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Paeds Casesfetal-neonatal-and-perinatal

Paeds Cases · fetal-neonatal-and-perinatal

Newborn examination — focused newborn check OSCE

OSCE on performing a focused newborn examination, completing the universal screens, and escalating an abnormal finding while communicating with the parent.

osce examination and communication2 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCE
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Study tools

Target exams

MRCPCH ClinicalRACP DCE
Prompt
10-minute station: examine a 26-hour-old term newborn and discuss findings and screening with the parent; pulse oximetry foot reading is abnormal.

Objectives

  1. Perform a systematic head-to-toe newborn examination in a logical order, with the hips last. [19]
  2. Complete the four universal screens and interpret an abnormal pulse-oximetry result. [1]
  3. Communicate findings, the next steps, and a safety-net clearly to the parent. [1] [19]
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References9ShowHide
  1. [1]Mahle WT Role of pulse oximetry in examining newborns for congenital heart disease: a scientific statement from the AHA and AAP. Pediatrics, 2009.PMID 19581259
  2. [2]Plana MN Pulse oximetry screening for critical congenital heart defects. The Cochrane database of systematic reviews, 2018.PMID 29494750
  3. [5]Zhang S Developmental dysplasia of the hip. British journal of hospital medicine (London, England : 2005), 2020.PMID 32730146
  4. [6]Maikku M The Ortolani test has a high positive predictive value in clinical hip screening for developmental dysplasia of the hip. Acta paediatrica (Oslo, Norway : 1992), 2023.PMID 36928888
  5. [8]Wrightson AS Universal newborn hearing screening. American family physician, 2007.PMID 17508530
  6. [11]Cagini C Red reflex examination in neonates: evaluation of 3 years of screening. International ophthalmology, 2017.PMID 27822637
  7. [15]Kucera JN The simple sacral dimple: diagnostic yield of ultrasound in neonates. Pediatric radiology, 2015.PMID 24996813
  8. [16]Albert GW Spine ultrasounds should not be routinely performed for patients with simple sacral dimples. Acta paediatrica (Oslo, Norway : 1992), 2016.PMID 27059606
  9. [19]Townsend J Routine examination of the newborn: the EMREN study. Evaluation of an extension of the midwife role including a randomised controlled trial of appropriately trained midwives and paediatric senior house officers. Health technology assessment (Winchester, England), 2004.PMID 15038906
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