NEWBORN ASSESSMENT PT.2

Question 1

Head Clinical Assessment

Answer 1

o Shape and symmetry
o Scalp
o Anterior and posterior
fontanelle
o Sutures
o Scalp lacerations/ lesions

Question 2

head Indications for further investigation
Urgentfollow-up

Answer 2

Enlarged, bulging, or
sunken fontanelle
o Microcephaly/macrocephaly
Subgaleal haemorrhage
o Caput/cephalhematoma
o Fused sutures

Question 3

diamond
shaped and larger than the
posterior fontanel.

Answer 3

ANTERIOR FONTANELLE
(BREGMA)

Question 4

triangular
shape

Answer 4

POSTERIOR FONTANELLE
(LAMBDA)

Question 5

 Bulgingfontanelsmay indicate

Answer 5

hydrocephalus or increased
intracranial pressure

Question 6

are a sign of
severe dehydratio

Answer 6

 Sunkenfontanels

Question 7

is a collection of serous fluid (edema)
between the periosteum and the scalp caused
by pressure of the fetal head against a partially
dilated cervix. Caput often crosses suture
lines.

Answer 7

Caput succedaneum

Question 8

is a collection of blood
between the periosteum and the skull. It does
not cross suture lines.

Answer 8

)Cephalhematoma

Question 9

is an elongated
head shape caused by
overlapping of the
cranial bones as the
fetus moves through
the birth canal

Answer 9

Molding

Question 10

Hemorrhage occurs
into the loose
connective tissue
within the subgaleal
space and can cause

Answer 10

hypovolemia.

Question 11

Clinical
Assessment

FACE

Answer 11

• Symmetry of structure

Question 12

ndications for further
investigation
 Urgent follow-up

Answer 12

asymmetry on crying

Question 13

clinical assessment on eyes

Answer 13

Size and structure
* Position in relation to the
nasal bridge
* Red eye reflex

Question 14

further investiagation on eyes

Answer 14

• Hazy, dull cornea
• Absent red reflex
• Pupils unequal, dilated or
  constricted
• Purulent conjunctivitis
• Yellow sclera

Question 15

abasent red reflex in newborns which means the abscence of reddish orange reflection of light from the retina during opthalmoscopy, could indicate

Answer 15

cataract or luekocoria

Question 16

further investigation for nose

Answer 16

 Nasal obstruction especially if
bilateral
* Dacryocyst

Question 17

further investigation for mouth

Answer 17

Cleft lip/ palate
* Mouth drooping

Question 18

Indications for further investigation for ears and jaw

Answer 18

• Small, receding chin
  (micrognathia)
• Unresponsive to noise
• Absent externally auditory
  canal
  or microtia
• Drainage from ear

Question 19

inflammation or infection of the
lacrimal sac which typically occurs secondarily to
obstruction within the nasolacrimal duct and the
resultant backup and stagnation of tears within the
lacrimal sac

Answer 19

Dacryocystitis

Question 20

nspect the ___:note any
asymmetry, skin tags, pits
or the presence of
accessory auricles

Answer 20

pinna

Question 21

Look for clefts of the hard or soft palate: the full palateshould be examined byvisual inspection.
 Use a tongue depressor and a torch, and ask a parent to help keep the baby’s head still.
_____,and see the central uvula to ensure it is intact.

Answer 21

Visualize the wholepalate

Question 22

Inspect the tongue and gums:
look for evidence of

Answer 22

tongue-tie

Question 23

is a rare inherited disorder
characterized by craniofacial malformations
occurring in association with abnormalities of
the thumb and forearm

Answer 23

Nager syndrome

Question 24

Clinical Assessment on neck

Answer 24

• Structure and
  symmetry
• Range of movement
• Thyroid or other
  masses on neck

Question 25

Invesitation for further investigation

Answer 25

 Masses/ swelling
 Neck webbing

Question 26

 The newborn’s neck is
short and thick. Thehead
should move

Answer 26

freely and
have full range of motion.

Question 27

NECK WEBBING is other known as

Answer 27

Turner’s Syndrome