Gujarat Ayurved University — Jamnagar / NAVAJAT PARIKSHAN Name: Baby of Bhavnaben Age: | duy Sex: Female Mother's Name: ®haunaben Father's Name: Ajay bhai Address: OPD No: IPD No: Date of Admission: Students name: Meet Gambhroliyct Date of Discharge: Natal History: Date of Birth: Time of birth: Term:-Full term/ Pre term/ Post term Type of Delivary: Normal/Abnormal (Episiotomy/ Vaccum/Caesarian) Cdue to malpresentation ) (A) NEW BORN EXAMINATION: cy 2. APGAR'S Score: Amin. after birth 5. Min. after birth APPEARENCE Acrocynosts” (1) Pink (2) Pulse a) V2/ min (2) ‘nance: Sneeze (2) Sneeze (2) ACTIVITY: Some flexion (4) Active movement (2) Hees Strong cry (2) ery (2) 3. Neonatal Primitive Reflexes: Sa 2 lo Moro reflex ~ Complete , Gilatercl symmetrical. pa Otel ea Good ; Sucking - good . grasping + palmer - active reflex Weight: 3.5 kg ! Length: 4 cm Head Circumference: 34 ¢rm Chest Circumference: 32 crn 5. Vitals: Temperature 9%.6 F HeartRate '!2/1min — Resp. Rate 45/ min.6. Congenital Anomalies(if any: VAD. 7. Physical Examination: {a) Shirah: , Head-Ant.& Post. fontanelles opened , Wormal size & shape Far = Well placed , Mormat, instant recoil We Se pallor , No Conjuctivel haemorrhage Nose - Normal , Patent nostrit Mouth yan Palate ~ yan Up - wap {b) Koshtha: f Heart - 5) 52 tve cleuy sound Lungs - AD liver spleen Not palpable , normal Umbilicus - Chean , not oozing . umbilical cord attached. anus Patent, open, urine passed aithin 24 brs, Urethral Orifice z - labia minora covered aith labia majora, Vaginal Orifice Mucoid discharge present. (©) Shakha: Upper extremities: { PRO Lower extremities: 5) EXAMINATION DURING DATE OF DISCHARGE: General Health: Geood Activity: Active Breastfeeding» Every 2-3 hrs Weight: 3.2 cg Heart rate: 125} min Respiration: 45 / min Temperature: 9%. 6° F Sleep: Wormat (20-92 brs) Urine: %-lo time /day Stool 8-4 tme /day CBroonish Umbilicus: vp. sep Sis Skit: Pentel Yettoa) Neonatal Primitive Reflexes: 7 Moro reflex - Complete , bi-lateratl Symmetriceet_ Palmer rasp reflex - active , rooting & sucking = good. Instruction at discharge: Exclusive breastfeeding till 6 month + advice burping» Advice for verccinution | seen any danger inform physician. SIGN OF STUDENTS SIGN OB CHER: fe wk oo 2Gujarat Ayurved University — Jamnagar NAVAJAT PARIKSHAN Name: Baby of Creetaben Age: | day Sex: Fernale Mother's Name: Cceetaben Father's Name: Ravibhai Address: OPD No: IPD No: Date of Admission: Students name’ Meet Garmbhroliyc Date of Discharge: Natal History: Date of Birth: Time of birth: Term:-Full term/ Pre term/ Post term ‘Type of Delivary: Normal/Abnormal (Episiotomy/ Vaccum/Caesarian) (A) NEW BORN EXAMINATION: Ley - Soon ufter birth Amin. after birth Acrocyosis C1) 2, APGAR'S Score: APPEARENCE g0/ min (ap puse Grimace Sneeze ( ACTIVITY: Fudt active (2) RESPIRATION: Strong cry (2) 3. Neonatal Primitive Reflexes: = 5. Min. after birth Pink (2) \20/min (2) sneeze . Cry (2) Ful active (2) Rooting . Sucking - @ood , Palmer grasp - active Moro reflex 4, Anthropometry: Weight: 2.% leg Length: Head Circumference: 35 crn 5. Vitals: Temperature 9Y/-6 F HeartRate '30/ min Complete , filaterat Gy @) 10 symmetrical. 49 crn Chest Circumference: 33 ¢™ 46 | min,©. Congenital Anomalies(if any): clef lip present Cleft unilaterat ) 7. Physical Examination: (a) Shirah: Head- Mormat size & shetpe, Roth fontanelles are o Far . Wormat, well placed , instant recoli Eye - Novmat Nose - petent nostril , normal Mouth. yaa Palate - van Oma lela an ip eee (b) Koshtha: Heart - S. S52 4Ve clear . 130/ min, Lungs ~ RR. - bE min liver spleen | Not pulpcrbte. Umbilicus - UO *cat Cord attached , not Oozing. Anus Putent , open. Ure Orifice Urine passed within 2 Wns. faginal Orifice ~ Labia minora covered eoith lerloice om (c) Shakha: Upper'extremities: } NAD Lower extremities: B) EXAMINATION DURING DATE OF DISCHARGE: General Health: (ood Activity: Active Breastfeeding: fyery 2-3 hrs Weight: 2.4 kg Heart rate: 1367 min Respiration: &¢ / min ng Temperature: 996° F Sleep: 1% hrs / day. Urine: ¢-% +time/ guy Stool 25 time 2a Umbilicus: — ¢ovd -ciffached kings. oe Neonatal Primiti Gin Dae one == Complete , bilateral symmetricat . Palmer & grasping - good Cactive) + Rooting & sucking - good: Instruction at discharge: Exclusive byeast feeding +ill @ months , Advise burping Advice for vaccination . if See; imger inform ehys SIGN OF STUDENTS IGN OF TEACHER ~ fe yyGujarat Ayurved University — Jamnagar NAVAJAT PARIKSHAN Name: Gaby of Sanjancben Age: 3 day Sex: Male Mother's Name: Sc} et be) Father's Name: Reikkeshbher Address: OPD No: IPD No: Date of Admission: Students name: Meet Bambhroliycr Date of Discharge: Natal History: Date of Birth: Time of birth: Term:-Full term/Pre term/ Post term Type of Delivary: Normal/Abnormal (Episiotomy/ Vaccum/Caesarian) (Due! to Contracted pelvis ) (A) NEW BORN EXAMINATION: 1.Cry - Immediate 2. APGAR'S Score: 1 min. after birth 5. Min. after birth APPEARENCE: Alerocynosis (1) Pinkish (2) PULSE: Wolmin (2) 8/ min @) GRIMACE: meeze @) Sneeze cry (2) ACTIVITY: Full active (@) Full active (2) RESPIRATION: Strong cry (2) een 3, Neonatal Primitive Reflexes: Wy 0 Moro reflex - Complete, Gilateval Symmetrical Rooting & sucking - goed. , Pulmer grasping - Active. 4, Anthropometry: Weight! 3 Kg Length: 4% cm Head Circumferencé: 36 Cr Chest Circumference: 24 Crm 5. Vitals: Temperature 95.4 F HeartRate (38/rnix)__ Resp. Rate 42 / min6. Congenital Anomalies(if any): YA 7. Physical Examination: (a) Shirah: Head- Normal size & shape, both fontemelies 4 Ear BS = Moca » Ove pallor , VO swelling Nose Kowimal » Patent mostril, Mouth . wan Palate - wap lip - pap (b) Koshtha: pes ec ae mV One Maca en Lung: RR - 32 /min er i Spleen | Not palpabse. Umbilicus - No oozing , Anus = Patent Urethral Orifice Vaginal Orifice open. (c) Shakha: Upper extremities: } NAD Lower extremities: 8) EXAMINATION DURING DATE OF DISCHARGE: General Health: Breast feeding: Heart rate; 14977 min Temperature: 4% .6° Urine: slo times Lday, Wali” Good etechad ‘Neonatal Primitive Reflexes: Moro reflex - Palmer grasping - Instruction at discharge: exclusive breastfeed; Buby Should kept co SIGN OF STUDENTS vy. de active , dean HW hoseiten Problem -Wormat , well placed tumbi li cect Patent . Testis - descended Scrotum = cei) pigmented « evel fompsete Bj latent Symmetrical — Rooting & Sucking - good 9 for 6 mo POcdvice For merci Wf any occurs, Pere instemt recol; 7 cord atterched, Activiy: Fully cietive Weight: 2.9 ig c Respiration: 427 min Sleep: Sound (16-20 Steck: 3-2, tment ane Skin; Slight paltor Mths , advice burp SIGN OF TEACHE xGujarat Ayurved University — Jamnagar NAVAJAT PARIKSHAN Name: Baby of Jagrutiben Age: | day Sex: Fernule Mother's Name: Zetgvutiben Father's Name: Rajeshbhai Address: OPD No: IPD No: Date of Admission: Students name: Meet Bembhyroliyct Date of Discharge: Natal History: Date of Birth: Time of birth: Term:-Full term/ Pre term/ Post term_ Type of Delivary: Normal/Aby (A) NEW BORN EXAMINATION: 1.cry - Soon after birth 2. APGAR'S Score: 1 min. after birth 5. Min. after birth ‘APPEARENCE: Acrocynosis (1) Pink (2) Pulse: ol min ©) oJmin @) “oRIMACE: Sneeze (2) Sneeze, cry (2) AcTIITy Some Flexion () Full active @) RESPIRATION: Strong cry (2) cry (2) a 10 3, Neonatal Primitive Reflexes: % Sucking & ‘rooting d Palmer grasping - Active Moro reflex - Complete ilateral symmetrical 4. Anthropometry: Weight: 2.45 kg Length: So cm Head Circumference: 35 cm Chest Circumference: 32. cm 5. Vitals: Temperature 9%.4°F HeartRate (40/ min Resp.Rate &2/ min6. Congenital Anomalies(if any): (VAD. 7. Physical Examination: (a) Shirah: Head-(Vermat size & Sheipe , both fontanelles opened. Far - Well paced, normat « Instemt vecol! Fye - Wo swelling « normat Nose - Patent nostril, Wormat Septum Mouth. AD Palate - wan lip - wan (b) Koshtha: Heart — Sy Se) nvenclechra i Hb smteoratanirg lungs = RR - 42 /min Liver of ee f Not palpable umbilicus -40 oozing , Umbilical cord attached Anus Patent , open. Urine passed within 24 ys. Uret avict minora covered by labia mejovo- AGinal Orifice (c) Shakha: Upper extremities: Lower extremities: i Ad B) EXAMINATION DURING DATE OF DISCHARGE: Good Every General Health: Breast feeding: Heart rate: min Temperature: CF Urine: 940 times (day Umbilicus: Cord attached Neonatal Primitive Reflexes: More's reflex - Comekete Palmer avcsp - cttive Instruction at discharge: Exclusive breastfeedin Activity: Mor mat Weight: 2.5 kQ Respiration: 44 / Min Sleep: 16-20 hrs. Stool: 3-5 times (day Ski Pinkish bilateral symmetrical. + Rooting & sucking - good. -vaccination as per Sheduse. visit hospital in case of emergency. Aduice buvping, SIGN OF STUDENTS SIGN OF TEACHER, e oN 48Gujarat Ayurved University — Jamnagar NAVAJAT PARIKSHAN jName: Gaby of shivranjaniben Age: (day Sex Mate | Mother's Name: Shivranjaniben Father's Name: Rajmikantbhat | Address: OPD No: IPD No: Date of Admission: Students name: Meet Bambhroliyce Date of Discharge: Natal History: Date of Birth: Time of birth: Term:-Full term/ Pre term/ Post term Type of Delivary: Normal/Abnormal (Episiotomy/ Vaccum/Caesarian) (A) NEW BORN EXAMINATION: 1.¢ry Soon af; birth 2. APGAR'S Score: Amin. after birth 5. Min. after birth APPEARENCE! Acrocynosis i Pinkish G) PULSE: 1407 Min (2) 445 / min (2) GRIMACE: Sneeze ) ; cry, sneeze (2) activity Hive C2) Full active (2) RESPIRATION: cry a) Strong cry (2) 3. Neonatal Primitive Reflex; S SB Moro's reflec: -“ Complete , bidaterat Symmetrical Rooting & sucking reflec ~ 900d 4. Anthropometry: Weight: 3 kg Length: 4% cm Head Circumference: 34 Cr) Chest Circumference: 31 crm 5. Vitals: Temperature 96-6 F HeartRate (22 / min Resp. Rate 46 / min6. Congenital Anomalies(if any): Impeyforated Anus. 7, Physical Examination: (a) Shirah: Head -Noymal size g shape, Both fontanelies opened insternt recoli Far - Well paced , norma! Eye - pallor absent Nose. Patent nostril» Normal septum Mouth - wAD Palate - aD lip - AD (b) Koshtha: Heart Lun; 5, $2 +Ve, clear Sound , HR-132/min = RR- 40/min fer aan } Wot palpate Umbilicus - vormel attached cord , no Cozing. Anus = Imperforated cnus ee eam Testis - descended vaginal Orifice J scyotum - pigmented & weil developed. {c) Shakha: Upper extremities Lower extremit 8B) EXAMINATIC GeneralHealth: Good Activity: ~— Mormet Breastfeeding: every 2-3 hro Weight: 2.9 keg Heart rate: 182 / min Respiration: 4&6 / min Temperature: 9%.6° F Sleep: 9622. hrs / dey Urine: @-9 tHmes / dey, Stool: ¥ Umbilicus: No Sepsis Skin: pinkish, Neonatal Primitive Reflexes: Moro’s reflex - Complete Bilateral Symmetyical Rooti: & sucking wefiece - good instruction at discharge: : Exlusive breast feeding after 2-3 his, Advise burping vagcination a3 per sheduse. SIGN OF STUDENTS SIGN OF TEACHER Wes we 2 > —e