During drying and wrapping the infant, CNS: Moves extremities, muscle tone good Symmetric features, movement suck, rooting, moro response, grasp reflexes good CV: Anterior fontanel soft and flat Heart rate strong and regular No murmers heard Pulses/strong equal bilaterally RESP: Lungs clear to asculation bilaterally No retractions or nasal flaring Respiratory rate 30-60 breaths/min Chest expanision symmetric No upper way airway congestion GU: Male: urethra opening at tip of penis; testes bilaterally Female: vaginal opening apparent GI: Abdomen soft, no distention Cord attached and clamped Anus appears patent ENT: Eyes clear Palates intact Nares patent SKIN: Color pink or acrocyanotic No lesions or abrasions No pelling Birthmakrks Caput/molding Vacuum “cap” Forcep marks
By 12th hour, newborns temp should be stable within normal range All exams are conducted under heat panal Newborn bath is postponed after temp reaches 36.5 Cause hypothermia, make sure covered and wrapped monitor over slow period 2-4 hours, not rapid
Eye Ab- Edema Ear - This pinna deformity, where the superior edge of the helix is folded down, is known as lop ear
Deformed nose this infant has a cleft palate. Here, only the lateral margins of the palate are visible. Because the mouth is wide open to the nasal cavity, the NG tube can be seen passing through the nasopharynx as well as the mouth.