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BSM Midwifery
Aim: To determine the student’s proficiency in the assessment of the newborn in an effort to
evaluate development and adjustments to extrauterine life.
Gather equipment
Ensure privacy
General Observation
Colour, presence of jaundice, rashes,
birthmarks and any skin
abnormalities
Observe neonate in proportion to
maturity
Muscle tone/ activity
Drowsiness
Alertness
Check temperature
Measurements
Head circumference
Length
Weight
Eyes
Shape
Position
Size
Appearance of pupils
Signs of ophthalmic infection
Cataracts
Presence of haemorrhage
*Blinking and corneal reflex
Ears
Position
Shape
Size
Patency of external auditory meatus
Nose
Symmetry
Septum
Flaring
Patency
Mouth
Mucous membrane
Deveree Stewart Caribbean School of Nursing- BSM 2015
Revised by Deveree Stewart 2018 Page 2
Palate
Gums
Frenulum linguae
*Sucking reflex
*Rooting reflex
*Gag reflex
Neck
Length
Mobility
Relationship to body
Presence of webbing, skin tags or fat
pads
Skin
Lanugo
Vernix
Meconium staining
Texture
Hydration
Extremities
Arms and Hands
Establish if equal in length, shape and
moving normally
Assess for signs of birth injury e.g.
Erb’s Palsy
Observe shape of fingers and count
the number of digits: polydactyly,
syndactyly
Observe palmer creases
*Check palmer/ grasp reflex
Palpate brachial and radial pulses for
rate and depth
Legs and Feet
Check legs are equal in size, shape
and length
Knee height
Symmetry of leg creases
Position of feet
Digits: polydactyly, syndactyly
Abduct thighs to bed
Rotate hips through full range of
motion
The back
Observe the skin and colour
Palpate and inspect the spinal column
for intactness, masses and symmetry
of vertebrae
Observe pilonidal dimple for
intactness
Reflexes
*Moro
Wash hands
Documentation
Record findings of the examination
Report any abnormal findings to
midwife, doctor and mother/parents
Health teaching as appropriate
1.
(5 marks)
2.
(5 marks)
3.
(5 marks)
4.
(5 marks)
Student total.........................................
Comments ........................................................................................................................................
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Student signature...................................