■ Examine the newborn in the presence of the parents.
■ Swaddle and then undress the newborn as the examination proceeds.
■ Dim the lights and rock the baby back and forth to encourage the baby's eyes to open.
■ Observe feeding if possible (particularly breast-feeding).
■ Demonstrate calming maneuvers to parents (swaddling, holding techniques, use of pacifier).
■ Observe transitions as baby arouses, and teach parents about these transitions.
■ A typical sequence for the newborn examination (for minimal disruption of the baby):
Head, neck, heart, lungs, abdomen, genitourinary system Lower extremities, back Ears, mouth
Eyes, whenever they are spontaneously open Skin, as you go along Neurologic system Hips
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