Tuesday, November 17, 2009

Physical Assessment of Post-term Infant

Physical Examination:

Head to Toe Assessment:

To obtain head to toe assessment for new born the first thing that you have to do is identify the newborn by checking out names from armband or name posted on the crib. To start with your assessment, you have to determine the vital signs. The HR: is 135 bpm. PR: 154 bpm. RR: 60.

The head should be first area to be assessed. My patients head assessment includes head circumference measured 53 cm. the shape of fontanel is slightly bulging and has a caput, the presence of hair is quit long, abundant and the color is black. Face is symmetrical, the check has light edema, and there is a birthmark on his right side. The eyes color is black, the placement is symmetrical wide looking and worried. The ears are symmetrical in shape, size and well placed.

The nose is patent. The mouth is normal with lips, palate and tongue are present. The chest and abdomen circumference measures 50 cm. The spine is also normal because of non-displaced in appearance and palpation as well. Anus is patent with the core temperature 37.0 The extremities are also symmetrical such as the hand and toes, the fingers are complete in numbers, though the finger nails are quite long and tinged yellow, green in color. There were presences of some reflexes such as Moro, Babinski, Grasp and Tonic neck. The skin is loose and little subcutaneous fat, wrinkled, crack and peeling. The color is pallor.

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