Newborn exam

Question 1

initial pieces

Answer 1

undress to nappy
ensure weight plotted on graph

Question 2

brief birth hx

Answer 2

date
mode
gestation
complications
high-risk screening results
maternal health

Question 3

newborn health questions

Answer 3

feeding
weeing
pooing

Question 4

FHx questions

Answer 4

problems with hips, heart, eyes (cataract)

Question 5

structure of NIPE

Answer 5

general inspection
tone
head
face
nostrils
eyes
ears
mouth
arms
chest
abdomen
genitalia
legs
back & spine
anus
reflexes

Question 6

general inspection

Answer 6

cyanosis
jaundice
distressed
rashes

Question 7

tone

Answer 7

quickly feel arms & legs- hypotonia

Question 8

head

Answer 8

circumference
birth trauma
palpate sutures + fontanelle

Question 9

face

Answer 9

obvious dysmorphic features
birth marks

Question 10

nostrils

Answer 10

patency - obligate nasal breathers till 2m

Question 11

eyes

Answer 11

squint
scleral jaundice
red reflex (retinoblastoma presents late as white reflex)

Question 12

ears

Answer 12

pinna
auricles

Question 13

mouth

Answer 13

cleft palate
tongue tie

Question 14

arms

Answer 14

symmetry
pulses (brachial)
correct no. digits
palmar creases

Question 15

chest

Answer 15

deformity
auscultate lungs + heart
pre-ductal/post-ductal O2 sats (hand v foot)

Question 16

abdomen

Answer 16

healing of umbilical site
distension
palpate organs
hernias

Question 17

genitalia

Answer 17

boys - testes, meatus
girls - labia not fused

Question 18

legs

Answer 18

symmetry
pulses
correct digit number
Barlow’s & Ortolani’s

Question 19

back & spine

Answer 19

scoliosis
hair tufts
sacral pits
birthmarks (mongolian blue spot)

Question 20

anus

Answer 20

patent

Question 21

reflexes

Answer 21

moro
palmar grasp
suck
rooting
stepping