Newborn assessment Flashcards
General inspection
Colour
Skin - erythema, jaundice, rashes, bruising
Tone - activity, hypotonia, floppiness
Posture - asymmetrical, frog legged posture
Head
Plot head circumference
Shape and size
Scalp swellings, suture lines, fotanelle
Eyes - shape, red reflex, pupil size and shape, epicanthic folds
Facial asymmetry
Ears - normal shape and size, low set, hearing test
Nose - polyps, choanal atresia
Mouth
Cleft lip and palate Tongue Natal teeth Bohn nodules Epstein pearls
Neck
Swellings, fistula, brachial cysts
Short, webbed neck
Sternocleidomastoid swellings
Clavicle
Upper limbs
Equal number of digits
Symmetry
Absence of limbs
Palm creases
Chest
Chest asymmetry Accessory nipples Widely spaced nipples Pectus excatavtum / carinatum Resp distress?
Heart
Palpate for heave and thrill
Auscultate heart
Femoral pulses
Pulse oximetry
Abdomen and anus
Distention Diastasis recti Absence of rectus abdominis Umbilicus - fistula, hernia etc Anus present and patent, position, passed meconioum?
Spine
Spine deformity
Hair, pits
Palpate for symmetry
Abnormalities within anal cleft?
Hips - DDH?!
Asymmetry and creases
Equal abduction
Barlow and Ortolani
RF that would warrant USS e.g. breech, 1st degree relative
Lower limb
Asymmetry Leg length Movements Number of toes Fixed positional talipes
Primitive reflex
Moro reflex - sudden loss of support causing abduction and extension of the arms, flexion of the legs and crying
