Normal Newborn Examination PDF

Summary

This document provides a guide to normal newborn examination, covering aspects such as history, resuscitation, physical examination, and observations. It also discusses different areas such as skin, skull, face, and extremities and details the procedure in both the delivery room and the nursery.

Full Transcript

Normal Newborn Examination Dr. Shaimaa Sayed Associate Professor of Paediatrics A. Examination in the delivery room B. Examination in the nurse ⚫ A. Examination in the delivery room: History Neonatal resuscitation Examination Examination in the delivery room I. Histo...

Normal Newborn Examination Dr. Shaimaa Sayed Associate Professor of Paediatrics A. Examination in the delivery room B. Examination in the nurse ⚫ A. Examination in the delivery room: History Neonatal resuscitation Examination Examination in the delivery room I. History: It should include:- 1. The family history: genetic diseases... 2. Maternal illness: diabetes mellitus, hypertension…. 3. The events of pregnancy: bleeding, infection, medications, premature rupture of membranes…. 4. The events of labour: duration, presentation, vaginal or CS, use of forceps, anaesthesia. Examination in the delivery room II. Resuscitation of the Newborn: Apgar score Examination in the delivery room III. Physical Examination of the Newborn: 1. Consciousness level & activity. 2. Colour: The colour is of immediate concern ⚫ Generalized cyanosis: significant heart, lung or CNS diseases. ⚫ Acrocyanosis (peripheral cyanosis): hypothermia. ⚫ Pallor ⚫ Meconium-stained infant. ⚫ Jaundice: it is seldom noted in delivery room even in Rhesus incompatibility. Examination in the delivery room ⚫ 3. Respiration: ⚫ Tachypnea (respiratory rate is >60/ min): possible pulmonary problems. ⚫ Bradypnea (respiratory rate is

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