocks
























































































Category


Description


Score


face (baby supine, head in mid-line)


excess fullness to face


5


large temporal and buccal pads


4


flat temporal pads with obvious buccal pads


3


flat temporal pads with scant buccal pads


2


concave cheeks


1


chest (head in mid-line, observe anterior chest wall)


round contour, with large fat pads in anterior axilla


5


round contour with ribs not obvious


4


some ribs noted


3


ribs more obvious, with intercostal spaces prominent


2


ribs prominent, with intercostal spaces concave


1


thigh (over inguinal triangle)


skin taut


5


skin and subcutaneous tissue displaceable with difficulty


4


skin and subcutaneous tissue moderately displaceable


3


skin and soft tissue easily displaceable


2


skin lies in folds with little subcutaneous tissue


1


buttocks (body prone, legs flexed beneath abdomen)


buttocks large, round and firm, with deep gluteal fold


5


buttocks round and firm, with deep gluteal fold


4


buttocks round and less firm. with flattening of inferior border; less deep gluteal fold


3


flat inferior margin to buttocks, with gluteus maximus and perirectal muscles obvious; gluteal fold flattened


2


little to no gluteus maximus, with inferior margin sagging; no gluteal fold


1


nutrition score =


= (score for face) + (score for chest) + (score for thigh) + (score for buttocks)


Interpretation:


• minimum score 4


• maximum score 20


• normal singleton infants have a mean nutrition score of 13.8, with range of 12 to 16


  References:


Deter RL, Harrist RB. Chapter 35: Assessment of normal fetal growth. pages 361-385 (Figure 35-9, page 378). IN: Chervenak FA, Isaacson GC, Campbell S. Ultrasound in Obstetrics and Gynecology. Little, Brown and Company. 1993.


Hata T, Deter RL, Hill RM. Reduction of soft tissue deposition in normal triplets. J Clin Ultrasound. 1991; 19: 541-545.


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CLINIC FOR CHILDREN


Yudhasmara Foundation


JL Taman Bendungan Asahan 5 Jakarta Indonesia 102010


phone : 62(021) 70081995 – 5703646


http://childrenclinic.wordpress.com/


 


 


 


Clinical and Editor in Chief :


DR WIDODO JUDARWANTO


email : judarwanto@gmail.com


 


 


 


 


 


 


 


Copyright © 2009, Clinic For Children Information Education Network. All rights reserved.


 

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