Normally difficult to completely retract foreskin. Observe for hypospadias, epispadias. Inspect circumcised penis for edema, incision, bleeding. Full term infant should have brownish pigmentation and fully rugated scrotum. Palpate the testes.
Female genitalia Inspect the labia, clitoris, urethral opening and external vaginal vault.
Hymenal tags may be present normally. Extremities and Skeletal System Spine Scoliosis, kyphosis, lordosis, spinal defects, meningomyelocoeles. Upper extremity Look for clavicular fracture, absence of radius or ulna. Inspect creases and fingers. Lower extremity See posture above.