Neonatal examination Base week 3

Question 1

Newborn exam: Prep: Look at babys posture?is father present?

Answer 1

Question 2

Review maternal hx:

Answer 2

Question 3

Newborn history: What need to know?

Answer 3

Question 4

How has the baby been since birth?

What do you want to know after 1 week? ask about?

Answer 4

Question 5

Observe the baby: What do you need to make note of and look for on general examination:

Answer 5

Question 6

How should the environment be before examining a baby? what do you need to consider?

Answer 6

Question 7

What equipment is needed before examining newborn:

Answer 7

Question 8

Outline steps of examination of a baby:

Answer 8

Question 9

QCH: Assessment flowchart of newborn:

Answer 9

Question 10

Full detailed QH- HX assessment:

What is the purpose of the mother assessment?

When should it be done?

Answer 10

Question 11

Clinical assessment:

What needs to be asked in the following:

Maternal history?

Current pregnancy?

Labour and birth?

Answer 11

Question 12

What do yuou need to explain to mother pt before exam?

What do you need to prepare?

Answer 12

Question 13

Furtherinvestigations/ which require urgent input:

Answer 13

Question 14

Head: Examination findings:

Answer 14

Question 15

Eyes exam: What do you ned to look for? and find?

Answer 15

Question 16

Eyes: Red flags:

Answer 16

Question 17

Face, nose and ear: What are you looking for?

Answer 17

Question 18

Mouth: What are you looking for?

Answer 18

Question 19

Neck: What are you looking for?

Answer 19

Question 20

Further investigations:

Urgent: HEad and neck! urgent follow up

Answer 20

Question 21

Respiratory system: What to look for on newborn examination:

Answer 21

Question 22

Cardiovascular exam: Newborn: WHat to do ?

Answer 22

Question 23

Further investigations: Urgent: Upper limbs? Chest? Weak or absent pulses? What do you needto do?

Answer 23

Question 24

Role of oxiemtry screening in newborns:

Answer 24

Question 25

Pulse oximetry screening: With results and what they indicate: Read:

Answer 25

Question 26

Why are malformations missed on antenatal scans: List 4

Answer 26

Question 27

What are major malformations and disorders often missed by antenatal diagnosis:

List conditions

Answer 27

Question 28

Further investigations to consider from abdomen: What could be wrong?

Answer 28

Question 29

Genito-urinary: Explain how examine in newborn and what your looking for

Answer 29

Question 30

Further investigations/ Urgent from genito-urinary changes:

Answer 30

Question 31

Spine and limbs: Spine? Arms and legs?

Answer 31

Question 32

Hip examination of new born: What are the tests? What are you looking for?

Answer 32

Question 33

Hips, legs feets: High risk for further investigations?

Answer 33

Question 34

Neurological assessment: What needs to be done?

What reflexes?

Answer 34

Question 35

Further neuro investigations following abnormal exam:

Answer 35

Question 36

Skin examinations: What to look for? How to differentiate, birth marks, skin rash and pathological rashes

Answer 36

Question 37

Discharge examination and anticpatory guidance to parents:

What do you need to tell all parents?

Support?

Routine tests?

Health promotion? Referral and follow up

Answer 37

Question 38

Neonatal examination: How is it documented?

Red book

Personal health book!

Answer 38

Question 39

What are other issues discussed at newborn assessment:

What else? Think

Neonatal screening, SIDS, USe of baby capsules, car seats, things that can injure a baby at home, babys personal health record, babys immunisations: Dont wrap baby too tight

Do not wrap face or mouth, Give amount of layers of clothing relevant to temperature (double what adult needs)

Answer 39

Question 40

Personal health record: details:

Answer 40

Question 41

Birth details: Pregnancy information, neonatal information:

Answer 41

Question 42

Neo-natal examination: Pre-discharge:

Answer 42

Question 43

Pre-discharge: Neonatal examination:

Answer 43

Question 44

Newborn hearing screening: Explain:

Answer 44

Question 45

Information for parents keeping the baby safe:

Answer 45

Question 46

Breastfeednig advice for parents:

List 6 points:

What are advantages?

Answer 46

Question 47

Follow up advice for parents following discharge of newborn:

GP? Child health nurse role?

Answer 47

Question 48

Whats included in the day 7 examination record:

Outline:

Answer 48

Question 49

What are major reasons for readmission of infants in first 14 days of life?

Give 4 examples:

Answer 49

Question 50

List 3 good parent resources for support!

Answer 50