30-60/ min

Count for whole minute

• Head circumfrence (32-38)cm
• Anterior and posterior fontanel (not bulgy or sunken, should be soft).
• Anterior: diamond shape, less than 6 cm, closes 18-24 months
• Posterior fontanel: smaller triangle, closes by 6-12 weeks, lesss than 1 cm
• check for Molding
• Caput succedaneum: serous fluid crosses suture line
• Cephalohematoma: blood, does not cross suture line.
• sutures (overlapping or gaped)
• nose ears eyes (subconjunctival hemorrhages)
• Mouth: sucking and rooting reflex, mucosae, thrush, frenulum, palate, toooth eruption, Epstein's pearls

• General: (is baby normal, jittery or lethargic?)
• Reflexes:
• Sucking
• Moro: startle reflex
• stepping reflex
• tonic neck
• rooting
• Babinski reflex

• Measure chest (30-33cm)
• Clavicles: tendernous, edema, crepitus
• hormonally- mediated white discharge from nipples
• asess respiratory effort; auscultate for heart and lung sounds
• Murmurs heard after first12 hours of life should be evaluated.

GI/GU

• Observe abdomen shape
• ausculatate bowel sounds in 4 quadrants
• Inspect umbilicus: two arteries, one vein; check for bleeding/ infection/ granuloma (patient ed regarding cord care.
• Palpate for softnesss/ masses/ tenderness/ distention

• Maintaining Airway patency
• Ensuring proper identification
• Administering prescribed medications 
• Vitamin K
• Eye prophylaxis (erythromycin)
• Maintaining thermoregulation

• General newborn care
• Bathing and hygiene
• Plain water on face and eyes; mild soap for rest of body
• Elimination and diaper area care
• Urine characteristics
• Stool pattern
• Diaper care area
• Cord care
• circumsision care
• safety prevention of abduction
• Infection prevention
• sleep promotion
• bonding