Healthy term infant

Question 1

term

Answer 1

37-41 weeks

Question 2

neontal body weight

Answer 2

normal- 2.5-4kg
large for gestational age(LGA)- over 4kg
small for gestational age(SGA)- less than 2.5kg

Question 3

apgar score

Answer 3

measures perinatal adaptation out of 10

>=8 is normal

Question 4

screening tests for neonate

Answer 4

newborn examination 
universal hearing screening 
hip screening 
cystic fibrosis 
haemoglobinopathies
metabolic disorders

Question 5

fetal examination what to look for

Answer 5

head to toe approach
head-
caput(swelling),fontanelles moulding
eyes- size, red reflex, squints, hemorrhages, iris abnormalities
ear-position, tags, folding
mouth- shape, philtrum(smooth in acohol fetal syndrome), sucking/rooting reflex
face-symmetry,palsy, dysmorphism

Question 6

respiratory examination signs to look for

Answer 6

chest shape 
nasal flaring 
grunting 
tachypnoea 
indrawing/ intercostal recession
breath sounds

Question 7

cardiovascular examination

Answer 7

colour/ O2 saturation
palpate femoral pulse 
apex beat 
thrills & heaves 
heart sounds

Question 8

abdominal examination

Answer 8

moves with respiration 
distended?
hernia 
umbilicus 
bile stained vomiting 
passage of meconium 
anus

Question 9

genitourinary exam

Answer 9

normal passage of urine
normal genitalia
undescended testes
hypospadius

Question 10

musculoskeletal exam components

Answer 10

movement & posture
limbs and digits count
spine look for welling and tuft of hair(spina befida)
hip examination for dyplasia-barlow and ortolani tests

Question 11

neurological examination

Answer 11

alertness, responsiveness 
cry 
tone 
posture 
movement 
primitive reflex