Examination of the Newborn for Midwives

Key information

Start date: To be confirmed

(Due to run in the 2020/21 academic year)

Attendance dates:

To be confirmed

Venue:

Kate Granger Building, 30 Priestley Road, Surrey Research Park, Guildford, Surrey GU2 7YH

Stag Hill campus, University of Surrey, Guildford, Surrey GU2 7XH

Contact details:

  • Level
    6 (undergraduate)
  • Credits
    30
  • Module code
    NUR3200

Module aims

This module aims to prepare midwives to undertake the complete physical examination of the healthy newborn between 37-42 completed gestational weeks. The rationale for the neonatal examination conducted within the first 24 hours and days after delivery will be to detect any signs of acute illness or abnormalities, to allow prompt diagnosis and intervention without which many of the acute conditions which afflict newborn babies can lead to serious consequences.

The expanding role of the midwife as the lead professional is constantly changing requiring midwives to develop new skills and competencies, which necessitate appropriate education. This module seeks to develop such skills, underpinned by a sound knowledge base to support clinical practice. New skills will enhance independent and autonomous practice whilst improving continuity of care and facilitate more timely discharge of babies from the postnatal area, reducing paediatric workload. In addition such a role will enable birth at home to be easily facilitated where the GP has not been contacted to provide neonatal examination.

Learning outcomes

On successful completion of this module, you will be able to:

  • Assess the physiological adaptation of each system in the fetus-neonate and relate these to a competent examination of the newborn and critically evaluate the relevant research studies to underpin best practice in the care of the newborn and demonstrate systematic newborn assessment and physical examinations within clinical settings.
  • Critically evaluate the evidence and research base of new approaches to judgement and decision-making in relation to risk factors in the care of the newborn, applying skills of systematic and holistic assessment of undifferentiated newborn problems to make accurate diagnoses, safe management plans and appropriate referrals.
  • Analyse and evaluate contemporary issues in the field of neonatology using appropriate evidence to determine the involvement of the multidisciplinary team, through referral to a paediatrician and the need for any urgent intervention through locally agreed channels.
  • Consider critically the ethical, legal and moral dilemmas parents may encounter when faced with a deviation from the normal in the newborn and to improve skills of the midwife in breaking bad news using effective communication skills.
  • Critically evaluate and reflect on own learning and practice as a means of improving care for newborn babies, acting autonomously, using skills acquired, within guidelines of supervision.

Course content

  • Embryology and fetal development of the neurological system
  • Adaptation to extra-uterine life
  • The neurological abnormalities that can be detected on examination in relation to this system
  • The neurological common problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific neurological problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the cardiovascular system
  • Adaptation to extra-uterine life
  • The cardiovascular abnormalities that can be detected on examination in relation to this system
  • Common cardiovascular problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific cardiovascular problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the respiratory system
  • Adaptation to extra-uterine life
  • The respiratory abnormalities that can be detected on examination in relation to this system
  • Common respiratory problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific respiratory problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the gastrointestinal system
  • Adaptation to extra-uterine life
  • The gastrointestinal abnormalities that can be detected on examination in relation to this system
  • Common gastrointestinal problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific gastrointestinal problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the urogenital/chromosomal sexual differentiation system
  • Adaptation to extra-uterine life
  • The urogenital/ chromosomal sexual differentiation abnormalities that can be detected on examination in relation to this system
  • Common urogenital/ chromosomal sexual differentiation problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific urogenital/chromosomal sexual differentiation problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the musculo-skeletal system
  • Adaptation to extra-uterine life
  • The musculo-skeletal abnormalities that can be detected on examination in relation to this system
  • Common musculo-skeletal problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific musculo-skeletal problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the sensory organs 
  • Adaptation to extra-uterine life
  • Sensory organs abnormalities that can be detected on examination in relation to this system
  • Common sensory organs problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific sensory organ problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the metabolic and endocrine system
  • Adaptation to extra-uterine life
  • Metabolic and endocrine system abnormalities that can be detected on examination in relation to this system
  • Common metabolic and endocrine system problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific metabolic and endocrine system problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of the immune system
  • Adaptation to extra-uterine life
  • Immune system abnormalities that can be detected on examination in relation to this system
  • Common immune system problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific immune system problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.
  • Embryology and fetal development of genetics/embryogenesis
  • Adaptation to extra-uterine life
  • Genetic/embryogenesis abnormalities that can be detected on examination in relation to this system
  • Common genetic/embryogenesis problems in relation to the well neonate
  • The explanations and information that is given to parent.
  • The information from maternal history that is required to relate findings to management
  • Choice of a specific genetic/embryogenesis problem and outline the management and the short and long term care and prognosis for that neonate
  • Exploration of the processes involved in integrating parental and professional model of care.

Learning and teaching methods

Learning and teaching methods include:

  • Lectures
  • Discussions
  • Seminar presentations
  • Practical experience
  • E-learning.

Assessment

Portfolio 

A portfolio of evidence to demonstrate a record of learning in and through practice which should demonstrate the achievement of the module learning outcomes. It will take nine months to complete the practice component.

  • Word limit for the portfolio is 7,000 words
  • Pass/fail will be awarded for the practical assessments.

Case study

  • Word limit for the case study is 3000 words
  • 100 per cent of the module mark.

Course leader

Anna Maria Brown

See profile

Reading list

Take a look at the module reading list.

Entry requirements

  • Registered midwife with at least one year post registration experience
  • Ability to study at level 6.

Fees and funding

Fees for 2020/21 are to be confirmed

How to apply

Please download and fill in an application form.

It is important to ensure that you complete all sections and answer all questions, incomplete forms will cause a delay and may result in you missing out on an available place.

Send your completed application back to us at the address or email included on the form.

Terms and conditions

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If your sponsoring healthcare provider is funding you for this module, by submitting an application you agree to allow all information regarding your module (for example your exam results) to be shared with the sponsoring provider.

Cancellation policy

If you withdraw less than seven days before the module commences or do not attend on the first day (without informing the module administrator) the full cost of the module will be charged. Withdrawals after the module commences will also be charged.

Module availability

Places are confirmed approximately one month before the module start date. Please note that modules may be subject to teaching availability, student demand and/or class size caps. 

Disclaimer

Modules listed are indicative, reflecting the information available at the time of publication. The University of Surrey has used its reasonable efforts to ensure that the information is accurate at the time of publishing, but changes (for example to module content) may occur given the interval between publishing and commencement of the module. It is therefore very important to check this website for any updates before you apply for a module with us. Read more.