Everything you need to know about Physical Examination of the Newborn… at a Glance!
Physical Examination of the Newborn at a Glance provides clear and comprehensive guidance for all those involved with both routine neonatal examination and more specific full physical examinations. Throughout the book, readers are encouraged to critically assess their personal and practice standards relating to the examination of the newborn to promote effective and high-quality holistic care of the family unit.
The second edition of Physical Examination of the Newborn at a Glance is revised to reflect current practice and the Newborn Infant Physical Examination (NIPE) standards. New and expanded chapters address bed sharing, chromosomal abnormalities, neonatal adaptation, referral pathways, health promotion, issues encountered in professional practice, and more. This guide:
- Presents a thorough account of appropriate physical examination of the newborn
- Explores the theoretical and practical issues readers may experience in practice
- Integrates colourful images and text to appeal to visual and non-visual learners alike
- Includes multiple-choice questions and self-assessment exercises
Physical Examination of the Newborn at a Glance, Second Edition, remains a must-have study or revision guide for undergraduate midwifery and nursing students, newly qualified NIPE practitioners in need of a reliable quick-reference guide, and experienced professionals wanting to update their knowledge and understanding.
Table of Contents
Preface x
Abbreviations xi
Part 1 Professional issues 1
Section 1 Professionalism
1 Public health screening and the neonate 2
2 Quality, standards, thresholds and audit 4
3 Documentation 6
4 Professionalism and leadership 8
5 Safeguarding 10
6 Health promotion: information for parents 12
7 Health promotion: additional information for students and practitioners 16
Section 2 Communication skills
8 Communication during the examination 18
9 Communicating concerns to parents 20
Part 2 Neonatal physiology and pathophysiology 23
Section 3 Adaptation
10 Adaptation to neonatal life: in utero 24
11 Adaptation to neonatal life at birth: further insight 26
12 Thermoregulation, cold stress and hypothermia 28
Section 4 Emergency management
13 Resuscitation of the newborn 30
14 Neonatal hypoglycaemia 34
Section 5 Jaundice
15 Physiological jaundice 36
16 Pathological jaundice 40
Section 6 Disorders
17 Metabolic disorders 42
18 Jitteriness, seizures and hypotonia 44
19 Congenital infection and neonatal sepsis 46
20 Anaemia and polycythaemia 48
21 Genetics and inheritance 50
22 Syndromes and signs 52
Section 7 Birth complications
23 Intrapartum trauma and injury 54
Part 3 Allied assessments 57
Section 8 Routine care
24 Initial examination at birth: overview 58
25 Daily examination of the newborn: overview 60
26 Newborn blood spot screening 62
27 Hearing screening 64
Part 4 Prior to the physical examination 67
Section 9 Examiner self awareness
28 Preparing to examine 68
29 Infection control 70
Section 10 History awareness
30 Relevant history and risk factors 72
31 Feeding 74
32 Excretion 76
Part 5 Top- to- toe physical examination 79
Section 11 Broad assessment
33 Newborn and infant physical examination: overview 80
34 Neurological assessment: overview 82
35 Reflexes 84
36 Common skin conditions 86
37 Atypical skin conditions 88
Section 12 Head and neck
38 Head 90
39 Facies 92
40 Eyes 94
41 Mouth 98
42 Neck and clavicles 100
Section 13 Upper body
43 Chest 102
44 Cardiovascular assessment 104
45 Respiratory assessment and hypoxia 106
46 Upper limbs and hands 108
47 Abdomen 110
48 Back, spine, buttocks and anus 112
Section 14 Pelvis and lower body
49 Developmental dysplasia of the hips 114
50 Genitalia: female 118
51 Genitalia: male 120
52 Lower limbs and feet 122
Part 6 Revision and self- assessment 125
Section 15 Revision activities: crosswords and multiple-choice questions
53 Self-test crosswords 126
54 Self-test multiple-choice questions 128
55 Self-test crosswords and multiple-choice questions: answers 129
Section 16 Self-assessment: professional reflection
56 Professional reflection: knowledge and insight 130
References 131
Index 135
