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Assessment newborn
The physical examination of a newborn baby aims to: 1. Identify any abnormalities or injuries at birth. 2. Ensure normal development by checking things like weight, body proportions, and reflexes. 3. Look for signs of conditions like Down syndrome by examining the face, eyes, and other features. The assessment involves a full-body examination checking multiple areas like the head, chest, abdomen, genitals, back, and extremities to evaluate the baby's health and rule out any issues.
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Assessment newborn
- 1. COMMUNITY HEALTH NURSING PHYSICAL EXAMINATION NEW BORN BABY
- 2. QUESTION ? EXPLAIN THEPHYSICAL EXAMINATION FOR NEW BORN
- 3. PURPOSE 1. To identifycharacteristics of the normal newborn. 2. To identify congenital abnormalities of birth injuries. 3. To facilitate early treatment of baby to avoid complication 4. To obtain baseline data for continuous assessment.
- 4. ASSESSMENT 1. Observe generalcondition of baby : -skin colour-centrally pink, present lanugo and vernix -Baby active or not (hand and leg movements) -Strong cry or not
- 5. ASSESSMENT 2. Perform anthropometry -Body weight (2.5-4.0 Kg) -Length(46-56 Cm) -Head circumference (32-37 Cm)
- 6. ASSESSMENT 3.Check baby’s head: Moulding , caput succedaneum ,cephalohematoma Size of fontanalle: - Anterior(can admit 2 finger,closes at 18month) -Posterior(can admit 1 finger and close at 2- 3 month) Birth injuries(bruises,wound on scalp)
- 7. ASSESSMENT 4.Examine: • Face forcharacteristics of Down’s syndrome like: • Upward slanting of eyes with thick epicqnthic folds • Small mouth with thick tounge and always sticking out • Nose-flattened • Low set ears
- 8. ASSESSMENT 5.Eyes: • Has 2eyeballs • Lens clear and without cataract • Can open eyes spontaneously • No bleeding in the sclera
- 9. ASSESSMENT 6.Mouth • No cleftlip • Feel inside baby’s mouth to identify for signs of cleft palate • Presence tongue tie • Check for presence teeth
- 10. ASSESSMENT 7.Nose • Has 2nostrils • Any nasal flaring
- 11. ASSESSMENT 8.Ears • Check positionof ears : upper notch pinna same level of the canthus of the eye. • Check if auditory meatus(canal) is patent. • Has ear lobes
- 12. ASSESSMENT 9.Check neck-by liftingchin up to observe for: • Enlargement of thyroid gland • Sternomastoid tumour (palpate side of neck)
- 13. ASSESSMENT 10.Check hands • Bothhand same length • Both hand can move • Palm of hand has 3 normal creases and not the “simian crease” • Any fracture,dislocation and paralysis • Check for grasp reflex
- 14. ASSESSMENT 11.Check chest for: •Chest movement during respiration to identify for sterna/ intercostals recession. • Pigeon chest(chest appears to be higher) • Nipple well formed and no extra nipple
- 15. ASSESSMENT 12.Check abdomen : •Shape-convex • Soft • Umbilical cord(has 2 arteries and 1 vein) • No bleeding should be clamped properly • No umbilical hernia • Exomphalus/gastrochiasis
- 16. ASSESSMENT 13.Check genitalia: • Identify sex and ensure if it is not ambigous Male female Both testis descended Has labia majora and minora and vaginal orife No epispadias,hypospadias A little of whitish mucus is normal No hydrocele,no phimosis Presence of smegma in labiaminora is normal
- 17. ASSESSMENT 13.Check feet: • Bothleg are of same length • No fracture and paralysis • No talipes • Both legs have sufficient toes and no decrease number of digits on the toes.
- 18. ASSESSMENT 14.Check baby’s back: • Turn baby to the side and ensure baby’s back is straight and flat. • Use the fingers and check from neck to sacrum • Ensure there is no dimples curves,lumps ‘hair tuft’ and spinal bifida.
- 19. ASSESSMENT 15.Anus : • Checkto ensure anus patent • Insert rectal temperature into the anus as far as 2.5cm • Place baby in lateral position for this procedure
- 20. ASSESSMENT 16.Basic neurological test: Moro reflex Grasp reflex Rooting reflex Sucking reflex
- 21.