Pemeriksaan Fisik Bayi Baru Lahir

Summary

This video script provides a detailed overview of a newborn physical examination conducted by a midwife. The purpose of the examination is to assess the newborn's physical health, detect any abnormalities, and determine if the baby requires special care. The script covers various steps, from checking the baby’s head to feet, measuring head circumference, testing reflexes, assessing breathing, and monitoring vital signs. Additionally, it includes the administration of Vitamin K and Hepatitis B injections, as well as measuring the baby’s weight and length. The entire process ensures the newborn’s health and safety in the early stages of life.

Takeaways

• 😀 The physical examination of a newborn baby is performed by a midwife to assess whether the baby’s physical condition is normal or requires further attention.
• 😀 The primary goals of newborn physical examination include detecting any abnormalities, ensuring the baby can stay with the mother or needs special care, and monitoring overall health.
• 😀 Key equipment used for the examination includes a stethoscope, thermometer, baby scale, and other tools to assess the baby’s vital signs and reflexes.
• 😀 The examination starts by observing and gently palpating the head, including checking the sutures and looking for signs of abnormalities such as cephalhematoma or hydrocephalus.
• 😀 The eyes, ears, nose, and mouth are checked for cleanliness, any discharge, and any potential abnormalities, including checking the nostrils for congestion and ensuring the ears are clean.
• 😀 Reflexes are tested, such as the rooting reflex (the baby’s response to seeking out a finger placed near the mouth) and the Moro reflex (response to startling sounds or movements).
• 😀 Vital signs such as heart rate and temperature are monitored, and the baby’s skin color, including looking for signs of cyanosis or jaundice, is observed.
• 😀 The abdomen is inspected to check for signs of abnormal swelling or distention, and the umbilical cord area is carefully cleaned and checked for infection.
• 😀 Genital examinations are conducted, especially for female babies, to ensure there are no abnormalities or obstructions in the genital area.
• 😀 Following the physical assessment, immunizations such as Vitamin K and Hepatitis B are administered, and final measurements of the baby’s weight and length are recorded.

Q & A

What is the main purpose of conducting a physical examination on a newborn baby?

The main purpose is to ensure the baby’s physical condition is normal, detect any abnormalities, and determine if the baby can be cared for with the mother or requires special care in a neonatal unit.

What are the necessary tools for conducting a newborn physical examination?

The required tools include a stethoscope, axillary thermometer, penlight, methylene blue, cotton, vitamin K drops, a baby mat, weighing scale, baby length measurer, spotlight, chlorhexidine solution (0.5%), and complete baby clothing.

How should a newborn baby be positioned for the physical examination?

The baby should be placed in a dry and warm environment, on a baby mat, to ensure comfort and ease during the examination.

What is the first part of the physical examination for a newborn?

The first part is the examination of the baby’s head, checking for any abnormalities such as swelling, bumps, or hydrocephalus. The head circumference is also measured to assess normality.

What reflexes are checked during a newborn examination?

The reflexes checked include the sucking reflex, Moro reflex (startle reflex), grasp reflex, and the Babinski reflex. These reflexes help assess neurological function.

What does the Moro reflex indicate in a newborn?

The Moro reflex, which occurs when the baby is startled by a noise or sudden movement, is a response where the baby may throw out their arms and legs and then bring them back in. It indicates healthy neurological development.

What is checked during the examination of the newborn’s respiratory system?

During this examination, the baby’s breathing pattern is observed, the chest is examined for symmetry, and the temperature is measured to ensure normal respiratory function.

How is the newborn’s cardiovascular health assessed?

The baby’s heart rate is measured with a stethoscope, typically aiming for a normal rate of 110 beats per minute. The color of the lips and overall skin is also assessed for signs of proper circulation.

Why is the newborn’s abdomen examined during the physical checkup?

The abdomen is examined for signs of distension, lumps, or abnormalities. The condition of the umbilical cord and its surrounding area is also checked to ensure there is no bleeding or infection.

What immunizations are administered during the newborn examination?

The newborn is given a Vitamin K injection and the Hepatitis B vaccination during the examination to support immediate immunity.