The Well Baby Check

Settled, unsettled, lethargic, asleep

Jaundice, plethora, cyanosis

Resp rate, nasal flaring, tracheal tug, recession

Texture, rashes, naevi, haemangioma

Compare with circumference at birth

Symmetry, length, height

Symmetry, palsy, macrosomia, facies

Caput, cephalhaematoma, lacerations

Soft, non-bulging, non-sunken

Mobile

Position, size, shape, pits, tags

Distance apart, red reflexes, sclera

Symmetry, nares

Cleft / high arched palate, cysts, tongue tie

Size, symmetry

Shape, symmetry

Lumps, swellings, excess skin folds

Can move head to either side

Fractures

No. and structure of fingers, simian crease

Antecubital fossa, slightly medial + proximal

Size, shape, symmetry, nipples

Apex beat, glandular breast tissue

Clear, nil added sounds, good air entry

Dual, no added sounds, no murmurs

Distension, umbilicus / cord

Softness, masses

Liver, spleen, kidneys, bladder

Bowel sounds

Herniae, genitalia

Present bilaterally, strong

Descended / descendable testes, hypospadias

Clitoris, labia, discharge

Position, patency, fistula

Posture (esp. breech babies), symmetry, asymmetrical skin creases

Stabilise pelvis, flex and abduct both hips

Flexed & adducted, posterior force to each hip

Equal

Position, number of toes

Symmetry, scoliosis / masses, hair tuft

Sacral dimpling / sinus tracts, Mongolian spot

Moving all four limbs

Passive / active

High pitched or hoarse

Gloved finger in mouth

Touch on either side of mouth

Touch palm

Warn the parents prior to performing this test

Support neck in upright position, suddenly change to supine