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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.

Physical Examination of the Newborn at a Glance

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