JOHNSON'S Baby Top-To-Toe Wash 500ml

Product Information

Observe the chest, paying particular attention to the respiratory rate and work of breathing. Respiratory rate Storer SK, Skaggs DL (October 2006). “Developmental dysplasia of the hip”. American Family Physician. 74 (8): 1310–6. PMID 17087424.

Wash your hands and don PPE if appropriate (alcohol gel must dry completely before handling the newborn). Document your findings and the need for further investigations/referrals: in the UK the NIPE is documented using a national online system (which you would print and place in the baby’s notes). You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation. Assess a selection of the following reflexes which should all be present in a healthy newborn. The absence of several reflexes may indicate an underlying neurological abnormality. Palmar grasp reflexNewborn Infant Physical Examination. Nottingham Neonatal Service – Clinical Guidelines. Published November 2015. Retrieved 15 March 2017. If a baby is small, you should also plot head circumference and length to determine whether this is symmetrical (small in all measurements) or asymmetrical (weight disproportionately low, head circumference preserved). Inspect the genitalia and note any abnormalities (position of the urethral meatus, testicular swelling, absent testicle, fused labia) Pallor: a pale colour of the skin that can suggest underlying anaemia (e.g. haemorrhage) or poor perfusion (e.g. congestive cardiac failure). In this evaluation, the sensory and motor functions should be assessed, and the Glasgow Coma Scale score should be repeated. This is important, since a patient's condition may change rapidly over time. The neurological assessment should also include an examination of the pupils, including pupillary response to light.

If a murmur is noted, try to determine where it is heard loudest and if it radiates anywhere. Pulse oximetry Assess movement in both lower limbs: note any weakness which may indicate an upper or lower motor neuron lesion or joint pathology.Cephalhaematoma is a subperiosteal haemorrhage which occurs in 1-2% of infants and may increase in size after birth. The haemorrhage is bound by the periosteum, therefore, the swelling does not cross suture lines (in contrast to a caput succedaneum). Cephalhaematoma is more common with instrumental delivery and may cause jaundice, therefore, bilirubin should be monitored.

Parents should have received the National Screening Committee leaflet ‘Screening tests for you and your baby’ in the antenatal period. Ankle deformities: talipes (club foot) is a common ankle deformity causing the foot to be turned inward.Inspect the skin for colour abnormalities (e.g. pallor, jaundice), bruising/lacerations and birthmarks