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Dany Hamod
Neonatologist
SGH-UOB
Step 1: Preparation
stethoscope
ophthalmoscope
spatula
tape measure
centile chart.
Whoever performs the examination must be familiar
with the art of clinical examination
looking (inspection)
feeling (palpation)
listening (auscultation)
tapping (percussion)
Step 2: observation
There are centile charts available that take into account the
babys sex and gestation, but if these are not available the
normal range for a term baby is between 32 and 37 cm
Weight and Height
Birth to 6 month : 1.5 to 2.5 cm a month and 140
to 200 gram a week
Tongue
Palate
Alveolar ridges (gums)
Inspect for
cysts
Clefts
Neonatal teeth
Tongue
Careful examination for
Cysts or dimples
Tongue size
Size
Shape
Position
Look at their
Size
Position (including distance of separation)
Features around them (epicanthic folds, eyelids and
eyebrows)
Slant of the palpebral fissures
Color of sclera Defenition
White Normal
Yellow Jaundice
Normally blue
They should be
Symmetrical
Shape
Heart rate
Heart rhythm
Heart position
Pulse volume
Heart noises
Heart rate and rhythm
Pulses Diagnosis
Color
Pattern is regular
2. Spleen
3. Kidneys
4. Bladder
5. Masses
TENDERNESS
Transilluminate Hydrocele
Does he
Moro Reflex
Stepping reflex holding the baby under the shoulders with both
hands , the baby will perform a stepping/ climbing
manoeuvre
Rooting reflex Gently stroking the skin of the babys cheek. He will
turn the head towards the side that is being
stimulated.
Palmar grasp reflex Placing the practitioners little finger into the palm of
the baby. The babys hand will grasp the practitioners
finger
Plantar grasp reflex touching the sole of the babys foot with the
practitioners little finger. The babys toes will flex
towards the practitioners finger
Thank you