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ASSESSMENT
Introducti
on
Definition
Head to toe physical examination of a
newborn to look for any abnormalities or
pathology.
consciousness,
APGAR assessment.
Newborn first exam :
Apgar Score
Each item is given a score 0, 1, or 2
0-3 severe distress
4-6 moderate difficulty
7-10 no difficulty adjusting to life
Assessment includes:
Temperature
Pulse
Respiratory rate
Heart rate
Second period of
reactivity:
Begins when the newborn awake from the
deep sleep, it lasts about 2-8 hours.
The newborn is alert and responsive,
heart and respiratory rate are
increased, gastric and respiratory
secretions are increased, and passage
of meconium commonly occurs.
Gestational Age
Assessment:
An accurate assessment of age is
important for 2 reasons
Age and growth patterns appropriate to
that age aid in identifying neonatal risks
Help in developing management plans
Breast nodule 2 mm 4 mm 7 mm
Length: 50-52 cm
Head circumference:32cm-
37cm
Mouth : Hard & soft palate for evidence of cleft palate Neonatal
tooth (predeciduos,true deciduos), Macroglossia & Oral thrush.
Breast in newborn.
Heart
Observation : heart rate, rhythm, quality
of heart sounds, active precordium
Presence of murmur
Syndactyly
Polydactyly
Oligodactyly
Square Window
Arm Recoil
Popliteal Angle
Scarf Sign
Heel to ear
0 if heel can easily be pulled to ear
Reflexes
Glabellar reflex
Blinking reflex
Dolls eye reflex
Corneal reflex
Sneezing &
coughing reflex
Gagging reflex
Plantar grasping
reflex
Babinski reflex
Traction reflex
Ventral suspension
reflex
Subsequent
assessment
First day examination
Daily examination
Examination on
discharge
First day
assessment
Vital signs
General behavior
Anthropometric assessment
Feeding behavior
Pattern of elimination
Head to toe assessment
Daily assessment
Feeding behaviour
Vomiting
Passage of urine & stool
Sleep pattern
Hypothermia
Respiratory distress
Jaundice
Umbilical sepsis
Oral thrush
conjunctivitis
Any other problems
On discharge
assessment
Detailed head to toe
assessment