Professional Documents
Culture Documents
Temp Regulation
Goal in temp regulation is to maintain it not less
than 97.7% F (36.5 C)
Maintenance of temp is crucial on preterm and
SGA (small for gestational age) - babies prone to
hypothermia or cold stress
o Neonates have “physiologic resilience”
wherein they tend to adopt or take
temperature of their own environment.
(poikilothermic)
“cold stress (hypothermia) is more
dangerous than hyperthermia”
To Prevent Hypothermia
1. Dry and wrap baby
2. Mechanical pressure – radiant warmer pre-heated
first isolette (or square acrylic sided incubator)
3. Prevent is necessary exposure – cover baby
4. Cover baby with tin foil or plastic
5. Embrace the baby- kangaroo care
6. Delay initial bath until temp. has stabilized for at
least 2 hours.
7. Maintain ambient temp. of nursery at 24°C or
75°F.
8. Perform any extensive examination or procedure
under radiant heat to prevent heat loss and The Silverman & Anderson Scoring System
expose only the part of the body to be examined. o Devised in 1956 and is a test used to
9. Note the presence of any cyanosis: evaluate or estimate the degrees of
2 types of cyanosis: respiratory distress in newborns or the
a.) central cyanosis respiratory status of premature infants.
b.) peripheral cyanosis hands & feet o A NB is observed and then scored on
are cyanotic, due to cold each of five criteria ---0,1 or 2. The
environment and poor circulation scores are then added. (the scores of this
system are interpreted as opposite of the
Apgar)
0 1 2
Chest Synchronized Lag on Seesaw
Movement respirations inspiration respirations
Axillary temperature measurement. The thermometer Intercostal none Just visible Marked
should remain in place for 3 minutes. The nurse presses Retraction
the newborn’s arm tightly but gently against the Xiphoid none Just visible Marked
thermometer and the newborn’s side, as illustrated Retraction
Nares none minimal Marked
Dilatation
III. Perform Initial Assessment Expiratory none Audible by Audible by
Grunt stethoscope unaided ear
APGAR Scoring System
o Developed by Dr. Virginia Apgar in 1958
Silvermann and Anderson Scoring Interpretation
o It is a standardized method for evaluation of 0 : no respiratory distress
the newborn and serves as a baseline for 4-6 : moderate respiratory distress
future evaluations. 7-10 : severe respiratory distress
o It is taken twice: initially @ 1 minute, and
then @ 5 minutes after birth
IV. Proper Identification of the Newborn
Proper Id is made in the delivery room before
Special Considerations: mother and baby are seperated.
1st 1 min – determine general condition of baby o Identification Band
Next 5 min- determine baby’s capabilities to adjust extra o Footprints
uterine o Others – fingerprints, crib card, bead
Next 15 min – dependent on the 5 min bracelet
Birth certificate
APGAR Scoring System A final identification check of the mother and
infant must be performed before the infant can
0 1 2 be allowed to leave the hospital upon discharge
to ensure that the hospital is discharging the right
Appearance Pale or Body pink, Pink all over
infant.
(Color) blue all extremities blue
over
Pulse/♥ rate absent Below 100 Above 100 V. Preventing Infection
Credes Prophylaxis – Dr. Crede Aspirate, then slowly inject the solution to
-prevent opthalmia neonatorum or gonorrheal distribute the medication evenly and minimize
conjunctivitis the baby’s discomfort.
- how transmitted – mom with gonorrhea Remove the needle and gently massage the site
drug: erythromycin ophthalmic ointment with an alcohol swab.
(inner to outer)
Ophthalmia neonatorum
Any conjunctivitis with discharge occuring during
the first two weeks of life. It typically appears 2-5
days after birth, although it may appear as early as
the first day or as late as the 13th.