Assessment of the newborn infant
- Tiffany M McKee-Garrett, MD
Tiffany M McKee-Garrett, MD
- Assistant Professor of Pediatrics
- Baylor College of Medicine
- Section Editors
- Leonard E Weisman, MD
Leonard E Weisman, MD
- Section Editor — Neonatology
- Professor of Pediatrics
- Baylor College of Medicine
- Teresa K Duryea, MD
Teresa K Duryea, MD
- Section Editor — General Pediatrics
- Associate Professor of Pediatrics
- Baylor College of Medicine
A newborn should have a thorough evaluation performed within 24 hours of birth to identify any abnormality that would alter the normal newborn course or identify a medical condition that should be addressed (eg, anomalies, birth injuries, jaundice, or cardiopulmonary disorders) . This assessment includes review of the maternal, family, and prenatal history and a complete examination. Depending upon the length of stay, another examination should be performed within 24 hours before discharge from the hospital.
The assessment of the newborn infant will be reviewed here. The routine care of the newborn infant is discussed separately. (See "Overview of the routine management of the healthy newborn infant".)
The newborn history includes the following:
●Review of this pregnancy, labor, and delivery including screening tests and risk factors for sepsis.
●Review of past pregnancies including a history of congenital anomalies, still births, and/or genetic or syndromic conditions.
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- Prenatal screening tests
- Risk factors for sepsis
- PHYSICAL EXAMINATION
- General appearance
- Vital signs
- - Fontanelles
- - Sutures
- - Craniotabes
- - Extracranial findings
- - Facial palsies
- - Asymmetric crying facies
- - Masses
- - Torticollis
- - Excess skin
- - Clavicles
- - Chest wall movement
- - Breast
- - Auscultation
- Cardiovascular system
- - Murmurs
- - Pulses
- - Palpation
- - Umbilical cord
- - Female
- - Male
- - Ambiguous genitalia
- Trunk and spine
- - Sacral dimple
- Neurologic examination
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS