Printable Newborn Physical Exam Template
Sibling under bili lights for 2 days in newborn nursery negative for congenital diseases childhood deaths or atopic diseases.
Printable newborn physical exam template. Fundoscopic exam is normal with sharp discs. Newborn baby born to a yo g p at and weeks ega who presented in labor with without srom at. Face is symmetric with normal eye. Assessment can be called the base or foundation of the nursing process.
Nursing assessment is an important step of the whole nursing process. Lewis md dwight d. With a weak or incorrect assessment nurses can create an incorrect nursing diagnosis and plans therefore creating wrong interventions and evaluation. Verbalize impressions during exam o evaluate the students performance according to the checklist i.
Color posture tone activity size maturity and quality of cry. Parenting tips help your baby learn by playing and talking with him. Cortez is a 21 day old african american male infant who presented. Patient then began to push and at this time of 2nd stage of labor had complications.
Visual fields are full to confrontation. Eomi no nystagmus no ptosis. Make sure that people who hold or care for your baby wash their hands often. Mother primary care physician.
Sample pediatric history and physical exam date and time of h p. Intact family 3 yo sib. To prevent those kind of scenarios we have created a cheat sheet that you can print and use to. Before even touching the infant notice the following.
Pupils are 4 mm and briskly reactive to light. Total time with ruptured membranes was. History of present illness. 15 month latino female presents for 15 month check up.
Call your baby s doctor or nurse before your next visit if you have any questions or worries about your baby. Pediatric history and physical exam template informant. This infant has a normal pink color normal flexed posture and strength good activity and resposiveness to the exam relatively large size over 9 pounds physical findings consistent with term gestational age skin ears etc and a nice strong cry. Keep your baby away from crowds and people who have colds and coughs.
Cn iii iv vi. Baby has been doing well since birth breastfed x3 stool x 1 and void x 1 vss. Mom states that feeding are going well but she complains of sore nipples. Facial sensation is intact to pinprick in all 3 divisions bilaterally.
The history was obtained from both the patient s mother and grandmother who are both considered to be reliable historians. The rash in his diaper area is getting worse history of present illness. This is part i of a two part article on the newborn examination. She was not induced augmented and progressed well to complete over about hours.
Has all baby needs including. Visual acuity is 20 20 bilaterally. O obtain verbal consent from family to use their baby for osce examination o instruct student to. Well nourished ambulatory child brought into clinic today for routine examination and scheduled immunizations.