Newborn Assessment Flashcards
Overall Exam
- 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
General assessment: inspect infant for…
- Color
- Posture
- Tone
- Activity
- Size
- Maturity
General Assessment: observe…
Breathing pattern and effort (observing rise/fall of abdomen for 60s)
General Assessment: Auscultate…
To count HR (listen for 60s)
Skin: Inspect…
- Overall color
- Birthmarks
- Lesions.
Skin: Look…
For Jaundice
Head: Inspect for…
- Size
- Shape
- Bruising
- Edema
Head: Inspect facial…
Facial features and symmetry
Head: Palpate…
- Sutures (frontal, coronal, saggital, lambdoidal)
- Fontanelles (anterior/posterior)
EENT: Eyes
- Inspect for size, shape, symmetry, discharge, erythema
- Dim lights to check for pupillary light response, red reflex bilaterally, and sclera for icterus
EENT: Ears
- Inspect ear size, shape, alignment
- Inspect for preauricular pits or tags
EENT: Nose
- Inspect nasal shape and flaring of nares
- Check patency via cotton wisp test on each nostril
EENT: Oral
- 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)
Cardiopulmonary: Inspect…
- Chest contour, ICS retractions, symmetry of movement
- Palpate Nipples and presence of breast buds
Cardiopulmonary: Auscultate…
- Breath sounds anterior (2 posts each side)
- Heart sounds (all 4 posts)
Cardiopulmonary: Palpate for…
Peripheral pulses:
- brachial,
- radial,
- femoral,
- posterior tibial,
- dorsalis pedis
Abdomen: Inspect…
- Contour,
- symmetry,
- movement,
- hernias
- Umbilical cord stump (2 arteries, 1 vein)
Abdomen: Auscultate and palpate…
- Both: All 4 abdominal quadrants
- Palpate for liver edge (R costal margin)
- Splenic tip (L costal margin)
- Kidneys (b/l)
Genitalia: State…
- Female: inspect labia majora/minora/hymen
- Male: Urethral meatus at penis tip and palpate for testes in scrotum b/l
MSK/Neuro: Inspect…
Overall tone, flexion, active movement
MSK/Neuro: Note…
Presence and # of fingers/toes B/L
MSK/Neuro: Check…
Gentle ROM of U and L extremities
MSK/Neuro: Palpate…
Clavicles B/L
MSK/Neuro: Tests
- Barlow
- Ortolani
- Reflex (Grasping on feet and hands)
- Babinski reflex
- Moro/Startle reflex
MSK/Neuro: Pick up and…
Inspect spine while supporting head for:
- Symmetry
- Skin lesions
- Sacral dimpling
- Tuft of hair
