Physical Examination of the Newborn at a Glance provides a comprehensive guide for all those involved with both the routine neonatal examination and the more specific full physical examination of a newborn.
Covering the routine care and the competencies required to perform the examination of the newborn as set out by the Newborn and Infant Physical Examination (NIPE) Screening Programme, this beautifully illustrated book encourages the critical appraisal of personal and practice standards relating to the examination of the newborn in order to promote effective and high quality holistic care of the family unit.
Encapsulating the learning requirements across a pre and post-registration audience, Physical Examination of the Newborn at a Glance is an indispensable resource for those beginning their journey to become a NIPE practitioner, as well as those who are looking to update their professional knowledge and understanding.
Table of Contents
Preface ix
Part 1 Professional issues 1
Section 1 Professionalism
1 Public health screening 2
2 Quality and standard setting 4
3 Record keeping and professional competency 6
4 Safeguarding 8
5 Health promotion and education 10
Section 2 Communication skills
6 Communication during the examination 12
7 Communicating concerns to parents 14
Part 2 Neonatal physiology and pathophysiology 17
Section 3 Adaptation
8 Adaptation to neonatal life 18
9 Thermoregulation 20
Section 4 Emergency management
10 Resuscitation of the newborn 22
11 Hypoglycaemia 24
Section 5 Jaundice
12 Physiological jaundice 26
13 Pathological jaundice 28
Section 6 Disorders
14 Metabolic disorders 30
15 Jitteriness, seizures and hypotonia 32
16 Congenital infection and sepsis 34
17 Anaemia and polycythaemia 36
Section 7 Birth complications
18 Intrapartum injury/trauma 38
Part 3 Allied assessments 41
Section 8 Routine care
19 Initial examination at birth – overview 42
20 Daily examination of the newborn – overview 44
Section 9 Screening
21 Newborn blood spot screening 46
22 Hearing screening 48
Part 4 Prior to the physical examination 51
Section 10 Preparation
23 Preparing to examine 52
24 Infection control 54
Section 11 History awareness
25 Relevant history and risk factors 56
26 Feeding 58
27 Excretion 60
Part 5 Top to toe physical examination 63
Section 12 Broad assessment
28 Newborn and infant physical examination – overview 64
29 Neurological assessment 66
30 Reflexes 68
31 Common skin conditions 70
32 Atypical skin conditions 72
Section 13 Head and neck
33 Head 74
34 Facies 76
35 Eyes 78
36 Mouth 80
37 Neck and clavicles 82
Section 14 Upper body
38 Chest appearance 84
39 Cardiovascular assessment 86
40 Respiratory assessment and hypoxia 88
41 Upper limbs and hands 90
42 Abdomen 92
43 Back, spine, buttocks and anus 94
Section 15 Pelvis and lower body
44 Developmental dysplasia of the hips 96
45 Genitalia – female 98
46 Genitalia – male 100
47 Lower limbs and feet 102
Part 6 Revision and self-assessment 105
Section 16 Revision
48 Syndromes and signs 106
49 Scenarios 108
Section 17 Self-assessment
Crosswords and multiple choice questions 109
Crosswords and multiple choice questions – answers 112
References 114
Index 117
