Flashcards in Examination of the newborn Deck (16):
What should you do in the introduction?
Introduce self, check patient details, explain procedure, gain consent, wash hands
Encourage parents to voice concerns and ask questions
Ask parents to undress the child
What questions should you ask?
Ask about the pregnancy (date/time, complications, delivery, birthweight, gestational age)
Ask about risk factors for neonatal infection
Family history of congenital problems
Newborn feeding, passing meconium
What should you examine on general inspection?
Colour, posture, tone (gently move limbs/inspect when picked up)
What examinations should you perform on the head?
Measure head circumference
Inspect head and cranial sutures
Palpate anterior fontanelle
What examinations should you perform on the head and neck (including eyes and ears, mouth)
General inspection of face, eyes, ears, neck
Inspect sclera by retracting the lower eyelid
Inspect palate (use torch)
What examinations should you perform on the upper limbs?
Inspect limbs, fingers, palms
Palpate brachial pulses (good time for RR)
What examinations should you perform on the chest?
What examinations should you perform on the abdomen?
Palpate for liver, spleen, kidneys, bladder
What examinations should you perform on the genitalia?
Inspect genitalia and anus
What examinations should you perform on the lower limbs?
Palpate femoral pulses
What examinations should you perform on the hips?
Barlow's= Adduct hip whilst pressing down on hip and knee
Ortolani's= Flex hips and knees to 90 degrees. Abduct hips whilst placing anterior pressure on greater trochanter
Back and spine?
What reflexes should you test?
Palmar grasp- place object in palm and stroke
Rooting- touch cheek
Stepping- Touch soles on flat surface
Moro- Tilt them backwards while supported
How do you weight and measure them?
Using baby scales, zero with a soft warm blanket on them
Use a special measuring cradle, with feet held in neutral position
What does the APGAR score stand for?
Appearance (pale, blue, pink)
Pulse (Absent, below 100, above 100)
Grimace (Absent, grimace, cry)
Activity (Limp, tone, normal)
Respiration (Absent, irregular, regular)