Newborn Assessment Flashcards
1
Q
Overall Exam
A
- Introduces self as a PA student
- Washes hand before exam and wipes off stethoscope with alcohol
- Verifies identify of pt prior to exam
- States would examine with a heating source present or wrapped in a blanket
- Handles infant gently and asks mom to watch baby a few steps from the table
- Professional appearance
2
Q
General assessment: inspect infant for…
A
- Color
- Posture
- Tone
- Activity
- Size
- Maturity
3
Q
General Assessment: observe…
A
Breathing pattern and effort (observing rise/fall of abdomen for 60s)
4
Q
General Assessment: Auscultate…
A
To count HR (listen for 60s)
5
Q
Skin: Inspect…
A
- Overall color
- Birthmarks
- Lesions.
6
Q
Skin: Look…
A
For Jaundice
7
Q
Head: Inspect for…
A
- Size
- Shape
- Bruising
- Edema
8
Q
Head: Inspect facial…
A
Facial features and symmetry
9
Q
Head: Palpate…
A
- Sutures (frontal, coronal, saggital, lambdoidal)
- Fontanelles (anterior/posterior)
10
Q
EENT: Eyes
A
- Inspect for size, shape, symmetry, discharge, erythema
- Dim lights to check for pupillary light response, red reflex bilaterally, and sclera for icterus
11
Q
EENT: Ears
A
- Inspect ear size, shape, alignment
- Inspect for preauricular pits or tags
12
Q
EENT: Nose
A
- Inspect nasal shape and flaring of nares
- Check patency via cotton wisp test on each nostril
13
Q
EENT: Oral
A
- Inspect lips, oral mucosa, gums, tongue, palate
- Check rooting reflex via brushing cheek near mouth
- Check sucking reflex via pinky into mouth (GLOVED)
- Palpate for cleft palate (GLOVED)
14
Q
Cardiopulmonary: Inspect…
A
- Chest contour, ICS retractions, symmetry of movement
- Palpate Nipples and presence of breast buds
15
Q
Cardiopulmonary: Auscultate…
A
- Breath sounds anterior (2 posts each side)
- Heart sounds (all 4 posts)
24
Q
MSK/Neuro: Tests
A
- Barlow
- Ortolani
- Reflex (Grasping on feet and hands)
- Babinski reflex
- Moro/Startle reflex
