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    Newborn Head To Toe Assessment

    Uploaded by

    Julianna Alex Conopio
    The document outlines the steps for a newborn head to toe assessment, which includes washing hands, introducing oneself, gaining consent, measuring vitals, inspecting the entire body for abnormalities from head to toe, assessing reflexes, explaining results to parents, and documenting findings. The assessment comprehensively examines the newborn from head to toe to identify any issues requiring follow-up.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Newborn Head To Toe Assessment

    Uploaded by

    Julianna Alex Conopio
    546 views2 pages
    The document outlines the steps for a newborn head to toe assessment, which includes washing hands, introducing oneself, gaining consent, measuring vitals, inspecting the entire body for abnormalities from head to toe, assessing reflexes, explaining results to parents, and documenting findings. The assessment comprehensively examines the newborn from head to toe to identify any issues requiring follow-up.

    Original Title

    checklist.neonate

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    The document outlines the steps for a newborn head to toe assessment, which includes washing hands, introducing oneself, gaining consent, measuring vitals, inspecting the entire body for abnormalities from head to toe, assessing reflexes, explaining results to parents, and documenting findings. The assessment comprehensively examines the newborn from head to toe to identify any issues requiring follow-up.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    546 views2 pages

    Newborn Head To Toe Assessment

    Uploaded by

    Julianna Alex Conopio
    The document outlines the steps for a newborn head to toe assessment, which includes washing hands, introducing oneself, gaining consent, measuring vitals, inspecting the entire body for abnormalities from head to toe, assessing reflexes, explaining results to parents, and documenting findings. The assessment comprehensively examines the newborn from head to toe to identify any issues requiring follow-up.

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    © All Rights Reserved
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    NEWBORN HEAD TO TOE ASSESSMENT

    1 Wash your hands and don PPE if appropriate


    2 Introduce yourself to the patient including your name and role
    3 Confirm the patient's name and date of birth
    4 Briefly explain what the examination will involve using patient-friendly
    language
    5 Gain consent to proceed with the examination
    6 Adequately expose the child for the assessment
    7 Encourage the parent(s) to ask questions during the check and to
    participate where appropriate
    8 Take a brief history of the pregnancy and the delivery (e.g. mechanism of
    delivery, complications)
    9 Measure the infant’s weight and plot on a weight chart
    10 Inspect the infant for clinical signs suggestive of pathology (e.g. pallor,
    cyanosis, jaundice)
    11 Assess tone by gently moving the newborn's limbs passively and
    observing the newborn when they're picked up
    12 Measure the infant's head circumference and record it in the baby's
    notes
    13 Inspect the shape of the head and note any abnormalities
    14 Palpate the anterior fontanelle: note if it feels flat (normal), sunken or
    bulging (abnormal)
    15 Inspect the skin for colour abnormalities (e.g. pallor, jaundice),
    bruising/lacerations and birthmarks
    16 Inspect the face for dysmorphic features, asymmetry, trauma and nasal
    abnormalities
    17 Inspect the eyes for abnormalities (position, shape, erythema, discharge)
    18 Assess the fundal reflex in each eye
    19 Inspect the pinna: note any asymmetry, skin tags, pits or the presence
    of accessory auricles
    20 Look for clefts of the hard or soft palate and inspect the tongue for
    ankyloglossia
    21 Inspect the neck for abnormalities (shortened length, lumps, clavicular
    fracture)
    22 Inspect the upper limbs for abnormalities (e.g. asymmetry, missing
    fingers, single palmar crease)
    23 Palpate and compare the brachial pulse in each upper limb
    24 Inspect the chest for abnormalities and assess the infant’s respiratory
    rate and work of breathing
    25 Auscultate the lungs
    26 Auscultate the heart
    27 Assess pulse oximetry
    28 Inspect the abdomen for abnormalities (e.g. distension, hernias, cord
    stump infection)
    29 Palpate the abdomen to assess for organomegaly
    30 Inspect the genitalia and note any abnormalities (position of the
    urethral meatus, testicular swelling, absent testicle, fused labia)
    31 Inspect the lower limbs for abnormalities (e.g. asymmetry, oedema,
    ankle deformities, missing digits)
    32 Assess tone in both lower limbs
    33 Assess movement in both lower limbs
    34 Assess the range of knee joint movement
    35 Palpate and compare femoral pulses
    36 Perform Barlow’s test
    37 Perform Ortolani’s test
    38 Inspect the back and spine for abnormalities (e.g. scoliosis, hair tufts,
    naevi, sacral pits)
    39 Inspect the anus for patency
    40 Assess a selection of newborn reflexes (e.g. palmar grasp, rooting

    reflex, ,Moro reflex)To complete the examination…


    41 Explain to the parent(s) that the examination is now finished and offer
    to dress the baby
    42 Share the results of the assessment with the parents, explaining the
    reason for any referrals
    you feel are required
    43 Check if the parents have any further questions
    44 Thank the parents for their time
    45 Dispose of PPE appropriately and wash your hands
    46 Summarise your findings
    47 Document your findings and suggest further investigations/referral

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