Page 81 - 2023 Elctronic Book (3) Normal Labor_Neat

 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.
o Extremities:

 Observe for symmetry, movement and abnormalities.
 Observe digits of hands and feet for number and webbing.

 Observe hips for range of motion.

80