Tests and Examinations for Newborns


Newborn Examination of the hips Barlow method

Video taken from the channel: onlinemedicalvideo


TWO MONTH OLD HEALTH ASSESSMENT | Physical Exam & Anticipatory Guidance

Video taken from the channel: Nurse Liz


Newborn Exam OSCE Overview in 6 minutes

Video taken from the channel: Six Minute Medics


Hip Dysplasia Infant Examination

Video taken from the channel: IHDIOnline


How to…perform a newborn check

Video taken from the channel: Don’t Forget The Bubbles


Neurological Examination of the Newborn (National Medical Audiovisual Center, 1960)

Video taken from the channel: U.S. National Library of Medicine


Newborn Physical Exam – Pediatrics | Lecturio

Video taken from the channel: Lecturio Medical

Why Newborns Are Tested for a Host of Medical Conditions Phenylketonuria (PKU) is a genetic disorder. It is routinely tested for during the first few days of life. In many states, the test is required and is frequently done in conjunction with several other tests, such as galactosemia, thalassemia, etc. Newborn testing is part of the services hospital and birthing centers provide after your baby is born. Depending on what state you live in, there are a number of different newborn tests that your baby will receive.

These screening tests are intended to detect disorders that could result in complications such as early mortality or lifelong disability. There are different prenatal tests you can get in your first, second, and third trimester. Some check your health, and others get information about your baby. Throughout your pregnancy, you’ll get.

The most common newborn screening tests in the US include those for hypothyrodism (underactivity of the thyroid gland), PKU (phenylketonuria), galactosemia, and sickle cell disease. Testing for hypothyroidism and PKU is required in virtually all States. Screening for galactosemia and sickle cell disease is required in most states. The number of newborn screenings your baby will receive varies by state, but one blood draw that screens for at least 21 serious genetic, metabolic, hormonal and functional disorders is required by law.

The US Department of Health and Human Services (HHS) recommends 35 core and 26 secondary blood screenings for a total of up to 60 newborn tests. Newborn screening is a US public health service that assesses all new babies for the likelihood of certain serious conditions. Mandated at the state level, newborn screening tests mainly look “for disorders that impact the production of certain proteins important for bodily functioning,” says Kecia Gaither, MD, director of perinatal services at NYC Health + Hospitals/Lincoln. The doctor usually gives the newborn a thorough physical examination within the first 24 hours of life. The examination begins with a series of measurements, including weight, length, and.

The newborn screening test, called the Recommended Uniform Screening Panel (RUSP), is done when your baby turns 24 hours old and is usually performed in the nursery at the hospital. The nurse will swab your baby’s heel, then prick the heel and blot five small blood samples on a testing paper. All states require certain screening tests to be performed on newborns, even if they appear healthy.

These generally include a hearing test, screening for congenital heart defects, and a blood test to screen for disorders that include metabolic, genetic, and endocrine problems. Most of these disorders cause no visible signs at birth. This introduction is not intended to be comprehensive, but is instead designed to cover the main components of the newborn examination.

During your time in the nursery, we trust that you will become comfortable with the essential elements of the exam and be able to identify many of the common physical findings.

List of related literature:

Most newborns are found to be normal on routine examination.

“Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant” by Richard J. Martin, Avroy A. Fanaroff, Michele C. Walsh
from Fanaroff and Martin’s Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant
by Richard J. Martin, Avroy A. Fanaroff, Michele C. Walsh
Elsevier Health Sciences, 2010

These examinations first are performed when the infant is 4 to 6 weeks old (Figure 2-7).

“Essentials of Human Diseases and Conditions” by Margaret Schell Frazier, RN, CMA, BS, Jeanette Drzymkowski, RN, BS
from Essentials of Human Diseases and Conditions
by Margaret Schell Frazier, RN, CMA, BS, Jeanette Drzymkowski, RN, BS
Elsevier Health Sciences, 2015

Many medical schools include the newborn examination as a key OSCE skill and assessment may be on a baby or a manikin.

“Macleod's Clinical OSCEs E-book” by Paul A. O'Neill, Alexandra Evans, Tim Pattison, Meriel Tolhurst-Cleaver, Serena Tolhurst-Cleaver
from Macleod’s Clinical OSCEs E-book
by Paul A. O’Neill, Alexandra Evans, et. al.
Elsevier Health Sciences, 2014

A typical physical examination of a newborn includes a general survey of skin color, posture, state of alertness, head size, overall behavioral state, respiratory status, gender, and any obvious congenital anomalies.

“Maternity and Pediatric Nursing” by Susan Scott Ricci, Terri Kyle
from Maternity and Pediatric Nursing
by Susan Scott Ricci, Terri Kyle
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

Your nurse or caregiver performs a thorough newborn exam (within twenty-four hours of the birth) to more accurately assess your baby’s condition.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Conducting the examination while parents observe allows the nurse to use this time to identify and discuss normal newborn characteristics and note variations.

“Perinatal Nursing” by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women's Health, Obstetric, and Neonatal Nurses
from Perinatal Nursing
by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women’s Health, Obstetric, and Neonatal Nurses
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

After birth, at 15-minute intervals, every newborn must be assessed for general condition, respiratory effort, color, muscle tone, and temperature; all assessments must be documented.91 The mother and infant

“Merenstein & Gardner's Handbook of Neonatal Intensive Care E-Book: An Interprofessional Approach” by Sandra Lee Gardner, Brian S. Carter, Mary I Enzman-Hines, Susan Niermeyer
from Merenstein & Gardner’s Handbook of Neonatal Intensive Care E-Book: An Interprofessional Approach
by Sandra Lee Gardner, Brian S. Carter, et. al.
Elsevier Health Sciences, 2020

The fundamentals for assessing the newborn and pediatricpatient are a good history, thorough physical examination, and careful attention to selected laboratory and diagnostic information.

“Wilkins' Clinical Assessment in Respiratory Care E-Book” by Al Heuer
from Wilkins’ Clinical Assessment in Respiratory Care E-Book
by Al Heuer
Elsevier Health Sciences, 2017

The examination should begin with observation of activity, skin color, muscle tone, and respiratory effort while the infant is quiet.

“Textbook of Family Medicine E-Book” by Robert E. Rakel
from Textbook of Family Medicine E-Book
by Robert E. Rakel
Elsevier Health Sciences, 2007

For example, the nurse may offer textbooks, pamphlets, DVDs, and referrals to websites and other media to increase a couple’s knowledge of fetal, maternal, and family changes during gestation and then encourage and answer any questions based on the material.

“Health Promotion Throughout the Life Span E-Book” by Carole Lium Edelman, Carol Lynn Mandle, Elizabeth C. Kudzma
from Health Promotion Throughout the Life Span E-Book
by Carole Lium Edelman, Carol Lynn Mandle, Elizabeth C. Kudzma
Elsevier Health Sciences, 2017

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • OMG such a happy, adorable, sweet girl! Becoming an aunt was when I realized I wanted to be a nurse, particularly a NICU nurse. Then I became a mom and IDK if I can handle NICU, but still sooo looking forward to being a nurse. So excited to (hopefully) start an accelerated nursing program in May (Ill hear about an interview in a week and final admission by end of Feb). Hoping I get some instructors/preceptors like you, I have fallen in love with you videos and watched so many in the last week! Please keep it up, though I know life with 2 young kids and work can get very crazy!

  • I’m super excited to start nursing school (Bachelors of Nursing) on the 17th Feb. I have my Assistant In Nursing qualification so I won’t be going in completely blind��. A massive hello and love you from Sydney, Australia ������. It also may or may not be midnight here but I’m a night owl and I have priorities of wasting my sleep time on the internet like any other sane person��.

  • Sir my daughter is three years old. she has ddh,minor left leg limping but having no pain is it ok to do surgery at this stage
    Or we can left untreated what is the best option

  • Love love love the new intro! Can’t believe Piper is already two seems like you were just announcing your pregnancy. She’s such a mini Avery! Baby sneezes are the cutest for me ��

  • Excellent video, but I wish you would go more in depth on how to talk to parents about vaccines. It is a source of fear I have going into clinical this year.

  • I believe physical abuse is common among women especially after birth. Can you speak to that? Such as signs of abuse to look for in mom and child. Have you ever had this experience in practice?

  • ótimo! Muito bom este teste…simples, sem custo e excelente para detecção de displasia congênita do quadril. mas a sensibilidade e especificidade depende do examinador. Pra isso existe o ultrassom de quadril.

  • Hi Liz 
    Thank you for an excellent demonstration of the two-month-old health assessment and featuring Piper (super cute) it was awesome. You did such a great job of explaining the exam, the milestones baby should be meeting at this time and connecting all the dots including screening mom for postpartum depression.

    Thanks for sharing��

  • I just graduated nursing school and i remember watching your night nurse video in peds and being so excited for the future. Now watching this with your adorable baby made me even more excited to work in peds:’) and nicu and picu. I can’t wait! She is so darn cute

  • Thank you SO much Liz and cute little Miss Piper! I used your newborn assessment to study for women’s and now that I am in peds this is perfect! Love all the helpful tips about milestones etc. and it helps when the model is so adorable!

  • Piper is the absolute cutest! I just started the FNP program last semester and videos like these are great to see to learn right now! Quick question, currently in pathophysiology, do you have any resources or tips for studying in this course?

  • @owlninja993 ya, right, when she will be like 10 yr old she will find this video by happen and she will think ‘omg, that looks like me when i was 2 month…’ try to do this tests for hip dysplasia with the baby dressed =)) i’m curious if u were having this problem when you born, u’ve preffered for your parents to let you like that, just because it was embarrasing for u when u were older or just took you to the doctor and see what it is…?
    think a bit!