COLLEGE OF

NURSING
DHAMTARI
SUBJECT:- CHILD HEALTH NURSING

TOPIC:- DEMONSTRATION ON CORD CARE

Submitted to: Submitted by:

Ms. Ankita Singh Ms. Priyanka Gahire
(Clinical Instructor) Post Basic BSc. Nursing 1st year

College of Nursing Dhamtari College of Nursing Dhamtari

SUBJECT:- Child Health Nursing

TOPIC:- Demonstration on Cord care

NAME OF EVALUATOR:- Ms. Ankita Singh

NAME OF STUDENT:- Ms. Priyanka Gahire

DATE:- 26-Aug-21

TIME:- 11:00 PM

PLACE:- HSW

METHOD OF TEACHING:- Lecture Method

AV AIDS:- Chart, Flash Cord

LANGUAGE:- Hindi, English

PREVIOUS KNOWLEDGE:- Before my
demonstration Student, Patient, Family had slightly
knowledge regarding Cord care.

General objective :- At the end of my demonstration the students will be able

to gain more knowledge regarding the Cord care.

Specific objective:-
 At the end of the demonstration the students will be able to
 Introduction of topic of Cord care
 Define the Cord care
 To explain the purpose of Cord care
 Enumerate the indication of Cord care
 To enlist the importance of Cord care
 Explain the article of Cord care
 Explain the article required for Cord care
 Describe the Procedure of Cord care
 Describe the Complication
 To explain the nursing care plan. Nurses responsibility in Cord care

S.n Tim Specific Content Teaching Learni A v aids evaluati

o. e objectiv activities ng on
e activiti
es
1 To give Self
self introduction:-
introducti My chef ms.
on Priyanka Gahire,
College of
nursing
Dhamtari, I am
here to giving my
2 health. education
Lecture Listenin Chart What are
on cord care.
To give method g the cord
topic method care?
introducti Introduction of
cord care:-
 on. cord care refers
to the handling of
the umbilical
stump of a
newborn at
delivery.
Umbilical cord
care is important
for the well being
of the newborn.
Health education
is a strong tool
for lifestyle
modification
towards healthy
living.
This ought to
extend to
mothers who
care for their
infants. Umbilical
cord stump in
various ways
especially after
3 discharge from
hospital. Lecture Charts
method Listenin What is
Definition of g cord care.
To define cord care:- method
the cord It is the
care. techniques by
which the
umbilical cord of
newborn, infant
is weaned. It aims
at proper
complete healing
of the umbilical
cord as well as
4 guarding against
infection. Lecture Charts
method Listenin What are
Purposes of g the
To explain umbilical cord method purposes
care:-
 the The purposes of of cord
purposes cord care is to care.
of encourage
umbilical separation of the
cord. cord stump from
the attachment
site without
complication
reducing the risk
of umbilical cord
infection.
5
Flash
Teaching chart
Indication of method(lect
Listenin
umbilical cord ure) What are
g
care:- the
method
To explain  The skin indication
the around the of
indication base of umbilical
for cord body’s cord.
care. cord stump
looks red
or swollen.
 When
yellow or
green
discharge
around the
base of the
stump.
 Baby’s
stump
smells bad,
even after
clean it
before.
 Baby’s
umbilical
cord area
oozes pus.
To explain These could be
about the signs of an
why umbilical cord
important infection.
 of
umbilical
cord. The important of
6 umbilical cord
To
care:- Flip chart
enumerat
This is important
e the Lecture
that keep the
equipmen method
umbilical cord Listenin
t required
stump g
for cord Why cord
surrounding skin method
care. care
clean. Dry this
importan
basic care help to
t to new
To explain prevent infection.
born.
the It may also help
procedur to prevent
e of cord infection. It may
care. also help the
umbilical cord
stump to fall off
the navel to heal
more quickly.

Equipments
7
required for cord
care :- Visualisa
*Most tion
recommended Lecture method
cleaning the method Listenin
umbilical cord g
stump, soap, method What
water. article
*Antibacterial required
solution may be for cord
used. care.
*Chlorhexidine is
an often used
solution.
*cord clamp
removes.
8 *clean gloves.

Demonst
Procedure Ration
Demonstrati
(steps):-
on
 1.wash hand method/lect Listenin
properly ure method g Visuali
Rationale :- sation
To decreases the method Explain
micro organism. the
2.place cord procedur
clamp*1 e for cord
approximately care.
2cm from skin.
Rationale:
To prevent from
blood loss.

3.cord is checked
for ooze hously
for 2 hours after
birth.
Rationale :-
To enlist To inspect any
the kind of bleeding
complicati or discharge.
on of cord
4.using properly
care.
sterelised
instruments for
cord ties.
Rationale :-
To prevent the
exposure of any
kind of infection.

5.inspect the
cord for bleeding
2 hrs after
ligation.
Rationale :-
Bleeding may
occur at this time
due to shrinkage
of cord loosing of
ligation.

6. inspect for
discharge.
9
7.Do not apply
 anything on the
stump keep the
charts
cord clean & dry.
Rationale :-
Lecture
So that the stump
method
will be free from
infection. It will Listenin
easily fall off. g
8.The cord should method What are
To the
be kept as dry as
describe comlicati
possible.
the ons of
Rationale :-
nursing cord care.
To decreases
care
infection.
plan /
9. it dries,
nursing
shrivels up
responsbil
separates by
ity
aseptic necrosis
in 5-10 days
Rationale :-
To decreases
infection.
10. a clean
delivery kit for
cord care.
Rationale :-
To prevent
infection.
11. Educate
parents to
observe and
report any sign of
10 infection(rednes,
offensive odour)
Rationale :-
To give more Charts
knowledge.
12.The nappy
should allow for Lecture
the cord to sit method
out of it. Listenin
Rationale :- g
To reduce method What are
infection from
nappy. nurses
13.wash hand roles in
before handling cord care.
the umbilical
cord, where
possible avoid
touching the cord
stump.
Rationale :-
To prevent the
transmission of
infection to baby.
14. educate
parents regarding
separation to the
cord.
Rationale :-
To gain
knowledge
regarding
separation of
cord care of care.

Umbilical cord
complication:
1 any fever, a
rectal
temperature of
100.4F or higher
in a newborn is
considered a
medical
emergency.
2onphalitis-
If notice any
redness, warmer,
swelling or
tenderness in the
skin around the
belly button, or a
lot of discharge
from it call
paediatrician.
Onphalitis, a
potentially life
threatening
infection of the
umbilical stump,
which must be
promptly
checked, treated
in the hospital.
3 Umbilical
granuloma-
If notice a
persistent, yellow
green drainage
from the belly
button
granuloma a
small nodule of
firm pinkish red
tissue. It is
treated with
silver nitrate
applied to the
umbilical stump c
a cotton swab.

The nursing care

plan:-
Nursing
diagnosis-
Risk for infection
related to newly
clamped
umbilical cord.
Outcome:-
The area around
the umbilical
cord shall stay
dry, free of
erythema,
discharges.

Inter Ratio
Vent Nal-
Ion- To keep
*spon the cord
ge dry
bath *supposi
the ng the
new clamp
born loosens
rather before
than thrambo
tub sis
bath in obliterat
water. es the
*inspe cord
ct the vessels,
cord bleeding
to be could
certain result.
it is *to
clamp enable
ed the
secure mother
ly. to better
*teach care for
the the child
mothe while at
r on home.
how to
care
for the
cord
stump
till it
falls.

Nurse role in
cord care:-
1 ensure hygienic
and aseptic
condition are
maintained in all
deliveries by
washing their
hands properly
gloves for every
delivery using
appropriate
aseptic cord
clamping, cutting
technique.
2Demonstrate
beneficial cord
practices were
more common
among mother’s
with higher level
of education, that
the nurses
mothers,
traditional birth
attendants choice
of cord care
practices.
3ensure guidlines
on umbilical cord
care are
developed by the
local health
institution and
the government
based on
evidence based
researches.
4.Patients should
be educated on
the relevance of
proper hygiene
when caring for
the umbilical
cord.
5.The use of
prescribed
antiseptic in
caring for the
cord.
 BIBLIOGRAPHY
1. Parul dutta : pediatric nursing 3rd edition jaypee brother page no.106

2. Adele pillitteri: child health nursing care of the child family page no 68

3. Rimple Sharma : essential of pediatric nursing 3rd edition jaypee brother

page no.112

4. Smriti arora: child health nursing volume 3rd, 1st south aisa edition page no.
103.