Newborn baby check

Question 1

What to look for on general inspection? 
C
C
B
D
P

Answer 1

Cry 
Colour 
Birth trauma 
Dysmorphic features 
Posture, tone and movements

Question 2

What should be checked over top to toe?

Answer 2

Cranium 
Face 
Eyes 
Shoulders 
Arms 
Chest 
Abdomen 
Femoral pulses 
Genitalia 
Hips 
Legs 
Back

Question 3

What should be checked in the cranium?

Answer 3

Deformities
Fontanelle
Sutures

Question 4

What should be checked in the face?

Answer 4

Dysmorphic features
Cleft lip
Feel with little finger into the mouth - also get suckle reflex here

Question 5

Eyes check -

Answer 5

Check using opthalmoscope for cataracts / retinoblastoma

Question 6

Shoulders check for -

Answer 6

aligned and feel clavices

Question 7

Chest check -

Answer 7

RR
Cap refill
Resp distress
Auscultate chest and HS

Question 8

Abdomen check -

Answer 8

distension
massess
organomegaly
ballot kidneys

Question 9

Genitalia check
Boy -
Girl -

Answer 9

Testes, hypospadia, foreskin

vulvul susion, cysts

CHECK THE ANUS IS PATENT

Question 10

Hips

How to hold for examination -

Answer 10

Hold both legs with the knees flexed, thumb over medial aspect and fingers over lateral

Question 11

Barlow’s test =

Answer 11

adduct the hip and flex to 90, push post in the line of the femoral shaft

Question 12

Ortolani’s test =

Answer 12

flex hips to 90 then abduct

apply ant force to upper leg

Question 13

Legs and feet

Answer 13

club foot
fused digits / extra
leg length

Question 14

Back check

Answer 14

lipomas 
tufts of hair
port wine stains 
mongolian blue spot 
palpate for spinal abnormalities 
natal cleft

Question 15

What reflexes need to be tested

Answer 15

grasp
moro
bow and arrow

Question 16

at the end

Answer 16

thanks and redress

Question 17

to complete

Answer 17

measure head circumference, length and weigh

fully document in the child’s red book