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How To Perform a Neonatal Assessment in the NICU

Hi friends, in this video I am going to show you how to perform a neonatal assessment on a NICU patient. This is my routine assessment that I do every few hours when it’s time for my patient’s “cares”—their hands-on time. It’s important to work quickly and efficiently, especially the younger the gestational age, so here’s my flow as I work least to most invasive and from top to bottom. I’m hitting the highlights of a routine assessment in this video, but below you’ll find a detailed, normal NICU assessment. 00:00 Begin Here 01:05 Before You Start 03:44 Hands-On Assessment 🧠 Neurological Equal and reactive pupils No head abnormalities (no molding, caput, cephalhematoma, forcep marks) Anterior fontanel open and soft Posterior fontanel open Sutures approximate Moves all extremities equally Moro, suck, rooting, and palmar grasp present 🫀 Cardiovascular Regular rhythm/clear audible without murmur Pulses present and equal in all extremities Capillary refill upper and lower extremities less than 3 sec Mucus membranes pink and moist No edema 🫁 Respiratory Chest expansion symmetrical Non-labored respiratory effort No retractions Clear and equal breath sounds 💩 Gastrointestinal Soft, rounded, pink, non-distended abdomen Bowel sounds audible 4 quadrants 💦 Genitourinary Voiding per diaper Yellow urine 👶🏻 Skin Warm, dry, intact Normal skin turgor Occiput, sacrum, and heels intact No diaper dermatitis present This content was peer-reviewed for accuracy by Christine McQuay, MHA, MSHI, BSN, RN, RNC-NIC. What more NICU-specific content? Follow me on TikTok!   / neostat   My favorite infant/neonatal stethoscope: https://amzn.to/3MEVpPg I’m Anna and I am a critical care registered nurse. I have worked in the NICU, PICU, pediatric floor, and on my hospital’s critical care children’s transport service. I am also a nursing instructor and love teaching students and new nurses! Disclaimer: This video is intended for educational purposes only and is not indented as medical advice. While I strive for 100% accuracy, errors may occur and practices may change over time. The link provided includes an affiliate link that I receive a small kickback from.