Cyanosis and over the body_____. • Frenulum lengua or thin ridge of tissue running from
Acrocyanosis_______; pallor basal tongue along undersurface to topof
Pletnor reddish (ruddy) coloration_____. tongue_____
Jaundice_______. • Sucking blisters labial taberales or thicker midlines of
• Meconium staining of skin______; fingernails_____ upper lip that may be filled with blood_____
and umbilical cord______. Neck:
• Dryness or peeling________ Examine the following:
• Vernix_______ • Mobility-infant can move the head from side to side
• Nails reach end of fingertips_______. _____; lymph nodes____ clavicular fractures_____
• Edema occur over buttocks____; back____; and • Torticolis appears as spasnoche____ one sides
occiput_____:pitting edema contraction of neck muscles______
• Ecchymosis _________ Location________ • Stiffness and hyperextension____________
• Petichae_______ Location_________ • Clavicle are intact________
• Erythema toxicum (newborn rash) • Mass- cystic hygroma or soft usually seen laterally;
______location_______________ over the neck clavicle_____
Chest:
• Hemangiomas vascular lesions present at birth; some
may fade, but others may be permanent. • Circumference _________ and
o Strawberry bright red, raised, symmetry___________
lobulated_____ location__________ Breast:
• Telangiectatic nevi (stork bites) flat red or purple • Engorgement noted ___________________________
lesions ________. • Nipples and areola are less formed and
• Milia enlarged sebaceous________. Mongolian spots profound___________
blue-green or gray pigmentation________. Respiratory System
• Abrasions or lacerations _________. Location • Rate:
________. • Rhythm of respirations may be shallow with irregular
• Port wine nevus ( nevus flammeus) flat pink reddish rhythm
purple lesion________. o Respiratory movement are symmetrical
Head: _______ and mainly diaphragmatic_______
(examine head and face for symmetry, paralysis, shape, o Periodic breathing resumption or respiration
swelling, movement) after 5-15 seconds________
• Capput succedaneum___________. o Observe abnormal respiratory signs_______
• Cephalohematoma or subperiosteal • Breath sounds determined by auscultation
hemorrhage__________________. Cardiovascular System
• Molding________________ • Rate__________
• Forceps Marks or U-shaped bruising________. • Heart sounds- second sound higher than fist third and
• Head Circumference ______ cm or _____inches sharper______________ than first/third and heard
rarely________ ; murmurs___________
• Fontanelles
• Pulses equally and strength of brachial __________;
o Enlarrged or bulging_________
radial ________; pedal _____________ and femoral
o Sunken__________
pulses _________; lack of femoral pulses ________
o Size- posterior may be obliterated because
• Acrocyanosis of distal extremities_________; location
of molding______; generally closes 2-3 of any cyanosis_________; color changes with
months. Anterior is palpable generally time_______ and when crying__________
closes in 12-18 months.
• Sutures junctions of adjoining skull bones. • Blood pressure_____________
o Overriding Abdomen
o Extensive separation • Shape- cylindrical_________; protrudes
Face slightly_____moves synchronously with chest during
• Symmetry of facial movements _______ respiration_______
Eyes • Distension________________________
• Color- sclera white ____; blue sclera_____ • Palpate abdomen for masses; gap between rectus
Eye color usually slate-gray _____; brown____; or muscles is common, palpate liver and spleen.
dark blue______ • Auscultate abdomen in all four quadarnts________
• Hemorrhagic area______ edema of the eyelids • Umbilical cord:
________.
o Normally contains two arteries and one
vein_____
o Signs of infection around______
o Meconium staining_____
o umbilical hernia_______
Genitalia
Musculoskeletal system
• Examine extremities for fractures_______,
paralysis_________, range of motion_____________,
irregular position_________ Musculoskeletal system
• Examine fingers and toes for number and separation:
extra digits, polydactyly________; fused digits,
syndactyly___________
• Examine hips for dislocation- with the infant in supine
position, flex knees and abduct hips to side and down
to table surface_________; clicking sound indicates Eyes
dislocation ( ortolan’s sign)___________
• Assymetrical gluteal folds___________
• Examine feet for structural and positional deformities-
club foot_____ or metatarsus adductus (inward turning
of foot)__________________.
Genitalia
Neurologic system
• neurologic mechanisms are immature automatically
and physiologically; as a result; uncoordinated
movements, labile; temperature regulation and lack of
control over musculature and characteristic of infant
• Examine muscle tone, head control and reflexes
Ears
Interpretation of the data:
Posture:
Mouth
Cardiovascular system
Nose
Abdomen
Respiratory system
Skin
Saint Paul University Dumaguete
College of Nursing
NEWBORN ASSESSEMENT
Submitted by:
Peñalber, Valerie Y.
BSN III-C
Submitted to: