Score Guide
red reflex absent indicates
(Ans- congenital cataracts, retinoblastoma
hypertelorism
(Ans- wide set eyes; present in down syndrome
neonate low set ears
(Ans- may indicate renal or genetic abnormality or multisystem
syndrome
routine hearing screen in nursery
(Ans- OAE - otoacoustic emissions
AER - auditory evoked response
(Ans- testing for newborns at high risk for neural hearing loss
short frenulum
(Ans- may limit movement of tongue, can contribute to feeding
problems and or speech impediments (why kylee cannot lick an ice
cream cone)
,epsteins pearls
(Ans- small white cysts on palate and gums (common)
natal teeth
(Ans- sometimes present: risk of aspiration if loose
neck webbing in neonate
(Ans- excessive skin in Turner's and Noonan's syndromes
when femoral pulses unequal or weak in neonate suspect
(Ans- coarctation of aorta
assess PMI location to r/o
(Ans- dextrocardia
serious cardiac murmurs
(Ans- (only 10% murmurs) may present with central cyanosis or hear
failure
, acrocyanosis
(Ans- on feet and hands in first few days of life due to heat loss and is
normal
testes fail to descend neonate
(Ans- if unable to palpate refer to urologist
hip dysplasia
(Ans- ortolani and barlow maneuvers
genu varum
(Ans- bow legs
genu valgum
(Ans- knock knees
Talipes
(Ans- clubfoot
metatarsus adductus
(Ans- adduction of forefoot (usually no tx needed)