Care of Mother, Child, and Adolescent (Well-Client)

Related Learning Experience, Skills Laboratory

Bathing Newborn and Cord Care

A.Bathing Newborn - Hygienic measure that provides comfort measures and

contribute to the over-all wellness of newborns. Bathing a newborn is a process of
cleaning the baby’s body parts with mild soap and water.

Objectives: After various online classroom and laboratory activities, the Level II
students will be able to:

1. define the following terms:

1.1 newborn. 1.4 caput succedaneum.

1.2 vernix caseosa. 1.5 molding.
1.3 lanugo. 1.6 meconium.
2. state the importance of bathing a newborn.
3. identify the following:

1.1 indications of bathing a newborn.

1.2 contraindications of bathing a newborn.

4. discuss the following:

4.1types of baths.
4.2different ways of holding/carrying a newborn.

5. explain the following:

5.1principles involved in bathing a newborn.

5.2guidelines in bathing a newborn.

6. enumerate the materials needed in bathing a newborn and identify its uses.

7. demonstrate beginning skills in bathing a newborn.

B. Cord Dressing - provides an antiseptic cleaning of the cord stump using an

antiseptic solution. The procedure is done to assess the stump for any signs of
infection and to promote healing in the umbilical area.
Objectives: After various online classroom and laboratory activities, the Level II
students will be able to:

1. define the following:

1.1cord dressing. 1.4 omphalocele.

1.2umbilical cord. 1.5 omphalitis.
1.3Wharton’s jelly.

2. give the importance of cord dressing.

3. enumerate the indications of cord dressing.
4. determine principles involved in cord dressing.
5. list the guidelines in cord dressing.
6. enumerate the signs and symptoms of an infected umbilical cord.
7. enumerate materials used in cord dressing.
8. demonstrate the beginning skills of the daily cord dressing.

Criteria for Mastery:

1. 80% score on the post quiz
2. Submission of Procedure Guide with rationales
3. Individual Return Demonstration (Video Assignment)

Materials needed for Bathing Newborn

Tub half filled with lukewarm water

Lined tray containing the following:
 - Mild soap/ solution - baby blanket
- Bath towel - baby’s clothes
- Clean wash cloth - 2 small basin
- Mild shampoo diluted with water - diaper
- Cotton balls - apron
- Thermometer - waste receptacle
- Pitcher of hot and cold

Procedure Guide for Bathing a Newborn

PROCEDURE RATIONALE
1. Prepare the needed materials

2. Remove jewelry.

3. Close windows, put off electric fan, air

conditioning unit

4. Perform medical hand washing.

5. Check baby’s temperature.

6. Remove the clothing of the baby.

7. Bring baby to the tub.

8. When washing the head, hold the baby in a

football grip cover both ears using the thumb and
middle finger to clip the baby’s ear lobes. Wet the
scalp, and then shampoo the baby’s head using a
soft cloth/ palm of the hand. Rinse thoroughly and
dry
 9. Clean each eye with a cotton ball dipped in warm
water. Use more cotton to clean around the ears.
Wipe the mouth and chin with a washcloth.

10. Then, support the baby in a partially upright

position using one hand and the forearm of the
dominant hand. Use the other hand to wash the
body using a mild soap. Be particular in the
washing of the neck, armpit, chest, upper and
lower extremities, and genitalia. Rinse the
child’s body thoroughly.

PROCEDURE RATIONALE
11. To clean the back, transfer the baby to the non-
dominant hand then support chin and chest
with your hand and forearm still in an upright
position. Use the other hand to wash the back in
circular motion down to the buttocks. For
female babies, make sure to wash from front to
back (genitalia to anus).

12. Rinse the back thoroughly.

13. After rinsing dry the baby thoroughly with a

clean bath towel.

14. Transfer the baby to the blanket. Perform cord

dressing and then put on the baby’s clothes and
diaper.

15. Wrap the baby snuggly.

16. Do after care.

Revised June 2019

Materials needed for Cord Dressing

Lined tray containing the following:

- Sterile cotton swabs/ pledgets

 - Alcohol 70%
- Hydrogen peroxide
- Waste receptacle
Procedure Guide for Cord Dressing

PROCEDURE RATIONALE
1. Prepare the needed materials.

2. Assess the cord. Note the color, odor and possible

signs of bleeding, growth, and other unusualities
on the cord. A foul smelling cord indicates
infection.

3. Remove jewelry.

4. Do medical handwashing.

5. Using the first sterile cotton pledget soaked with

70% alcohol, clean the stump following inner to
outer, circular motion, from the stump including
the clamp. Discard the first cotton pledget.

6. Use the 2nd sterile cotton pledget to clean from

clamp down to the base. Discard the cotton
pledget.

7. With the 3rd sterile cotton pledget clean the base of

the cord from inner to outer in a circular motion.
Discard.

8. Do the necessary after care.

NOTE: Repeat steps 5-7 if needed