Newborn Transfer and Physical Exam Record

Question 1

feeding problems (discussion can be lactation consultant?

Answer 1

Discussion

Question 2

excessive moulding ?

Answer 2

Discussion

Question 3

cephalohematoma ?

Answer 3

Discussion

Question 4

suspicion of or significant risk of neonatal infection ?

Answer 4

Consultation

Question 5

34 to 36+6 weeks gestational age

Answer 5

Consultation

Question 6

in utero exposure to substances with known or suspected teratogenicity?

Answer 6

consultation

Question 7

prolonged PPV or significant resuscitation?

Answer 7

consultation

Question 8

infant weight less than 2500g?

Answer 8

consultation

Question 9

Infant at or less than 5th percentile in weight for gestational age?

Answer 9

consultation

Question 10

fewer than 3 vessels in umbilical cord?

Answer 10

consultation

Question 11

excessive bruising, abrasions, unusual pigmentation and/or lesions?

Answer 11

Consultation

Question 12

birth injury requiring investigation?

Answer 12

Consultation

Question 13

congenital abnormalities, for example: cleft lip or palate, developmental dysplasia of the hip, ambiguous genitalia?

Answer 13

Consultation

Question 14

abnormal heart rate pattern or persistent/symptomatic murmur?

Answer 14

Consultation

Question 15

any other abnormal findings on physical exam?

Answer 15

Consultation

Question 16

persistent poor suck, poor feeding, lethargy, hypotonia or abnormal cry?

Answer 16

Consultation

Question 17

persistent abnormal respiratory rate and/or pattern?

Answer 17

Consultation

Question 18

persistent cyanosis, pallor or jitteriness?

Answer 18

Consultation

Question 19

jaundice in first 24 hours?

Answer 19

Consultation

Question 20

failure to pass urine or meconium within 36 hours of birth?

Answer 20

Consultation

Question 21

suspected pathological jaundice after 24 hours?

Answer 21

Consultation

Question 22

temperature less than 36°C unresponsive to therapy?

Answer 22

Consultation

Question 23

temperature of 38°C or more unresponsive to therapy?

Answer 23

Consultation

Question 24

temperature instability?

Answer 24

Consultation

Question 25

vomiting or diarrhea?

Answer 25

Consultation

Question 26

infection of umbilical stump site?

Answer 26

Consultation

Question 27

persistent weight loss unresponsive to therapy?

Answer 27

Consultation

Question 28

failure to regain birth weight in 3 weeks?

Answer 28

Consultation

Question 29

Failure to thrive?

Answer 29

Consultation

Question 30

Apgar score lower than 7 at 10 minutes?

Answer 30

Transfer

Question 31

suspected seizure activity?

Answer 31

Transfer

Question 32

significant congenital anomaly requiring immediate medical intervention, for example: omphalocele, myelomeningocele?

Answer 32

Transfer

Question 33

What gets documented in physical examination of antenatal record (section 10)?

Answer 33

Date, BP, HR (per minute), Ht, Pre-preg weight (kg), pre preg BMI, head & neck, breast & nipples, heart & lungs, abdomen, musculoskeletal, skin, pelvis (STI test, PAP test),

Question 34

What’s on the newborn record?

Answer 34

Parent( and partner’s name, LMP, GTPAL, EDD, US, Risk factors), APGAR score, Transition to one our of age, Delivery, Routine procedures, evaluation of development, still birth, physical examination at birth.

Question 35

What’s included in section 8 (physical examination at birth)?

Answer 35

GA from history, GA by exam, sex, General appearance, Skin, Head, EENT, Respiratory, CVS, Abdomen, Umbilical cord, Genito-rectal, Muskulo-skeletal, neurological.