Professional Documents
Culture Documents
Newborn Physical Assessment
Newborn Physical Assessment
Date & Time of Birth ___________________ Gestational Age __________ determined by_____________________
Method of Feeding ___________________ Baby’s Blood Type & Rh ____________ Baby’s Coombs____________
Mother’s Blood Type & Rh ___________ Candidate for which type of Newborn Jaundice ___________________
Heart Rate
Respiratory Rate
Muscle Tone
Reflex
Color
TOTAL:
1. Vital Signs:
_______________________________________________________________________________________
_____________
________________________
_________________
_________________________
________________
________________________________________________________________________
7. HEAD: Hair Texture __________________________ ANTERIOR FONTANEL: size _______ cms X ________cms
________cms
____________
Sclera__________________
___________________
______________________
10. NOSE: Symmetry ______________________________________ Patency
____________________________________
11. MOUTH: Color _______________ Mucous Membranes ______________ Tongue _____________ Teeth
___________
_____________________________
12. NECK: Shape _______________ Mobility _________________ Masses ____________ Lymph nodes___________
_____________________________________________________________________________
Size_______________
appearance______________
16. FEMORALPULSES:
_______________________________________________________________________________
________________________________
____________________________
testes________________
Maturation of Scrotum
______________________________________________________________
_________________________________
________________________
___________________________
_____________________________________________________________________________
21. SPINE: ____________________________ Scapula ______________________ Gluteal folds
_____________________
_____________________________________________________________
_____________________________
________________
_________________
__________________________________
__________________________________
_________________________
Diagnostic/Laboratory Date
Date Test Results Normal Value Significant for This Patient
Vitamin K
Erythromycin
Ophthalmic ointment
Date_____________________
Admission Date _____________ Delivery Date _____________ C-Section ______________ Vaginal Delivery
___________
___________________
________________
Circle)
___________________
________________
__________________________________________________________________________
_________________________________________________________________________
PRIOR TO LABOR
LABOR SUMMARY
YOUR PATIENT