Unit 7 Infant Care Concepts 1.

Color,
2. Moisture
Lesson 1 Infant’s Bath 3. Temperature
4. Texture
Lesson 2 Infant Suctioning
5. Turgor (skin’s elasticity)
Lesson 3 Infant CPR 6. Vascularity (blood vessels)
7. Edema
Lesson 4 The Performance Checklist
8. Pruritis (itchy skin)
9. Rashes
10. Lesions
Lesson 1: Infant’s Bath
11. Erythema (reddening of the skin)
• Infant’s bath is defined as cleaning the skin of the 12. Infection
baby for promoting hygiene and comfort in the 13. Inflamation
home setting. 14. Hirsutism (excessive hair growth)

• Child rearing practices during the first year vary

from country to country. Types of Bath

• The amount of bathing that is done is also
inconsistent across cultures.
• Unless contraindicated most infants can be
bathed in a basin at the bedside or on the bed,
or in a standard bathtub located on the unit
which is often conveniently adapted for pediatric
use.
General Instructions for Giving Bath
• Asp per WHO infant age group is 0 month to 1
years old
• Lap bath - Bathing the baby keeping on the lap.
Here the mother sits on a stool and can sponge
and change his dress on her lap itself. So there is
no need of having additional stool.
• Sponge bath - Bathing the baby in bed.
• Tub bath – this is the most common method of
giving bath to the baby.
• Use a warm room and water

Objectives: • Bath quickly and gently

• To keep the baby’s skin clean • Dry quickly and gently

• To refresh the baby
• Never leave the baby unattended in a bath tub
• To stimulate the circulation or table
• To prevent infection
• To closely observe the body for evidence of any • First baby bath at home: After the cord falls and
abnormalities and to note infant’s growth and umbilicus is fully healed (within 7th-10th day)
development
o Before the 7th-10th day stick with sponge
• To induce sleep
baths; recommendation is thrice a week.
• To enhance self-esteem
• To promote comfort • Make sure the baby is not tired or hungry

Contraindication • Don’t bath the baby if he is fed within an hour to

avoid vomiting.
• Hypothermia/hyperthermia
• Pneumonia • There should be a fixed time for baby bath.
• Congenital cyanosis
• Clothing should be selected based on weather
• Pre-mature birth
and the environment
• Open wounds
• Water temp should be 98-100F or 37-38C
DOH Guidelines
• Soap should be mild without hexachlorophene
• Delay the infant’s bath after of 6 hours of life to
base and avoid talcum powders as it contains
promote skin to skin bond.
zink stearate. To avoid skin irritation and to avoid
• Wiping or removal of vernix caseosa is not respiratory tract irritation of the baby
anymore encouraged because it serves as
Materials Needed:
natural
• Water basin or bath tub
Nursing Consideration
• Water
Assessment of the skin before bath. Take note of the • Wash cloth
following: • Dry towels or bath blanket
 • Hypoallergenic soap • without applying any suction. Insert the catheter
• Clean Clothes to the pre measured or recommended distance
• Non sterile gloves into the nares and advance it along the floor of
nasal cavity

• NOTE: Do not force catheter against

Lesson 2: Infant’s Suctioning
obstruction
• Suctioning is the mechanical aspiration of o Use 1 suction catheter for oral
pulmonary secretions through a catheter o and 1 suction catheter for nares
connected to a suction machine.
• Infant – ages 0-12 months
Lesson 3: Infant’s Cardiopulmonary Resuscitation
Purposes
CARDIO PULMONARY RESUSCITATION (CPR )
• Maintaining the patient airway by removing the
secretions • The basic life-saving skill used in the event of
• Prevention of respiratory tract infection from cardiac, respiratory or cardiopulmonary arrest to
lodgement of secretions maintain tissue oxygenation by providing
• To facilitate respiratory ventilation. external cardiac compression and/or artificial
• To obtain specimen for diagnosis purposes. respiration.
• It is initiated when an infant is found without or
Materials develops absence of a pulse or respiration or
• Sterile normal saline or water both.
• Goggles or face shield if appropriate • It is the first aid procedure intended to
• Moisture resistant disposable bag • revive a heart and lung arrest within 3 to
• Sputum trap if specimen is to be collected • 4 minutes from the time the heartbeat and
breathing stops to prevent death or irreversible
• Suction catheter kit ( Yankauer suction catheter)
brain damage
• Oxygen source
• Water soluble lubricant CABD’s of LIFE SUPPORT
• Suction machine apparatus with tubing,
collection receptacle, and a suction pressure • Providing artificial CIRCULATION through the use
gauge of external chest compression
• Towel or moisture resistant pad • Opening and Maintaining the AIRWAY
• Sterile gloves • Providing ventilation through rescue
BREATHING
Special consideration • Delivers shock by DEFIBRILLATION to restart the
heart.
Amount of negative pressure for suctioning
Portable Suction Wall Suction Unit MATERIALS NEEDED
Unit
Adult 8-15 mmHg 100-120 mmHg • Hard surface
Children 5-8 mmHg 50-100 mmHg • Glove
Infant 3-5 mmHg 40-60 mmHg • Bag valve mask
Assess for clinical signs indicating the need for • Oral airway
suctioning. • Emergency resuscitation cart
• Documentation forms
✓ Visible or audible secretions
✓ Decreased oxygen saturation levels, increased
pCO2
✓ Changes in respiratory rate and pattern with Open the Airway
increased tidal volume • Perform chin lift maneuver by tilting the head
✓ Change in skin color
✓ Decrease oxygen saturation

Special Considerations on Oropharyngeal Suctioning

• Insert the catheter to mouth ( fingers off the port

during insertion)

• Advance the catheter along one side of the

mouth into the oropharynx

Special Considerations on Nasopharyngeal Suctioning

CHECK FOR BREATHING

• Look, Listen and feel

• Look at the infant’s abdomen, while listening to
the his breathing and feel if there is air coming
out of his nose/ mouth.

MOUTH to MOUTH and NOSE

BAG-VALVE MASK

CHECK FOR CIRCULATION

• Use Brachial Pulse

30 compressions :2 breaths ratio