A) Vital Signs

Temperature
Pulse Rate
Heart Rate
Respiratory Rate
B) Anthropometric Measures
Weight
Length
Head Circumference
Chest Circumference
Abdominal Girth
C) General Survey of Appearance
Alertness?
Any congenital abnormalities observed?
Color? (cyanosis, central or peripheral;
jaundice; redness)
Respirations? (rate, depth, symmetry of
motion, retractions, utilizations of
accessory muscles)
Movement of Extremeties? Symmetric?
Character of cry? High pitch or low pitch
D) Skin
Color?
Presence of lanugo?
Presence of vernix caseosa?
Edema?
Presence of malaria rubia? Erythema
toxicum? Pustular melanosis? Milia?
(Bates, pg 786 and 787)
Birth Marks
Blanching of skin? (for jaundice)
Skin rash? Lesions?
Degree of hydration or turgor?
E) Head
Size?
Symmetry?
Fontanelles? Bulging?
Hair Color?
Scalp? Lacerations?
Overriding of Cranial bones? (molding)

F) Neck
Position of thyroid cartilage and trachea
Palpable lymph Nodes? Masses?
Short neck? Webbing of neck?

G) Face
Any obvious abnormalities?
Any unequal movement of mouth and
lips?
Symmetry?
Chvosteks Sign?
H) Ears
Ear position in relation to eyes?
Low set ears?
Hairy ears? Skin tags?
I) Eyes
Size, shape, symmetry?
Puffy eyelids?
Assess eye movements
Assess sclerae, pupils, and irises (color,
any abnormalities)
Dolls eye reflex?
J) Nose
Patency of nasal passages?
Discharges?
Sniffling? Sneezing?
Midline?
Nasal Flaring?
K) Mouth
Color? Position? Symmetric?
Cleft palate?
Tongue size
Frenulum restricting tongue protrusion?
Epsteins pearls? Supernumerary teeth?
Assess gums and mucosa
L) Chest
Symmetry and shape?
Chest movement symmetrical?
Assess respirations and breathing
patterns
Breath sounds?
Tactile fremitus?
Fracture? Deformity?

Crepitus along clavicle?

Size, symmetry of nipples? Discharges?
M) Heart
Location of PMI
Heart murmurs?
Heart Rate
Heart Rhythm

N) Abdomen
Shape, symmetry?
Palpate for enlargement of liver, spleen,
kidneys and bladder
Assess bowel sounds
Mass? Inguinal nodes palpable?
Midline ridge when infant contracts
abdominal muscles (diastasis recti)
O) Umbilicus
Assess umbilicus (dry, wet, color, etc)
Redness or swelling around the
umbilicus?

P) Genitalia (Baby Boy aton diba?)

Location of urethra?
Phemotic?
Lesions? Discharges?
Meatus at midline?
Scrotal size and color? With rugae?
Undescended testes?
Palpable masses?
Q) Anus and Rectum
Anal position?
Anal patency?
Passage of meconium?
R) Extremities
Upper
Describe ROM
Extra fingers? Webbing? Palmar
creases?
Palpable radial and brachial pulse?
Fractures? Discolorations?
Symmetry? Proportions? Length?

Arm recoil? Scar sign? Square window

sign?
Lower
Describe ROM?
Symmetry? Size? Length?
Fractures? Discolorations?
Assess bowing and torsion of legs
Feet creases?

S) Trunk and Spine

Gross defects?
Pigmentation? Swelling? Hairy patches
over lower back?
Pilonidal dimple?
T) Hips
Symmetry of skin folds on dorsal
surface?
Any dislocations/fractures?
Ortolani Test?
Barlow Test?

U) Primitive Reflexes
Rooting reflex
Moro reflex
Tonic neck reflex
Trunk incurvation reflex
Support reflex
Stepping reflex
Babinski reflex
Pupillary reflex
Sucking reflex