Paediatrician Template

Newborn (AWJ)

A professional Paediatrician template for healthcare professionals.

Use template Browse templates

Specialty

Paediatrician

Used

100 times

Type

Note

Last edited

2025/01/28

Created by

Amy Jenkins

Use template

About this template

This newborn documentation template is designed for pediatricians to efficiently record essential details about a newborn's health and development. It covers birth and nursery information, feeding and weight progress, household and safety considerations, and developmental milestones. Pediatricians can use this template to ensure comprehensive newborn assessments, facilitating effective communication with parents and caregivers. This template is ideal for capturing critical data during the initial days post-birth, ensuring that all necessary health checks and safety measures are documented.

Preview template

Baby John Doe is a 3-day-old newborn. Birth/Nursery: Baby was born at Kapiolani and was discharged home on October 15, 2023. 39 weeks GA by NSVD. Mom G2, P1. Maternal labs unremarkable. Maternal hx and pregnancy unremarkable. Baby passed CCHD. Passed hearing screen. Baby received Hep B immunization, Vit K and erythromycin. Bilirubin levels were within normal range, no phototherapy required. Feeding/weight: Birth weight was 3.2 kg. Weight today is 5% down from BW. Has been breastfeeding for 20 minutes every 2 hours. Baby is latching well, and mom's breastmilk is in now. Mom is comfortable with how feeds are going. In the last 24 hours, baby had adequate wet diapers and stools. Household/Safety: Lives with: mother, father, and older sibling. Baby is sleeping in own crib on back. Baby has a rear-facing car seat in the back seat of the car. Baby is doing the following: - Stays awake for a short time to feed. - Makes brief eye contact - Cries when uncomfortable. - Calms to an adult’s voice. - Lifts and turns head to the side briefly when on tummy. - Moves arms and legs at the same time when startled. - Keeps hands in a fist and grasps reflexively.