OSCEs for Medical Students, Volume 3 Second Edition

138 OSCEs for Medical Students, Volume 317 Checks grasp reflexes, offers to elicitstartle reflexAnswers18 Measures head circumference19 Does examination in professional mannerCommentThere is quite a lot to a good neonatal examination, but preparing for it is essential –not only might it come up in an OSCE, but it is the basis of most examinationstations in babies.As with many other stations, order is the key. Most paediatricians start at the topand work down to the genitalia. Then they turn the child prone and check the spineand lastly check the hips. This has usually woken the baby up and allows fundoscopy.Try to do the observation and auscultation before the baby is upset.