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    Newborn Physical Assessment

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    Eunice May Saban Alda
    This document is a newborn physical assessment form used by Cebu Normal University College of Nursing. It contains sections to record a newborn's general observations, measurements, vital signs, and physical examination of the head, neck, chest, abdomen, genitalia, back, extremities, and reflexes. Nursing diagnoses are prioritized based on the assessment findings. Deviations from usual findings are also noted.

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    Newborn Physical Assessment

    Uploaded by

    Eunice May Saban Alda
    281 views2 pages
    This document is a newborn physical assessment form used by Cebu Normal University College of Nursing. It contains sections to record a newborn's general observations, measurements, vital signs, and physical examination of the head, neck, chest, abdomen, genitalia, back, extremities, and reflexes. Nursing diagnoses are prioritized based on the assessment findings. Deviations from usual findings are also noted.

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    This document is a newborn physical assessment form used by Cebu Normal University College of Nursing. It contains sections to record a newborn's general observations, measurements, vital signs, and physical examination of the head, neck, chest, abdomen, genitalia, back, extremities, and reflexes. Nursing diagnoses are prioritized based on the assessment findings. Deviations from usual findings are also noted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    281 views2 pages

    Newborn Physical Assessment

    Uploaded by

    Eunice May Saban Alda
    This document is a newborn physical assessment form used by Cebu Normal University College of Nursing. It contains sections to record a newborn's general observations, measurements, vital signs, and physical examination of the head, neck, chest, abdomen, genitalia, back, extremities, and reflexes. Nursing diagnoses are prioritized based on the assessment findings. Deviations from usual findings are also noted.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    RLE FORM 015

    Cebu Normal University


    College of Nursing
    Cebu City

    NEWBORN PHYSICAL ASSESSMENT

    Baby’s Name: ________________________________ Date and Time of Birth: ____________________


    Mother’s Name: _______________________________ Date and Time of Exam: ___________________
    Age of Gestation: ______________________________ APGAR Score: __________________________
    Weeks: ______________________________________ Type of Delivery: _________________________
    Lunar Months: ________________________________ Taken by: _______________________________

    Assessment Area Usual Findings Deviations


    I. General Observations
    A. Muscle Tone
    B. Skin
    C. Color
    D. Texture
    E. Rashes and Pigmentation
    F. Hydration
    G. Cry
    II. Measurements
    A. Weight
    B. Length
    C. Head Circumference
    D. Chest Circumference
    III. Vital Signs
    A. Temperature
    B. Respiration
    C. Heart Rate (Apical Pulse)
    IV. Head
    A. Fontanels:
    Anterior
    Posterior
    B. Face
    C. Eyes
    D. Mouth
    E. Nose
    F. Ears
    V. Neck
    VI. Clavicles
    VII. Thorax
    A. Breath Sounds
    B. Heart Sounds
    C. Breasts
    VIII. Abdomen
    A. Liver
    B. Spleen
    C. Kidney
    D. Femoral Pulses
    E. Umbilicus
    IX. Genitalia
    A. Female:
    1. Labia
    2. Vagina
    B. Males

    (1)
    Assessment Area Usual Findings Deviations
    1. Foreskin
    2. Urethra
    3. Testes
    X. Posterior of Body:
    A. Spinal Column
    B. Anus
    XI. Extremities
    A. Digits
    B. Hips
    C. Feet
    XII. Reflexes
    A. Rooting
    B. Sucking
    C. Grasp
    1. Palmar
    2. Plantar
    D. Moro
    E. Stepping
    F. Tonic Neck
    G. Blinking
    H. Yawn
    I. Swallowing
    J. Babinski
    K. Magast
    L. Crossed Extension
    XIII. Behavioral Assessment
    A. Sleep States

    B. Awake States

    XIV. Summary of Findings

    XV. Prioritized Nursing Diagnosis

    (2)

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