12.4 Lifespan Considerations

Newborn

When conducting an assessment, the nurse will carefully examine the newborn for signs of cyanosis, paying close attention to the trunk, as well as observing any pallor of the skin. It’s important to note that newborns commonly exhibit acrocyanosis, a bluish discoloration evident only on the hands and feet, which is a normal finding and can persist for up to a week.[1]

Pediatrics

Children often experience bumps and bruises as a result of their increased physical activity levels. Their active lifestyle may lead to accidental collisions, falls, or other minor injuries, which contribute to the common occurrence of bumps and bruises among kids.

Older Adults

As people age, their skin becomes increasingly fragile and susceptible to damage, making it more prone to bruising. This is due to a combination of factors, including thinning of the skin and weakening of the blood vessels. Even minor trauma or bumps can lead to the development of large, dark-colored bruises, particularly on the arms. This susceptibility to bruising is an important consideration in the care and support of older individuals.

The status of an individual’s mobility can have a significant impact on the peripheral vascular system. This can result in the occurrence of venous pooling, a condition commonly observed in older adults who maintain a sedentary lifestyle.


  1. https://openstax.org/books/maternal-newborn-nursing/pages/22-1-apgar-scoring

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Nursing Physical Assessment Copyright © 2024 by Barbara Gawron and Meenu James is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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