The Newborn Assessment

In all of the modules up until this one, we have discussed abnormalities or illnesses of newborns. In order to understand and recognize what is not normal, it is worthwhile to be clear on what is normal. In this module, Dr. Kohn will demonstrate how to examine a very well newborn. Aside from the obvious size differences and the unbelievable cuteness of newborns relative to adults, there are the influences of fetal development and transition that impact the newborn exam. Keep in mind that your exam may be the first physical evaluation that this baby has in its life!

Our task as providers of health care to newborns is to detect which of the many seemingly well babies has an underlying health care problem that needs to be addressed. Previously, we reviewed the screening method that we use to look for critical congenital heart disease. In this module, we will cover the surveillance technique, that is, the physical findings that should make us suspect a newborn might have congenital heart disease.

In this module, we will first identify normal components of the respiratory exam. We will use this information to recognize “abnormal” respiratory exams in newborns, meaning recognition of physical exam findings consistent with respiratory distress. Then, we will use the information we learned about the respiratory exam to work through a case of a newborn with respiratory distress

Nearly 41% of children who die under the age of 5 are less than 28 days old. The first month of life is a particularly vulnerable time for these little ones. In this module, you will learn some signs or symptoms that are concerning in newborns in the first month of life, and that need medical attention. You will also learn some common findings that are concerning to parents, but not concerning medically. Those are conditions for which reassurance and/or watchful waiting is appropriate. Distinguishing between concerning and benign conditions will help you ensure the safety and health of newborn babies!