Page 85 - 33Elctronic Book (3) Normal Labor

▪ Temperature.
o Assessment of head and neck:

▪ Observe and palpate head for moulding and caput succedaneum.
▪ Palpate fontanels for fullness or depression.
▪ Observe ears for shape and position.

▪ Observe eyes for size, shape and presence of hemorrhage.
▪ Observe mouth for cleft lip and/or cleft palate. Observe neck for length,
webbing and mobility.

▪ Check skin for abrasions, spots, pustules and birthmarks.
▪ Observe nose for symmetry, septum, patency and flaring of nostrils.
o Assessment of body
:
▪ . Measure weight and length

▪ Observe general activity, posture and response.
▪ Observe skin for lanugo, vernix, texture, rash, pigmentation and.

meconium staining.
o Thorax:
▪ Observe size symmetry and shape.
▪ Observe breath sounds and respiratory rate.

▪ Observe heart sound, rhythm and rate.
▪ Check breasts for engorgement.
o Abdomen:

▪ Observe
▪ . shape
▪ Observe umbilicus and cord vessels.

▪ . Check femoral pulse
o Genitalia:
▪ Observe for appropriateness of sex.

▪ Observe female labia and discharge.
▪ Observe male urethral opening, scrotum and testes.
▪ Observe urine for amount and color
o Back:

▪ Observe spine for symmetry of vertebrae.
▪ Check anus for patency and meconium.

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