Printable Newborn Physical Exam Template

Cortez is a 21 day old african american male infant who presented.

Printable newborn physical exam template. Before even touching the infant notice the following. Newborn baby born to a yo g p at and weeks ega who presented in labor with without srom at. This infant has a normal pink color normal flexed posture and strength good activity and resposiveness to the exam relatively large size over 9 pounds physical findings consistent with term gestational age skin ears etc and a nice strong cry. Color posture tone activity size maturity and quality of cry.

Patient then began to push and at this time of 2nd stage of labor had complications. Face is symmetric with normal eye. With a weak or incorrect assessment nurses can create an incorrect nursing diagnosis and plans therefore creating wrong interventions and evaluation. Make sure that people who hold or care for your baby wash their hands often.

History of present illness. Pediatric history and physical exam template informant. Nursing assessment is an important step of the whole nursing process. Eisenhower army medical center fort gordon georgia.

The rash in his diaper area is getting worse history of present illness. Facial sensation is intact to pinprick in all 3 divisions bilaterally. Eomi no nystagmus no ptosis. Sample pediatric history and physical exam date and time of h p.

Mom states that feeding are going well but she complains of sore nipples. She was not induced augmented and progressed well to complete over about hours. Visual fields are full to confrontation. The history was obtained from both the patient s mother and grandmother who are both considered to be reliable historians.

Total time with ruptured membranes was. Has all baby needs including. Keep your baby away from crowds and people who have colds and coughs. Only assign a score if the exam has been done correctly i e.

15 month latino female presents for 15 month check up. Verbalize impressions during exam o evaluate the students performance according to the checklist i. Baby has been doing well since birth breastfed x3 stool x 1 and void x 1 vss. Perform a full newborn exam ii.

Sibling under bili lights for 2 days in newborn nursery negative for congenital diseases childhood deaths or atopic diseases. Visual acuity is 20 20 bilaterally. This is part i of a two part article on the newborn examination. Mother primary care physician.

Lewis md dwight d. Well nourished ambulatory child brought into clinic today for routine examination and scheduled immunizations. Call your baby s doctor or nurse before your next visit if you have any questions or worries about your baby. O obtain verbal consent from family to use their baby for osce examination o instruct student to.

Fundoscopic exam is normal with sharp discs. To prevent those kind of scenarios we have created a cheat sheet that you can print and use to. Pupils are 4 mm and briskly reactive to light. Assessment can be called the base or foundation of the nursing process.