Infant Assessment Components at Discharge

1. General Assessment

  • General appearance
  • State of alertness, behavior
  • Muscle tone
  • Symmetry
  • Response to sound and movement
 

2. Skin

  • Colour
  • Rashes, lesions, petechiae
  • Birthmarks
  • Turgor
 

3. Measurements

  • Head Circumference
  • Length
  • Weight

 

    4. Head

    • Sutures
    • Fontanels
    • Bones of skull
    • Symmetry
    • Cephalhematoma
    • Gaze, tracking
     

    5. Heart and lungs

    • Auscultate heart sounds over the five areas of the heart: aortic, pulmonic, 3rd left interspace, tricuspid and mitral
    • Rate and regularity
    • Auscultate lungs, air entry
    • Symmetry during respirations
    • Clavicles

     

      6. Abdomen and hips

      • Palpate the abdomen for liver, spleen
      • Distention, masses and hernia
      • Observe umbilicus
      • Assess hips for congenital dislocation
       

      7. Developmental markers

      • Smiling
      • Cooing
      • Head control