Newborn Assessment - 74-1
Primary care physicians play a vital role in identifying children at risk for disorders that are threatening to life or long-term health before they become symptomatic. In most cases, caregivers require reassurance and anticipatory guidance regarding the health of their newborn infant.
Given a newborn presenting for routine assessment the candidate will conduct a skilled and comprehensive assessment to identify any significant abnormalities or risk factors and counsel caregiver(s) on newborn care.
Given a newborn for routine assessment, the candidate will
- list and interpret critical clinical findings, including
- maternal and perinatal history (e.g., intrapartum fever, medications);
- neonatal history (e.g., Apgar scores, feeding and elimination);
- psychosocial history (e.g., maternal mental health, home environment, family supports);
- systematic newborn physical examination, with particular attention to indications of an acute illness (e.g., jaundice, hydration status);
- screening for important congenital malformations (e.g., red reflex, heart murmur);
- caregiver(s)' concerns;
- list and interpret critical investigations, including
- screening tests for acute illness (e.g., serum glucose);
- screening tests for clinical abnormalities (e.g., echocardiogram, genetic testing);
- bilirubin measurement;
- construct an effective initial management plan, including
- managing any acute illness appropriately, including referral for specialized care if needed;
- counselling caregiver(s) regarding breastfeeding and infant nutrition;
- counselling caregiver(s) about routine infant care (e.g., umbilical cord care) and safety (e.g., car seat, prevention of sudden infant death syndrome);
- discussing with caregiver(s) newborn metabolic screening;
- addressing any parental concerns.