JOHNSON'S Baby Top-To-Toe Wash 500ml

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Document your findings and the need for further investigations/referrals: in the UK the NIPE is documented using a national online system (which you would print and place in the baby’s notes).

Note any ambiguity of genitalia: typically associated with congenital adrenal hyperplasia (CAH) in girls (boys with CAH have normal genitalia). Males Odent M. The early expression of the rooting reflex. Proceedings of the 5th International Congress of Psychosomatic Obstetrics and Gynaecology, Rome 1977. London: Academic Press, 1977: 1117-19.In pregnant patients, a complete obstetric examination should be performed in secondary survey. This includes measurement of fundal height and auscultation of fetal heart tones. Assess for uterine tone and whether contractions and tendernessare present. The NIPE exam should be undertaken in a private area which provides confidentiality for parents when personal information is being discussed.

Subgaleal haemorrhages occur between the aponeurosis of the scalp and periosteum and form a large, fluctuant collection which crosses sutures lines. They are rare but may cause life-threatening blood loss. Inspect the anus for patency: abnormal embryological development of the rectum can result in an imperforate anus.

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Parents should have received the National Screening Committee leaflet ‘Screening tests for you and your baby’ in the antenatal period. Newborn and Infant Physical Examination Screening Programme Handbook 2016/17. Public Health England. Published April 2016. Retrieved 15 March 2017. Adequately expose the child for the assessment: ask the parents to undress the child down to their nappy. Caput succedaneum is a diffuse subcutaneous fluid collection with poorly defined margins (often crossing suture lines) caused by pressure on the presenting part of the head during delivery. It does not usually cause complications and resolves over the first few days. 4 Share the results of the assessment with the parents, explaining the reason for any referrals you feel are required.