II. Exam: General

  1. Newborn Reflexes
    1. Primitive Stepping Reflex
    2. Rooting Reflex
    3. Moro Reflex (Startle Reflex)
    4. Babinski Reflex
      1. Upgoing toe until after 6 months of age
  2. See Neonatal Seizures
  3. Posture
    1. Normally in Fetal Position with hands closed
    2. Hold infant in vertical suspension
      1. Hypotonia is this position is abnormal
  4. Alertness
    1. Awakened by uncovering or stimulating foot or cheek
  5. Level of activity
  6. Jitteriness
    1. Consider electrolyte abnormality if severe (obtain Serum Magnesium, calcium)
  7. Periodic breathing
    1. Common and normal in children
    2. Pauses in breathing up to 20 seconds are normal (unless associated bradycardi, mental status change, Skin Color change)

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