ASSESSMENT OF NEW BORN
DEFINITION
• A detailed and systematic whole
body examination of a stabilized
newborn during the early hours
of life.
PURPOSES
GENERAL INSTRUCTION
PROCEDURE
STEPS
1. WASH HAND AND DRY THEM & DON GLOVES.
2. GENERAL APPEARANCE:
• Body symmetrical and cylindrical in contour.
• Head large in proportion to the body.
• Narrow chest
• Protruding abdomen
• Small hips.
PHYSICAL CHARECTERISTICS
Overall appearance :
Full light
Well exposed
 State of alertness
 Muscle tone
 Flexed position
 Skin colour
 Spontaneous movements
NORMAL NEW-BORN BABY
ACROCYANOSIS
PERIORAL CYANOSIS
3. HEAD & BODY MEASUREMENTS
Head Circumference
4. ASSESS SKIN
• Normal skin is smooth, soft, elastic,
warm and moist. The skin is pink, nail
beds are blue. Color of palms and soles
will improve with activity.
SKIN
 Vernix
 Smooth texture
Common findings :
 Milia
 Erythema
 Ecchymoses or patechiae
 Mongolian spots
 Oedema
HEAD
 Caput succedaneum
 Cephal hematoma
 Molding
 Fontanels
 Suture lines
 Hair pattern
 Craniotabes
EYES
 Difficult to examine
 How to make infant open eyes ?
 Follows diffuse light
 Pupils
 Cornea
 Position of eyes
 Sub conjuntival haemorrhage
EARS
 For placement
 Deformities
 Hearing --- response with blink
 Screening of hearing
NOSE
 Breathing
 Patency of both nairs
MOUTH AND FACE
 Colour of mucus membrane
 Natal teeth
 Corners of mouth
 Jaw
 Epstein pearls
 Lips
 Palate
NECK
 Always short
 Cong. Muscular torticollis
CHEST
 Protruding xiphisternum
 Breast tissue and Nipples
 Witch’s milk
ABDOMEN
 Globular
Diastasis of recti abdominis
UMBILICUS
 Cord at birth
 Stump of cord
 Fall of cord
 Umbilical discharge
GENITAL EXAMINATION
Male :
Scrotum
Testes
Penil size
Urethral meatus : Phymosis
Female :
Labia majora
Labia minora
Clear white mucus discharge
Bleeding
LIMBS
 Palms and soles
 Digits
 Deformities
BACK AND SPINE
ANAL OPENING
Normal Peeling
Slate Grey Patches (Mongolian Spots)
Slate Grey Patches (Mongolian Spots)
Meconium Stained Umbilical Cord
JAUNDICE
BREECH MOLDING
CAPUT SUCCEDANEUM
Caput Succedaneum
Cephal hematoma
Eyelid Edema
Subconjunctival Hemorrhage
Congenital Glaucoma
Congenital Cataract
Normal Ear
Microtia
Low Set Ear
Positional Nasal Deformity
Dislocated Nasal Septum
Cleft Lip
Natal Tooth
Umbilical Hernia
Omphalitis
Umbilical Cord Hematoma
Umbilical Cord Hematoma
Umbilical Cord Hemangioma
Wharton's Jelly Cyst
Polydactyly
Club Feet
Facial Nerve Palsy
Meningomyelocele
Edema of the Feet
What do you notice about the colour
of this baby?
Normal breathing?
REFLEXES
•BY VIDEOS
GALANT REFLEX
perez reflex ( Incurvation of the trunk
reflex)
ANY QUESTION??
Images ppt new born assessment

Images ppt new born assessment