The Physical examination of a newborn child must be at least on 3 occasions:
- Al Nacer in the delivery room
- At 12 hours
- Upon graduating
physical examination DELIVERY ROOM
OBJECTIVES:
- minute Apgar FIVE MINUTES
- PHYSICAL ANOMALIES CONGENITAL
- somatometry
MATURITY DEGREE OF EXPRESSION OF DISEASE
SPECIAL ATTENTION:
- APGAR PUNCTUATION OF UMBILICAL CORD
- . PLACENTAL PERMEABILITY
- nostrils and ESOPHAGEAL
- PERMEABILITY
- BODY COLOR RESPIRATORY PATTERN
- cardiac auscultation, PULSE
- ABDOMEN
- GENITAL
- REACTIVITY
- somatometry:
WEIGHT: 2.5 to 3.8 KG
SIZE: 50 cm plus or minus 4 CM
CC: 35 cm plus or minus 2.5
CM CT: 33 cm plus or minus 2.5 CM
CA: 31 CM CM plus or minus 2.5
CONTINUITY OF OTHER HOLES
physical examination ROOM CATCH
BEFORE 24 HOURS 12 HOUR MAXIMUM STABILITY
BARE NEUTRAL THERMAL ENVIRONMENT INSPECTION AND THEN AUSCULTATION PALPATION SPECIAL OPERATIONS
SKIN:
• • Color Temperature
• Special Features:
-Lanugo Vermix
-cheesy-Milium
Milaria
-harlequin-Phenomenon-Nevus or hemangioms
-Erythema toxicum
subcutaneous fat necrosis
HEAD:
• • Thrust
Molding • Fontanelle
FACE: Asymmetric
• Eyes:
Presence of eyeballs
-Pupils-red reflex
-conjunctival haemorrhage -
-palpebral nystagmus
• Nose:
-permeability of the choanae
-deformity
• Ears:
- Implementation of the ear-permeability
CAE
• Mouth:
-labial and buccal mucosa
- Tongue-Palate frenulum
Tooth-Germ
NECK:
• Short
• Mobility • Symmetry
• Discard:
-Crick-Bruising
-tumor-cysts
THORAX:
• Morphology • nipple and areola
• heart and lung auscultation
ABDOMEN:
• Liver •
palpable masses • bowel sounds • Permeability and position
anus
GENITAL
skeletal muscle: muscle tone
• • •
Spine creases Mirror Test Ortolani
• • Number of fingers
• Willingness of members
NEUROLOGICAL:
• Posture • Sensitivity (tactile-painful)
• Muscle strength • Reflections:
-Blink-Palmar-Suction
-Search-Swallowing-Moro
-Patellar • Cranial nerves
-eye movements, sensitivity
-expression face facial
0 comments:
Post a Comment