QUESTIONNAIRE ON

INFANT CARE, FEEDING PRACTICES AND HEALTH STATUS AMONG

PREMATURE DELIVERED BABIES

Part I. Infant Care (Nurses)

Instructions: Below are the usual practices of infant care. Using the scale below, check the box
as to the extent of your knowledge on each statement.

5 - Excellent
4 - Very Good
3 - Good
2 - Fair
1 - Poor

Newborn care knowledge 1 2 3 4 5

1. Knowledge about newborn or neonate period.

2. Knowledge on at least 4 major component of immediate essential new

born care (immediate wipe and wrapping baby, hygienic cord cutting
practice, skin to skin contact of baby and early initiation of breast
feeding to newborn).

3. Knowledge on at least 4 benefits of newborn essential care (prevents

newborn from hypothermia, hypoglycemia, infections and pneumonia)

4. Knowledge on at least 5 major danger neonatal signs (neonatal unable

to feed, unconsciousness, sever chest in drawing, convulsion, and fast
breathing)

5. Knowledge on at least 5 causes of neonate danger signs (hypothermia,

birth asphyxia,, low birth weight, neonatal jaundice, and infections).

6. Knowledge on safe cutting cord practice.

7. Knowledge on cord cutting cord practice.

8. Knowledge on at least 3 neonate eye infection danger signs (eye

discharge, reddening of eye, and swollen eye)

9. Knowledge on exclusive breast-feeding practice.

10. Knowledge on frequent breast feeding per day of newborn

11. Knowledge on requirement on minimum sleep hours for newborn.

 12. Knowledge on neonatal vaccine.

13. Knowledge on minimum number of postnatal checkups for newborn

14. Knowledge on caring low birth with new born care. (Kangaroo mother
care, early and frequent breast feeding and frequent consultation with
clinician)

Harvey et.al (2019). “Factors associated with newborn care knowledge”

Part II. Feeding Practices (Mother)

Instructions: Below are the feeding practices to premature babies. Using the scale below, check
the box as to the extent of your knowledge on each statement.

5 - Excellent
4 - Very Good
3 - Good
2 - Fair
1 - Poor

Part III. Newborn Health Assessment (Nurses)

Instructions: The APGAR score is a simple method of quickly assessing the health and vital
signs of a new born baby after delivery. The five criteria assess in the Apgar score are:

1. Appearance (Skin Color)

2. Pulse (Heart Rate )
3. Grimace (Reflex Irritability/ Response)
4. Activity (Muscle Tone)
5. Respiration (Breathing Activity)