The Neonatal Examination (ongoing updates)

 Items Required:

Hand sanitizer
Measuring Tape
Torch
Tongue depressor
Stethoscope
Thermometer
Fundoscope
Pulse Oximeter
Neonatal size reflex hammer
weighing scale
blood pressure apparatus with neonatal size cuff

Charts: Growth Charts, Down syndrome growth charts, Sarnat scoring Chart, NEC staging chart, New Ballard scoring chart

Pulse Rate: 120 to 160 per minute Awake (& 85 to 90 per minute asleep) (pulse rate may be higher than these limits in preterm babies)

Respiratory rate: 40 to 59 per minute

Blood pressure:

Premies at birth: Systolic 48 to 60 mmHg, diastolic 22 to 34

Premies at 7 days: systolic 60 to 74 mmHg, diastolic 34 to 46

Term at birth: 70/44, 78 +/-10  by  50 +/- 9 at 14 days , and 85+/- 10 by 46 +/-9 at 4 weeks

Temperature:
Axillary/(mouth) 94 to 99 degF
Ear (/rectal) 97 to 100.4 degF
Skin 97 to 99 deg
(Mouth and rectal routes are not preffered)

CRT <3 seconds

spO2 90 to 95 %

Pre-Post ductal saturation difference <3%

Head circumference: 32 to 35 cm for a term baby
OFC increases by 0.5cm/week for the next few months, OFC at 1 month is 36 cm, OFC at 2 months is 39 cm, OFC at 3 months is 41cm , ofc at 6 months is 44cm, ofc at 1 year is 47cm, at 2 years it is 49 cm, and at 5 years it is 51 cm

Weight:
2.5 to 3.5 Kg
LBW <2.5 Kg
VLBW <1.5 Kg
ELBW <1 Kg
Incredibly LBW <750g

25 wks to 29 wks (0.6 to 1 Kg)

30 wks to 34 wks (1.1 Kg to 1.8 Kg)

35 wks to 41 wks (1.9 Kg to 3.5 Kg)

Length:
50 cm at term

Gestational Age: Ballard Scoring

Growth Charts: