JOHNSON'S Baby Top-To-Toe Wash 500ml

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If a baby is small, you should also plot head circumference and length to determine whether this is symmetrical (small in all measurements) or asymmetrical (weight disproportionately low, head circumference preserved). The Newborn Infant Physical Examination (NIPE) must be performed within 72 hours of birth by a qualified practitioner.¹ Subgaleal haemorrhages occur between the aponeurosis of the scalp and periosteum and form a large, fluctuant collection which crosses sutures lines. They are rare but may cause life-threatening blood loss. Siegler, R.; Deloache, J.; Eisenberg, N. (2006). How Children Develop. New York: Worth Publishers. p. 188. ISBN 978-0-7167-9527-8.

A nasogastric (NG) tube should not be inserted if there is facial trauma or evidence of basilar skull fracture. Also, ears should be evaluated for hemotympanum or retro-auricular ecchymosis (Battle's sign). The presence of blood or clear drainage from the ear canal indicates basilar skull fracture with cerebrospinal fluid (CSF) leak. Beware that facial fractures may be subtle. Examine the nose for septal hematoma. Observe the chest, paying particular attention to the respiratory rate and work of breathing. Respiratory rate Present at birth and disappears around four months of age, as it gradually comes under voluntary control. A newborn infant will turn its head toward anything that strokes its cheek or mouth to aid breastfeeding. 9 Stepping reflex Note any ambiguity of genitalia: typically associated with congenital adrenal hyperplasia (CAH) in girls (boys with CAH have normal genitalia). Males Pallor: a pale colour of the skin that can suggest underlying anaemia (e.g. haemorrhage) or poor perfusion (e.g. congestive cardiac failure).Caput succedaneum is a diffuse subcutaneous fluid collection with poorly defined margins (often crossing suture lines) caused by pressure on the presenting part of the head during delivery. It does not usually cause complications and resolves over the first few days. 4 Slater BJ, Lenton KA, Kwan MD, Gupta DM, Wan DC, Longaker MT (April 2008). “Cranial sutures: a brief review”. Plast. Reconstr. Surg. 121 (4): 170e–8e. doi:10.1097/01.prs.0000304441.99483.97. PMID 18349596. Assess a selection of the following reflexes which should all be present in a healthy newborn. The absence of several reflexes may indicate an underlying neurological abnormality. Palmar grasp reflex

Note the position of the urethral meatus: an abnormal position may be noted in hypospadias or epispadias.

StatPearls [Internet].

A second examination is performed at 6-8 weeks of age, usually by GP, to identify abnormalities that develop or become apparent later. Where to perform the NIPE Breech presentation: if breech at 36 weeks gestation or delivery (if earlier), the baby will need to have an ultrasound scan of their hips as there is an increased risk of developmental dysplasia of the hip.

In pregnant patients, a complete obstetric examination should be performed in secondary survey. This includes measurement of fundal height and auscultation of fetal heart tones. Assess for uterine tone and whether contractions and tendernessare present. Odent M. The early expression of the rooting reflex. Proceedings of the 5th International Congress of Psychosomatic Obstetrics and Gynaecology, Rome 1977. London: Academic Press, 1977: 1117-19. Family history: first-degree relatives with…hearing problems/hip dislocation/childhood heart problems/congenital cataracts/renal problems Share the results of the assessment with the parents, explaining the reason for any referrals you feel are required Hair tufts and sacral pits can be associated with underlying neural tube defects (e.g. spina bifida).

What is the secondary survey?

Itching, burning, stinging and redness are the obvious signs of sensitive skin. Using Dermalogica’s newly advanced Ultra Calming System. This facial is perfect for reducing redness while soothing irritation lasting skin relief.