Newborn Examination (2nd edition)

The Zero to Finals Medical Revision Podcast

Thomas Watchman

Life Sciences, Education, Medical Finals, Medicine, Surgery, Health & Fitness, Paediatrics, Medical Student, Medical Education, Medical Exams, Medical School, Medical Revision, Science, Learn Medicine, Finals Revision, Obstetrics And Gynaecology

4.8 • 678 Ratings

🗓️ 14 May 2025

⏱️ 18 minutes

🔗️ Recording | iTunes | RSS

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Summary

This episode covers newborn examination. Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/newbornexam/ Questions can be found at https://members.zerotofinals.com/ Books can be found at https://zerotofinals.com/books/ The audio in the episode was expertly edited by Harry Watchman.

Transcript

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0:00.0	Hi, this is Tom, and in this episode, I'm going to be going through newborn examination,
0:09.2	and you can find notes at zero to finals.com slash newborn exam, and in the zero to finals pediatrics book,
0:16.5	and you can find flashcards and questions at members.0.0.0.0.com. So let's jump straight in.
0:24.5	The newborn infant physical examination, or N-I-P-E, aims to detect abnormalities in the newborn baby.
0:33.6	It's performed within the first 72 hours after birth by a trained midwife or doctor,
0:40.3	and again at six to eight weeks by their GP.
0:44.3	Let's start with some basic principles.
0:47.3	Wash your hands before and after the examination to minimize the risk of introducing infection to the baby.
0:56.5	Explain, reassure and keep the parents involved.
1:00.5	Keep the baby warm and comfortable during the examination.
1:05.5	Every part of the body needs to be examined.
1:08.6	Adequate exposure is required for a complete examination of the skin.
1:13.7	Start at the top of the head and work down to the toes. Take a systematic approach but be
1:20.6	opportunistic. For example, if the baby has its eyes open, it's a good opportunity to check the red
1:27.3	reflex and if it's settled it may be a good opportunity to check the red reflex, and if it's
1:29.1	settled, it may be a good time to listen to the heart sounds. Before starting, ask the parents
1:36.0	about any concerns or questions they may have. Ask, has the baby passed maconium, or the first stool?
1:45.3	Is the baby feeding okay?
1:47.8	And is there a family history of congenital heart, eye or hip problems?
1:56.4	Let's talk about oxygen saturations.
2:00.0	At the first newborn examination, within 72 hours of birth,
2:05.0	the pre-ductal and post-ductal oxygen saturations can be checked. This measures the oxygen level
	...

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