Professional Documents
Culture Documents
Skills
Mary Lourdes Nacel G. Celeste, R.N., M.D.
Nursing Care
of a
Newborn
Newborn or neonate – a baby
in the neonatal period (the
first 28 days of life)
1. Suctioning
- Turn head to one side
- Suction gently and quickly
- Suction the MOUTH first
before the nose
*bulb syringe
*mechanical suction machine
- Test patency of the airway
- Proper position
a. Ensure an open airway.
b. Do not hyperextend head
- place neonate supine
- head slightly extended
b. Hold the baby upside down or with the head lower than
the body, with the head slightly extended for a few
seconds before laying baby on the crib.
To allow any fluid in the trachea to drain out, thus,
ensuring patent airway.
Acrocyanosis
NURSING ACTION
1. Apgar score of 7 – 10 indicates infant’s condition is good.
• No special procedures necessary.
c. Birthmarks
CORD: 2 A + 1 V
*Practice aseptic technique
Apply cord clamp to prevent
bleeding
Application of antiseptic solution
Povidone iodine
70% alcohol
to prevent Tetanus Neonatorum and
Omphalitis (streptococcal and
staphylococcal infections)
Signs of Omphalitis:
*Reddening of the area
*Fever
*Discharge and foul smell
* Assessment
on the R and
L hips may
be done
simultaneous MLNG CELESTE, RN, MD 72
MLNG CELESTE, RN, MD 73
Suctioning
It is the method for removing excessive secretions from the
airway. Suction maybe applied to the oral, naso-pharyngeal or
tracheal passages.
Purpose:
To provide patent airway by keeping it clear of excessive
secretions.
Equipment:
Suction source
Suction catheter with vent
Connecting tube
Sterile distilled water
Sterile towel
Sterile gloves
Collection bottle
Padded tongue blades MLNG CELESTE, RN, MD 74
Procedure:
Preparatory phase
Gather equipment, including extra catheter of the appropriate size.
Connect the collection bottle and tubings to the vacuum source.
Establish the need for suctioning by observing respiration and
auscultating lungs.
Wash hands thoroughly.
Turn on suction to check the system and regulate pressure if
indicated.
Fill basin with sterile distilled water.
Position child on his side with his head slightly lower, If necessary,
seek an assistant to help maintain the child in this position.
Attach the catheter to the suction tubing using gloves when handling
the catheter.
Place the catheter tip in the basin and draw sterile distilled water
through it.
Nursing objectives:
• Accurately weigh the infant and record the weight daily.
• Call major discrepancies in weight, failure to gain, to the
attention of the physician
• Keep the parents actively involved in the patient’s care by
keeping them informed of the daily weights.
Terminology:
• Wharton’s Jelly- gelatinous substance in the umbilical cord.
• Clamp- mechanical device for the compression of vessels
• Ligature- a binding tie of thread or wire
• Umbilical cord- a string like structure connecting the infant to
the placenta
Equipment:
Isopropyl alcohol, 70%
Optional:
dry dressing
antibiotic ointment or medication
culture equipment
MLNG CELESTE, RN, MD 81
Steps:
• Careful handwashing before caring for the area is important.
• Milk the cord towards the baby.
• Clamp/ Tie the cord 1 inch (or longer; depends on hospital
policy) from the base either with cord clamp, cord string or
rubber securely.
• Cut the remaining cord 1 cm. above the clamp/tie.
• Clean the base of the umbilical cord inward going outward in
a unidirection with 70% alcohol.
• Clean the cord with alcohol from the base going upward.
• Alcoholize the cord above the clamped/cut line.
• Keep cord dry and expose to air.
Types:
1. Tub bath- use of a baby tub instead of a washbasin. It is done
with the infant in a supported reclining position in the water.
Newly circumcised babies should not be bathed in a tub
until healing is complete as well as babies whose umbilical
stump has not dropped off.
Nursing Objectives:
• Avoid instilling fear of bathing in the infant, use gentle
treatment.
• Report/record any unusual conditions noticeable while
bathing
• Avoid any drafts or unnecessary exposure of the infant
• Use proper equipment and supporting hold, so infants will
not slip from hands.
CS : Breastfeed after 4 H
NSD : Breastfeed asap
1 oz of sterile water
C
1. Congenital Hypothyroidism ( CH )
2. Congenital Adrenal Hyperplasia (CAH)
P
3. PHENYLKETONURIA (PKU)
G
4. G6PD DEFICIENCY
5. Galactosemia
Description:
a. percussion and vibration over the thorax to loosen
secretions in the affected area of the lungs
PVD
PERCUSSION
VIBRATION
POSTURAL DRAINAGE
Description
a. Postural drainage uses gravity to drain secretions from
segments of the lungs.
INTERVENTIONS
b. Position the client properly
c. Maintain position 5 to 20 minutes.