Examination of the newborn Flashcards Preview

OSCE's CSRC > Examination of the newborn > Flashcards

Flashcards in Examination of the newborn Deck (16):
1

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

2

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
Any concerns?

3

What should you examine on general inspection?

Colour, posture, tone (gently move limbs/inspect when picked up)
Inspect skin

4

What examinations should you perform on the head?

Measure head circumference
Inspect head and cranial sutures
Palpate anterior fontanelle

5

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
Red reflex
Inspect palate (use torch)

6

What examinations should you perform on the upper limbs?

Inspect limbs, fingers, palms
Test grip
Palpate brachial pulses (good time for RR)

7

What examinations should you perform on the chest?

Inspect
Auscultate lungs
Auscultate heart

8

What examinations should you perform on the abdomen?

Inspect
Palpate for liver, spleen, kidneys, bladder

9

What examinations should you perform on the genitalia?

Inspect genitalia and anus

10

What examinations should you perform on the lower limbs?

Inspection
Palpate femoral pulses
Muscle tone
Oedema

11

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

12

Back and spine?

Inspect

13

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

14

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

15

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)

16

What parts of the body do you inspect? What are the extra tests?

Inspect: General, head, skin, face, eyes, ears, palate, neck, upper limbs, chest, abdomen, genitalia, lower limbs, back and spine
Special tests:
1) Tone- gently move legs
2) Head- measure circumference and palpate fontanelle
3) Eyes- inspect sclera, red reflex
4) Palate- use finger and torch to view
5) Upper limb- test grip, palpate brachial pulse
6) Chest- Auscultate lungs and heart
7) Abdomen- Palpate for liver, spleen, kidneys, bladder
8) Lower limbs- Palpate femoral pulses
9) Hips- Barlow's and Ortalani's tests
10) Reflexes
11) Weigh and measure