Physical Examination of the Newborn at a Glance

Denise (Dee) Campbell, Principal Lecturer and Programme Lead in Midwifery (retired), University of Hertfordshire, Hatfield, UK.Evelyn Dolby, Senior Lecturer in Midwifery, University of Hertfordshire, Hatfield, UK; Senior Lecturer in Midwifery, University of Northampton, Northampton, UK.

• Preface ixPart 1 Professional issues 1Section 1 Professionalism1 Public health screening 22 Quality and standard setting 43 Record keeping and professional competency 64 Safeguarding 85 Health promotion and education 10Section 2 Communication skills6 Communication during the examination 127 Communicating concerns to parents 14Part 2 Neonatal physiology and pathophysiology 17Section 3 Adaptation8 Adaptation to neonatal life 189 Thermoregulation 20Section 4 Emergency management10 Resuscitation of the newborn 2211 Hypoglycaemia 24Section 5 Jaundice12 Physiological jaundice 2613 Pathological jaundice 28Section 6 Disorders14 Metabolic disorders 3015 Jitteriness, seizures and hypotonia 3216 Congenital infection and sepsis 3417 Anaemia and polycythaemia 36Section 7 Birth complications18 Intrapartum injury/trauma 38Part 3 Allied assessments 41Section 8 Routine care19 Initial examination at birth – overview 4220 Daily examination of the newborn – overview 44Section 9 Screening21 Newborn blood spot screening 4622 Hearing screening 48Part 4 Prior to the physical examination 51Section 10 Preparation23 Preparing to examine 5224 Infection control 54Section 11 History awareness25 Relevant history and risk factors 5626 Feeding 5827 Excretion 60Part 5 Top to toe physical examination 63Section 12 Broad assessment28 Newborn and infant physical examination – overview 6429 Neurological assessment 6630 Reflexes 6831 Common skin conditions 7032 Atypical skin conditions 72Section 13 Head and neck33 Head 7434 Facies 7635 Eyes 7836 Mouth 8037 Neck and clavicles 82Section 14 Upper body38 Chest appearance 8439 Cardiovascular assessment 8640 Respiratory assessment and hypoxia 8841 Upper limbs and hands 9042 Abdomen 9243 Back, spine, buttocks and anus 94Section 15 Pelvis and lower body44 Developmental dysplasia of the hips 9645 Genitalia – female 9846 Genitalia – male 10047 Lower limbs and feet 102Part 6 Revision and self-assessment 105Section 16 Revision48 Syndromes and signs 10649 Scenarios 108Section 17 Self-assessmentCrosswords and multiple choice questions 109Crosswords and multiple choice questions – answers 112References 114Index 117