Which is not a normal finding in the newborn –a) Systolic murmurb) Pulse rate of 100/minc) Peripheral Cyanosisd) Central Cyanosis

Normal full-term newborn infant Length → 50 cm Head circumference → 34 cm Chest circumference → 31 cm (3 cm less than head circumference) Upper segment lower segment ratio → 1.7 to 1.9 Heart rate → 120 - 140 per minute Respiratory rate → 35 - 40 per minute Attitude → Flexion Peripheral cyanosis (acrocyanosis) may be present Urine is passed by 24 hours after birth Meconium (first stool) is passed within 24 hours. The skull shows moulding with parietal bones slightly overriding the occipital and frontal bones. There may be pulmonary flow (systolic) murmur, especially in low birth weight neonates. — Myung k Park 5th /e 37