Newborn Medical Examination

Neonatal History

Gestational History

Any maternal infections
Alcohol, Smoking, Substance abuse
Hypertension
Seizures
Anemia
How many Ultrasounds have been done?
Who is your obstetrician, general practitioner, midwife
Any genetic tests done, such as chorionic vilus sampling or amniocentesis?

Perinatal History

What was the gestation age of the child?
Method of delivery, Caesarian or vaginal?
Forceps used
Spontaneous or induced
Labour duration
Birth weight
APGAR scores
Maternal infections
Any complications
Was the baby kept in hospital for any reason?

Neonatal Period

Any blues or feeling depressed?
Support system in place
Any jaundice
Cyanosis
Breathing problems
Feeding problems
Sleeping problems
Seizures
Irritability, temperament
Developmental milestones
Primitive reflexes

Feeding History

Breast milk?
Formula use, what kind
Solids – when where they started?
Iron supplementation?
Number of feeds and when
Any problems with feeding?
Where do feedings occur?
Baby laching well and suckling during feeds
Any vomitting during or after feeds?