0. The Newborn Examination. Karen Montgomery-Reagan, D.O. OUCOM Department of Pediatrics. Overview. Review birth Hx and VS Listen to heart while infant quiet: Cardiovascular- inspection, palpation, and auscultation
To be done within few hrs of birth
Skin texture, color, and opacity
Nipples and breasts
Ear form and firmness
To be done within 24 hrs
Heel to earDubowitz/Ballard Score
Junction of coronal suture and sagittal suture
Mean newborn size: 2.1 cm (larger in black infants)
Often enlarges in first few months of life
Closes between 4 to 26 months (median 13.8 months)
Closes by 3 months in 1% of infants
Closes by 24 months in 96% of infants
Junction of lambdoidal suture and sagittal suture
Mean newborn size: 0.5 to 0.7 cm
Closes by 2 monthsFontanelles
Assess for asymmetry or irregular shape
small white cysts which contain keratin
frequently found on either side of the median raphe of the palate.
Resolves in 1-2 months
Occurs 1 in 2,000 births
Location is most often the lower incisors.
Risk of aspiration if loosely attached, most require removal.
More often present in newborns with cleft palate.Mouth Examination