newborn assessment- intriduction-Definition of neonatal period: A period from birth 4 weeks postnatal. The exam will cover the following: Record date and time of exam General assessment and measurements Skull bones Face Mouth & palate Nose Ears Eyes Chest Abdomen Arms Hands Legs Feet Genitals Anus Spine Skin reflxes-

1. 1
NORMAL NEWBORN
ASSESSMENT

2. Introduction:
1. Definition of neonatal period:
A period from
birth 4 weeks postnatal.
2

7. • In 1953 , virgenia Apgar introduced a simple systematic assessment of
intrapartum stress and neurologic depression at birth

12. SYSTEMIC PHYSICAL
EXAMINATION
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15. 1. Record date and time of exam
2. General assessment and
measurements
3. Skull bones
4. Face
5. Mouth & palate
6. Nose
7. Ears
8. Eyes
9. Chest
10.Abdomen
11.Arms
12.Hands
13.Legs
14.Feet
15.Genitals
16.Anus
17.Spine
18.Skin
The exam will cover the following:

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30. Head:
The Anterior fontanel: is diamond in shape,
located at the junction of 2 parietal & frontal bones. It
is 2-3 cm in width & 3-4 cm in length. It closes
between 12-18 months of age.
The posterior fontanel: is triangular in shape, located
between the parietal & occipital bones.
It closes by the 2nd month of age.
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31. Fontanels should be flat, soft, & firm. It bulge when
the baby cries or if there is increased in ICP.
Two conditions may appear in the head:
Caput succedaneum & cephlhemtoma
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33. Cephalhematoma:
Cephalhematoma is a
HEMORRHAGE OF blood
between the skull and
the periosteum.
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34. Face
• Is the baby’s face normal?
– Examine:
• Eyes
• Ears
• Nose
• Mouth

37. Nose
• Are there 2 nostrils?
• Are both nostrils open?

38. Dislocated Nasal Septum
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39. Mouth & Palate
• Are the palate and mouth normal?
– Need to feel inside the mouth for a cleft palate
Cleft palateCleft lip

41. Chest
• Look at: shape, symmetry, location of
nipples, accessory nipples

43. Abdomen
• Cylindrical in
Shape
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46. BACK;-The spine of newborn typically appears
flat in the lumber and sacral areas.

50. 50

54. Reflexes of nose

56. Reflexes of Mouth

60. Reflexes of
extremities

61. PALMER GRASP REFLEX
• When we place any object in neonate
palm,neonate holds it by closing all the finger
around the object,it means whole palm and
finger are used.
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66. CRAWL REFLEX
• When we place the baby on abdomen,baby
makes crawling movements with arms and
legs. it disappears at about age of 6weeks
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