Examination of the newborn - level 7
Run by School of Medical and Health Sciences
20.000 Credits or 10.000 ECTS Credits
Organiser: Dr Mary Longworth
Overall aims and purpose
Completion of this module will enable midwives, registered in the UK, to competently perform a thorough, holistic examination of the healthy, term newborn, supported by underpinning theoretical knowledge that meets the requirements of the NICE Guidelines (2006). The initial development and subsequent review of this module has been in response to clinical demand and offers the practising midwife an opportunity to gain the necessary knowledge and skills required to conduct a full examination of the term neonate and refer as and when necessary. The mutual recognition of the respective role of the midwife with others who participate in the care of women and babies is inherent within the module ,whilst promoting and supporting the development of a range of skills to understand, interpret and manage as appropriate , the complex physiological changes in the neonate following birth.
Those students who have completed the module through the BM (Hons) Midwifery programme from Bangor University from 2014, will only be expected to attend one study day and complete the summative competences and summative clinical examinations of a term neonate witnessed by a designated mentor. They will be required to complete the clinical competencies and neonatal examinations within 3 years from when they completed the BM (Hons) Midwifery programme.
May include, but not limited to: - Normal fetal development/anatomy and physiology of the 7 systems - Transitional events in the neonatal period - Normal morphology of the neonate - Normal development of the infant - Clinical examination: recognition of the abnormal - Identification and management of Congenital abnormalities - Communication - Referral systems and local guidelines - Holistic approach to the care of the neonate and family - Professional, ethical and legal issues
Basic understanding of the facts and principles specific to the topics covered in this module. Basic understanding of professional accountability issues. Students will be required to achieve a minimum of C- grade in the assignment in order to pass the theory component of the module.
Good understanding of the facts and principles specific to the topics covered in this module. Good understanding of professional accountability issues. This equates to a minimum mark of Grade B- in the Grading Criteria.
Very good understanding of the facts and principles specific to the topics covered in this module and evidence of additional evidence gained by the student. Very good understanding of professional accountability issues. This equates to a minimum mark of Grade A- in the Grading Criteria
Critically reflect on the effects of maternal health and disease in order to fully understand the implications on the developing fetus and/or newborn.
Demonstrate, through physical examination, the ability to identify normality in the term neonate with reference to the physiological adaptation to extra-uterine life.
Demonstrate effective communication with parents and members of the multi-professional team.
Understand and critically evaluate professional, legal and ethical dimensions within the examination and assessment of the newborn.
|ESSAY||Examination of the newborn - Essay and workbook||100.00|
|LOGBOOK OR PORTFOLIO||Clinical competencies for Examination of the Newborn for Midwives||0.00|
Teaching and Learning Strategy
Clinical assessment 20 hours to allow completion of ten examinations of the newborn assessed by either a midwife who already has the competences, an Advanced Neonatal Nurse Practitioner (ANNP) or a paediatric registrar. Note: At least two of the examinations are to be assessed either by an ANNP or a paediatric registrar. (Throughout the duration of the course; to be met and completed on or before the academic assessment deadline).
Group tutorials – weekly for the first six weeks of the course.
- Literacy - Proficiency in reading and writing through a variety of media
- Computer Literacy - Proficiency in using a varied range of computer software
- Self-Management - Able to work unsupervised in an efficient, punctual and structured manner. To examine the outcomes of tasks and events, and judge levels of quality and importance
- Exploring - Able to investigate, research and consider alternatives
- Information retrieval - Able to access different and multiple sources of information
- Inter-personal - Able to question, actively listen, examine given answers and interact sensitevely with others
- Critical analysis & Problem Solving - Able to deconstruct and analyse problems or complex situations. To find solutions to problems through analyses and exploration of all possibilities using appropriate methods, rescources and creativity.
- Safety-Consciousness - Having an awareness of your immediate environment, and confidence in adhering to health and safety regulations
- Presentation - Able to clearly present information and explanations to an audience. Through the written or oral mode of communication accurately and concisely.
- Teamwork - Able to constructively cooperate with others on a common task, and/or be part of a day-to-day working team
- Caring - Showing concern for others; caring for children, people with disabilities and/or the elderly
- Argument - Able to put forward, debate and justify an opinion or a course of action, with an individual or in a wider group setting
- Self-awareness & Reflectivity - Having an awareness of your own strengths, weaknesses, aims and objectives. Able to regularly review, evaluate and reflect upon the performance of yourself and others
Resource implications for students
1. Purchase of text books, pens and paper. 2. Photocopying and printing 3. Subscription to internet provider to access BU on-line catalogues and Blackboard from home residence.
Talis Reading listhttp://readinglists.bangor.ac.uk/modules/nhs-4396.html
Baston, H and Durward, H. (2010). Examination of the newborn. A pratical guide. Taylor and Francis, NY.
Baker, K. (2013). Midwives should perform the routine examination of the newborn. British Journal of Midwifery; Pg 416-421.
Bloomfield, L., Rogers, C., Townsend, J., Wolke, D., Quiest-Therson, E. (n.d) Retrieved from https://uhra.herts.ac.uk/bitstream/handle/2299/1862/100433.pdf?sequence=1
Davies,L. & McDonald, S. (2008). Examination of the newborn and neonatal health. Elsevier, London.
Lumsden, H & Holmes., d. (2010). Care of the newborn by Ten Teachers. Hodder Arnold,
National Institute of Clinical Evidence (NICE) (2006). Postnatal care up to 8 weeks after birth. NICE, London.
Paton, R.W. , Quarrell, C. Rowe, F., Webb, D. (2015). Examination of the Newborn: an evidence based guide. 2nd ed. Wiley, London.
Tappero, E.P., & Honeyfield, M.E. (2016). Physical assessment of the newborn. A comprehensive approach to the art of physical examination. (5th ed). Springer New York.
Townsend J, Wolke D, Hayes J, Davé S, Rogers C, Bloomfield L, Quist-Therson E, Tomlin M, Messer D. (2004). Routine examination of the newborn: the EMREN study. Evaluation of an extension of the midwife role including a randomised controlled trial of appropriately trained midwives and paediatric senior house officers. Health Technology Assessment Volume: 8 Issue: 14