Summary
Samenvatting Stappenplan onderzoek zuigeling stationsproef
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Stappenplan onderzoek zuigeling stationsproef
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Content preview
ZUIGELING Baby op rug:
o Inspectie algemeen
Basishouding
Tonus
Flexie patroon
Trappelbeweging
Reactie op geluid
Asymmetrische tonische nekreflex
o Inspectie huid
Normaal
Rood vs bleek (polycythemie – anemie)
Icterisch
Cyanotisch
o Auscultatie
Hart:
Membraan: IC 2 rechts IC 2 links IC 5 links apex
Klok: minimaal thv apex
Longen: vergelijken links-rechts
Abdomen
o Hoofd:
Palperen fontanel en schedel:
Anterior (grote) fontanel: sluit 7-19 maanden
Posterior (kleine) fontanel: sluit rond 2 maanden
Inspectie ogen – oog volgbewegingen
Inspectie: conjunctiva – sclera – iris – pupil
Volgen: start op middellijn, naar rechts, naar links (op 6-8
weken volgt baby 180°)
Inspectie oren:
Stand
Vorm
Malformaties
Mond:
, Zoekreflex (primitieve reflex)
Zuigreflex (primitieve reflex)
Verhemelte (inspectie + palpatie)
o Hals:
Hals musculatuur en klieren
Clavicula
o Abdomen en liezen:
Abdomen: peristaltiek, percussie, palpatie lever – milt – nieren –
toegevoegde massa’s
Navel
Liezen: klieren – a. femoralis
o Genitaal:
Jongen:
Inspectie penis: hypo-epispadie (fimosis)
Inspectie en palpatie scrotum: testes ingedaald?
Meisje: inspectie
o Heup:
Ortolani
Barlow
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