Cephalohematoma | Outpatient Pediatrics Atlas

Template

Cephalohematoma, follow-up

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

MonthChoose anyFirst line

StatusChoose oneFirst line

SideChoose oneFirst line

DeliveryChoose one

ReviewedChoose any

SizeChoose one

JaundiceChoose one

Concerning findings presentChoose any

Concerning findings absentChoose any

PlanChoose one

LabsChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling paragraphChoose oneParagraph

CounselingNot in the note with these choices

Discussed the need for emergency evaluation today. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Cephalohematoma, follow-up
November 2026: Doing well.
• Size, feeding, jaundice, and behavior reviewed
• Cephalohematoma smaller than at the last visit
• No jaundice
• No redness or warmth over the swelling, swelling crossing the suture lines, skull depression, or pallor
• Continue observation; expected course reviewed
• Follow up at the next well check

A cephalohematoma is a collection of blood under the outer layer of the skull from pressure during birth; it slowly shrinks over 2-3 months and may feel hard at the edges as it heals. The blood breaking down can add to newborn jaundice. Recommended supportive care with an emphasis on normal handling and feeding, with no rubbing or pressing on the swelling. Return precautions given including a swelling that gets bigger or softer, redness or warmth over it, worsening jaundice, poor feeding, unusual sleepiness, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Size: smaller, unchanged, larger, firm rim, resolved
Jaundice and bilirubin monitoring
No concerning symptoms as present/absent: infection, crossing sutures, skull depression, pallor
Observation; resolved; imaging; neurosurgery; ED

Return precautions in the template

a swelling that gets bigger or softerredness or warmth over itworsening jaundicepoor feedingunusual sleepinessfever

Sources

HealthyChildren.org: Symptom checker, Newborn Appearance Questions
AAP Clinical Practice Guideline: Hyperbilirubinemia in the Newborn Infant 35 Weeks or More (2022)

Few formal guidelines cover this topic, so the template also leans on expert opinion.