Physical Examination of the Newborn at a Glance

Preface ix

Part 1 Professional issues 1

Section 1 Professionalism

۱ Public health screening 2

۲ Quality and standard setting 4

۳ Record keeping and professional competency 6

۴ Safeguarding 8

۵ Health promotion and education 10

Section 2 Communication skills

۶ Communication during the examination 12

۷ Communicating concerns to parents 14

Part 2 Neonatal physiology and pathophysiology 17

Section 3 Adaptation

۸ Adaptation to neonatal life 18

۹ Thermoregulation 20

Section 4 Emergency management

۱۰ Resuscitation of the newborn 22

۱۱ Hypoglycaemia 24

Section 5 Jaundice

۱۲ Physiological jaundice 26

۱۳ Pathological jaundice 28

Section 6 Disorders

۱۴ Metabolic disorders 30

۱۵ Jitteriness, seizures and hypotonia 32

۱۶ Congenital infection and sepsis 34

۱۷ Anaemia and polycythaemia 36

Section 7 Birth complications

۱۸ Intrapartum injury/trauma 38

Part 3 Allied assessments 41

Section 8 Routine care

۱۹ Initial examination at birth – overview 42

۲۰ Daily examination of the newborn – overview 44

Section 9 Screening

۲۱ Newborn blood spot screening 46

۲۲ Hearing screening 48

Part 4 Prior to the physical examination 51

Section 10 Preparation

۲۳ Preparing to examine 52

۲۴ Infection control 54

Section 11 History awareness

۲۵ Relevant history and risk factors 56

۲۶ Feeding 58

۲۷ Excretion 60

Part 5 Top to toe physical examination 63

Section 12 Broad assessment

۲۸ Newborn and infant physical examination – overview 64

۲۹ Neurological assessment 66

۳۰ Reflexes 68

۳۱ Common skin conditions 70

۳۲ Atypical skin conditions 72

Section 13 Head and neck

۳۳ Head 74

۳۴ Facies 76

۳۵ Eyes 78

۳۶ Mouth 80

۳۷ Neck and clavicles 82

Section 14 Upper body

۳۸ Chest appearance 84

۳۹ Cardiovascular assessment 86

۴۰ Respiratory assessment and hypoxia 88

۴۱ Upper limbs and hands 90

۴۲ Abdomen 92

۴۳ Back, spine, buttocks and anus 94

Section 15 Pelvis and lower body

۴۴ Developmental dysplasia of the hips 96

۴۵ Genitalia – female 98

۴۶ Genitalia – male 100

۴۷ Lower limbs and feet 102

Part 6 Revision and self-assessment 105

Section 16 Revision

۴۸ Syndromes and signs 106

۴۹ Scenarios 108

Section 17 Self-assessment

Crosswords and multiple choice questions 109

Crosswords and multiple choice questions – answers 112

References 114

Index 117