Newborn Exam

Question 1

What to check for head on new born exam

Answer 1

Size-head circumference, norm/micro/macrocephalic
Shape- caput succedaneum (area of edema over the presenting part of the head, common, crosses suture lines); cephalohematoma (sub periosteal collection of blood; does not cross suture lines)

Question 2

Fontanelles in newborn exam

Answer 2

palpate ant and post
open, soft, flat-normal to feel pulsation
tense fontanelle may indicate increased ICP/infection or screaming baby

Question 3

umbilical cord in newborn exam

Answer 3

normal-consists of 2 arteris and one
single umbilical artery can be assoc with chromosomal defects
erythem, prulent drainage = SEPSIS! omphalities and need to tx emergently