Question

*NEW BORN ASSESSMENT DESCRIPTION UNDER TEXTBOOK DESCRIPTION FOR EACH PARAMETER ASSESSEMENT Assessment Parameters	Textbook Description
Length	Normal range
Weight	Normal range
General Appearance Level of Arousal
Head Circumference Size-compared to body Shape Molding Caput Succedaneum Cephalhematoma Anterior Fontanel Size/Shape Location Closing Posterior Fontanel Size/Shape Location Closing Significance of: Sunken fontanels Bulging fontanels
Eyes Color Tears Transient strabismus Subconjunctival hemorrhage
Ears Position Formation Hearing Screening Test Done
Nose Patent Choanal atresia
Mouth Cleft lip Cleft Palate Epstein Pearls Thrush Tongue Tied Neck Appearance Clavicles
Chest Size compared to head Amount of breast tissue Engorged Breasts Respirations Normal rate    Average rate Regular/Irregular Periodic breathing Apnea Abdominal breathing    Breath sounds Retractions Grunting Flaring of nares Cyanosis Seesaw respirations Asymmetry Heart Sounds Normal rate/crying rate PMI Blood pressure Capillary refill	Also note how to measure chest.	.
Abdomen Appearance Bowel sounds
Umbilical Cord Appearance Number of Vessels
Genitalia Male Scrotum Testes Urinary Meatus Female Labia majora/labia minora Vaginal Tag Smegma Pseudomenstruation Brick Dust Stains in Urine
Extremities Arms Appearance Mobility Brachial/femoral pulses Hands Polydactyly Normal Palmar Crease Single/Simian Crease Legs Appearance Mobility Feet Sole Creases Club Feet
Hips Inguinal Skin Creases Buttocks Skin Creases Barlow test Ortolani test
Back Hair Tuft at Spine Base
Skin Color Pallor Ruddy color (plethora) Milia Erythema Toxicums Petachiae Telangiectatic Nevi (Storkbite) Nevus Flammeus (Portwine) Nevus Vasculosus  (Strawberry   mark) Mongolian Spots	Note when skin changes fade or disappear or if they do not change. Also, note if ethnicity is a factor.
Reflexes Moro Dance (Stepping) Grasp Babinski Tonic Neck (fencing) Suck Rooting

Answer 1

Length 50cm

Weight 2.5- 3.8 kg

Level of arousal alertness

Head

Circumference 33 _ 35 CM

Size large than body

Shape - round

Molding - overlapping of sutures at the time of birth

Caputscendenem - abnromal finding accumulation of fliud under skull layer no Rx required

Cephalhematoma Cephalohematoma (CH) is a collection of blood between a baby's scalp and the skull. Needs Rx

Mouth

Clept lip - failure of maxillary and median nasal process to fuse

Clept palate - failure of two palates to fuse

Chest

Size -2cm less than head

Respiratory rate 30- 50 bpm

Heart rate - 90- 160 bpm

Bp - 64/41mmHg

Eye

Clear white

No tears at birth only crying

Strsbismus - abnormality in muscles of eye

Conjuctival hemorrage - bleeding under conjuctiva

Nose

Parent nasal passage - normal

Choanal atresia - failure of nasal cavity to open psoteriorly

Ear

Location - near temporal bone

Formation - formed from ectoderm and mesoderm

Anterior fontanel

Kite shaped

At vertex of head

Closes at 18 month of age

Posterior fontanel

Triangular in shape

Occiput of the head

Closes at 6 weeks of age , suken fontanel means dehydration

Bulging means when fluid builds up in head

Abdomen ; sound so present

Umblical cord ; 2 artries and one vein

Hands; Polydytaly is abnormal , 3 creases present

One crease in downs syndrome

Genetalia , female ;;;; labia minora and majora intact

Pseudomenstruation.... .. Normal finding caused due to sudden withdrawal of hormones

Male ;;;;; present with regue, tested 2 in no., urinary meatus at glans

Feet;;;; no crease is normal

Club foot.. Abnormal curvature of foot

Hips both signs barlow and ortolani are negative

Skin ;;;; pink in colour pale in case of jundice

Milia are white pimples, mongolian spot is abnormal finding but not a disease

Reflexes

Moro ;;; throws out arms and legs and then pulls them towards body , disappears at 3-4 months of age

Stepping ;;;;;; moves feet as if to walk disappears at 3_4 months

Grasp ;;;; grasps tightly

Babinski ;;;; fans out toes and twist foot when sole stroked it is positive in them and is normal but abnormal in adults

Sucking;;;; sucks on objects

Rooting ;;; turns towards source, opens mouths and sucks