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Library of Congress Cataloging‐in‐Publication Data
Names: Lomax, Anne, editor.
Title: Examination of the newborn : an evidence‐based guide / edited by Anne Lomax.
Other titles: Examination of the newborn (Lomax)
Description: Third edition. | Hoboken, NJ : Wiley‐Blackwell, 2021. | Includes bibliographical references and index.
Identifiers: LCCN 2020028074 (print) | LCCN 2020028075 (ebook) | ISBN 9781119645597 (paperback) | ISBN 9781119645610 (adobe pdf) | ISBN 9781119645627 (epub)
Subjects: MESH: Physical Examination–methods | Infant, Newborn | Evidence‐Based Medicine | Midwifery–methods | Neonatal Nursing–methods | Neonatal Screening–standards
Classification: LCC RJ255.5 (print) | LCC RJ255.5 (ebook) | NLM WS 141 | DDC 618.92/01–dc23
LC record available at https://lccn.loc.gov/2020028074 LC ebook record available at https://lccn.loc.gov/2020028075
Cover Design: Wiley
Cover Image: © mattjeacock/Getty Images
List of contributors
Jeanette Appleton Dip COT, SROT Developmental Care Specialist Consultancy and Training and Trainer, Brazelton Centre in Great Britain, Cambridge, UK
Christopher D. Bedford BSc (Hons), MB ChB, DCH, MRCP, FRCPCH, MA Consultant Paediatrician, Warrington and Halton Hospitals NHS Foundation Trust, Warrington, Cheshire, UK
Naomi Davis BMedSci, BM BS, FRCSEd (Tr & Orth) Consultant in Paediatric Orthopaedic Surgery and Honorary Clinical Lecturer, Royal Manchester Children’s Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
Claire Evans MA Neonatal Studies, BSc (Hons), Neonatal Specialist Practice, N96 Examination of the Newborn, Dip Med Social Anthropol, Cert Ed, ENB 405, ADM, RM, RGN Warrington and Halton Hospitals NHS Foundation Trust, Warrington, Cheshire, UK
Norma Fryer MA (Health Care Ethics), Cert Ed, ADM, RM, Dip N (A), RN Retired Senior Lecturer now working in a ‘consultancy’ capacity, as a Midwifery Advisor/Trainer, Member of the NMC Fitness to Practice Investigating Committee, UK
Morris Gordon MBChB, MRCPCH, PGDipMedEd, FHEA Specialist Registrar in Paediatric Gastroenterology, Royal Manchester Children’s Hospital, Manchester, UK
Clare Hughes Lecturer in Midwifery, Queen’s University, Belfast, UK
Anne Lomax RN, RM, ADM, ENB 405, ENB N96, Cert Ed, MEd Senior Lecturer in Midwifery, University of Central Lancashire, Preston, UK
Carol Mashhadi Principal Lecturer in Midwifery, Lead Midwife for Education, University of Central Lancashire, Preston, UK
Carmel Noonan FRCOphth, FRCSI (Ophthal) Consultant Ophthalmologist, Aintree University Trust, Liverpool, UK
Robin W. Paton FRCS, FRCS (Orth) Consultant Orthopaedic Surgeon and Honorary Senior Lecturer, Orthopaedic Department, University of Manchester, Manchester, UK East Lancashire Hospitals NHS Trust, Blackburn, Lancashire, UK
Catherine Quarrell RGN, RM, BSc (Hons), DAM, MSc, PG Cert (Education), PG Dip with Distinction (Education) Senior Lecturer/Supervisor of Midwives, Birmingham City University, Birmingham, UK
Fiona J. Rowe PhD, DBO Senior Lecturer and Programme Director, Directorate of Orthoptics and Vision Science, University of Liverpool, Liverpool, UK
Delyth Webb MBChB, FRCPCH, MMedSci Consultant Paediatrician, Warrington Hospital, Warrington, Cheshire, UK
Acknowledgements
Firstly, I would like to thank Wiley for giving me the opportunity to produce a third edition of the book.
Special thanks go to Claire Evans and Dr Chris Bedford who have once again found time in their busy schedules to update and revise their chapters.
I’m delighted that Clare Hughes agreed to offer her expertise to update and improve the chapter dealing with newborn behavioural issues; thank you for the valuable contribution. Thanks also go to Carol Mashhadi.
Once again Jill Walker and the UK National Screening Committee, Public Health England have kept me informed of all of the up‐to‐the‐minute changes that are taking place within the National Antenatal and Newborn Screening Programmes. Thank you to Jill and Geeta for their help.
Introduction
Anne Lomax
Frontline staff, who perform the examination of the newborn, are in an ideal position to influence health choices made by women and their families to help ensure good maternal health and, in the longer term, optimum life chances of newborn babies. Newborn screening has the potential to prevent infant deaths by detecting certain congenital