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Phyysical Examination of The Newborn
Phyysical Examination of The Newborn
Phyysical Examination of The Newborn
1. General inspection
-If the infant is hypotonic, cyanotic, abnormal respiratory rate, rash, cry
a. Vitals:
2. Examination by system
a. Head
Inspect: Size (in proportion with the body) and shape (frontal bossing, caput,
hematoma)
Palpate: Sutures (if closed, normal spaced, too wide or if bones overlapping) and
fontanelles (too large, sunken or bulging). What are the ages of closures of these
orifices?
b. Ears
Inspect: Pinna, periauricular tags and sinuses, fistulas, position of the ear (How do
you do this? And what would the result indicate?)
c. Face
Inspect:
d. Neck
Inspect: Length, webbing, masses, tracheal tugging or the use of accessory muscles
during respiration
e. Chest
Ascultate:
f. Abdomen
Deep- Organomegaly
Percuss?
g. Genital area
Palpate: Femoral pulse, stretched penile length, distended testes, abnormal orifices
h. Posterior aspect of neonate
i.Extremities
Inspect and palpate: deformities , symmetry, fractures, count digits, capillary refill,
Barlow and Ortalani