Neonate examination Flashcards
when is the neonatal examnation carried out
around 24 hours
what to look for in head of baby
OFC moulding overlapping sutures fontanelles forcep marks cephalohaematoma caput succedaneum shape and symmetry
what to look for in eyes of baby
red reflex retinoblastoma symmetry squint iris abnormality conjunctival haemorrhage
what to look for in ears of baby
position EAM symmetry/shape tags/pits folding FHx hearing loss
what to look for on mouth of baby
lips philtrum palate tongue and frenulum suck reflex ebsteins pearls
what to look for generally on face of baby
skin colour
dysmorphism
signs of congenital condition
facial palsy
respiratory examination neonate?
assess work of breathing
nasal flare, tachypnoea, grunt
auscultate for breath sounds
cardiovascular examination neonate?
radial and femoral pulses 5 auscultations cyanosis saturation apex thrills/heaves
GI examination neonate
moves with resp palpate all 4 quadrants check for distention, hernia check umbilicus look at anus
GU examination neonate?
check for hypospadius
check patent vaginal opening
check for virilisation, hydrocele, crypotorchism
what to check for on back of baby?
spina bifida
large simples on back with hair tuft
birthmark on back of neck
spine
hip examination neonate?
ortolani and barlows test
limb length
what to check ofr on neck of baby
birthmarks
skin
thyroid
what to check babys hands for
10 fingers
palmar creases
flexing
5 areas of auscultation
aortic pulmonary mitral tricuspid mid scapular
