Olita, Ma. Fornielynza A.

BSN2A
107 RLE
Ma’am Casalan

Post-natal Care/ Assessment

Mrs. Emma Victorio 30 years old G1P0 was accompanied by her husband Mr. Raul Victorio in hospital
X . It was a mix emotion of joy and fear. In hospital X since there is already a doctor’s order that when
she feels a true labor pains as her doctor described she can be accommodated in their hospital and
room of choice, After 12 hours of labor pains and waiting she delivered a healthy baby boy. Immediate
care was rendered by the nurse and placed the baby in the Emma”s breast to keep the baby warm and
established attachment then the umbilical cord done and the nurse cheacked if the umbilical cord is
complete. Baby out was recorded by the nurse and the baby’s sex as well as time of delivery. To prevent
Opthalmia Neonatorium Erythromycin eye ointment was applied in both eyes. Vitamin K and Hepa B
vaccine was injected in vastus lateralis while BCG was injected in the deltoid.The nurse put the baby’s
foot print in her chart and placed a hospital id band with his name on it. After few hours the when baby
bath was done the baby was room in in the mother’s room. The nurse encouraged the mother to do
Breast feeding and tell the couple that newborn screening and hearing test will be done before the
mother and the baby will be discharge in the hospital.

1. Explain the importance of breast feeding?

Breastfeeding is usually advised for the first six months of infancy (that is, only breast milk and
no formula or other foods). Breastfeeding should be continued for at least the first year after that, with
complementing solid foods introduced as needed. Many people continue to breastfeed after the first
year, and there are certain advantages to doing so. Colostrum, or “first milk,” is a gold or golden liquid
that is rich in nourishment and good antibodies that help protect your infant from infections during the
first few days after birth. Although colostrum is small in amount, it offers all of the nutrition a baby
requires in the first few days if given often. Breastfeeding has numerous advantages and protections for
both mother and their child. Breastfeeding also saves money and provides convenience for many
families.

2. If the patient / mother tells you the baby don’t get the breast milk and continuous to cry, If
you are the nurse what will you recommend?
Encourage the mother to begin breastfeeding as soon as the baby is ready and explain its
importance. If the baby cannot be breastfed, give expressed breastmilk using an alternative feeding
method. As a nurse, checking blood glucose level, rule out hypoglycaemia and treat hypoglycaemia if
present. If the baby’s respiratory rate is more than 60 breaths per minute or the baby has chest
indrawing or grunting on expiration, treat for breathing difficulty.
 3. Why newborn screening and hearing ng test important?
The goal of newborn screening is to detect disorders that are threatening to life or long-term
health before they become symptomatic. These conditions include inborn errors of metabolism,
endocrine disorders, hemoglobinopathies, immunodeficiency, cystic fibrosis, and critical congenital
heart defects. Early treatment of these rare disorders may significantly reduce mortality and morbidity
in affected patients. Significant permanent hearing loss is a common disorder at birth and can lead to
delayed language development, difficulties with behavior and psychosocial interactions, and poor
academic achievement. Detection of hearing loss during infancy can initiate intervention resulting in
improved language, cognitive, behavioral, and academic outcomes.

4. If the father asked you why there is a need for my baby to be injected with bcg, vit K and
Hepa B injection?
“Vaccines help your baby’s immune system fight infections more efficiently by sparking their
immune response to specific diseases. Then, if the virus or bacteria ever invades your baby’s body in the
future, their immune system will already know how to fight it.
It is necessary that bcg, vitamin k and hepa B is to be injected for your baby. BCG vaccine is used to
prevent tuberculosis (TB) in people who have not been infected with the disease but are at a high risk of
getting it. Vitamin k is for blood clotting, which stops wounds from continuously bleeding so they can
heal. And hepatitis B vaccine is a highly effective treatment for the disease. It guards against hepatitis B
infection and its complications, including persistent liver damage that can lead to liver cancer and death.
When you immunize your infant, you are also helping to protect others.”