Physical Examination of the Newborn at a Glance provides a comprehensive guide for all those involved with both the routine neonatal examination and the more specific full physical examination of a newborn. Covering the routine care and the competencies required to perform the examination of the newborn as set out by the Newborn and Infant Physical Examination (NIPE) Screening Programme, this beautifully illustrated book encourages the critical appraisal of personal and practice standards relating to the examination of the newborn in order to promote effective and high quality holistic care of the family unit. Encapsulating the learning requirements across a pre and post-registration audience, Physical Examination of the Newborn at a Glance is an indispensable resource for those beginning their journey to become a NIPE practitioner, as well as those who are looking to update their professional knowledge and understanding.
Preface ix Part 1 Professional issues 1 Section 1 Professionalism 1 Public health screening 2 2 Quality and standard setting 4 3 Record keeping and professional competency 6 4 Safeguarding 8 5 Health promotion and education 10 Section 2 Communication skills 6 Communication during the examination 12 7 Communicating concerns to parents 14 Part 2 Neonatal physiology and pathophysiology 17 Section 3 Adaptation 8 Adaptation to neonatal life 18 9 Thermoregulation 20 Section 4 Emergency management 10 Resuscitation of the newborn 22 11 Hypoglycaemia 24 Section 5 Jaundice 12 Physiological jaundice 26 13 Pathological jaundice 28 Section 6 Disorders 14 Metabolic disorders 30 15 Jitteriness, seizures and hypotonia 32 16 Congenital infection and sepsis 34 17 Anaemia and polycythaemia 36 Section 7 Birth complications 18 Intrapartum injury/trauma 38 Part 3 Allied assessments 41 Section 8 Routine care 19 Initial examination at birth - overview 42 20 Daily examination of the newborn - overview 44 Section 9 Screening 21 Newborn blood spot screening 46 22 Hearing screening 48 Part 4 Prior to the physical examination 51 Section 10 Preparation 23 Preparing to examine 52 24 Infection control 54 Section 11 History awareness 25 Relevant history and risk factors 56 26 Feeding 58 27 Excretion 60 Part 5 Top to toe physical examination 63 Section 12 Broad assessment 28 Newborn and infant physical examination - overview 64 29 Neurological assessment 66 30 Reflexes 68 31 Common skin conditions 70 32 Atypical skin conditions 72 Section 13 Head and neck 33 Head 74 34 Facies 76 35 Eyes 78 36 Mouth 80 37 Neck and clavicles 82 Section 14 Upper body 38 Chest appearance 84 39 Cardiovascular assessment 86 40 Respiratory assessment and hypoxia 88 41 Upper limbs and hands 90 42 Abdomen 92 43 Back, spine, buttocks and anus 94 Section 15 Pelvis and lower body 44 Developmental dysplasia of the hips 96 45 Genitalia - female 98 46 Genitalia - male 100 47 Lower limbs and feet 102 Part 6 Revision and self-assessment 105 Section 16 Revision 48 Syndromes and signs 106 49 Scenarios 108 Section 17 Self-assessment Crosswords and multiple choice questions 109 Crosswords and multiple choice questions - answers 112 References 114 Index 117
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