NU 201 Family Focused Nursing Care

Immediate Newborn Care Simulation/ Week1

Week: Orientation
Date & Theory Preparation Clinical Preparation Location of Content Materials to
Time Content Content Bring
Simulation lab
22nd /23rd  Read the Care of  Discuss essential  (Read chapter24 page 480-500.) Maternal and child  Prep Sheet
/24th of Newborn lecture newborn care nursing care London book. with your
Feb 2022  Elsevier Module concepts.  Elsevier Module: https://point-of- Questions
Content  Apply the APGAR care.elsevierperformancemanager.com/skills/9370/quick  Complete
(Immediate score. -sheet?skillId=ZZ_0391. Uniform and
Newborn Care,  Demonstrate clearing Equipment
Subcutaneous of the airway.  Put notes into
injection, Bulb  Administer Vit. K via your notebook
Syringe Suction, subcutaneous for discussion
Vitamin K role in injection.
newborn and  Administer eye

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care
thermoregulation) prophylaxis
erythromycin.
 Apply safety regarding
newborn Identification
& Skin to Skin contact

1. You are assigned to be a neonatology nurse, now they call for you through the pager to come and assist in examining a
newborn. What equipment you should make sure it is in your bag?
When I go to assist or examine a newborn baby I should take APGAR chart to assist the newborn immediately after birth and
I should take setscope to auscultate the heart beat and I should take a vitamin k and subcutaneous syringe to give it for the
child as a prophylaxis, take a erythromycin 0.5% ophthalmic ointment for prevention of gonococcal ophthalmic neonatorum,
take a syringe Bulp for suction any secretion, blaster , alcohol swap , wipe , warm blanket ,umbilical catheter , nalosan ,
different cannula.

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care

2. What information you will require to complete your assessment?

I should know the OB history and know that the mother will birth on her time (gestational age ).I should know the vital signs such
as temperature, pulse, and breathing rate. I should check the infant's general appearance from head to toe, looking at everything
from soft spots on the skull to breathing patterns to skin rashes to extremities movement and the reflexes of the baby.

3. You are handed a newborn baby after delivery, here you have your baby in your hand.

What is your first interventions? (prioritize):

First I should clean the baby and dry him and maintained the body temperature to put the baby under the radiator heater and
positioning the baby . I will check the baby appearance for any cyanosis because that will indicate decrease on the oxygen level
and the oxygen or the air way is most priority.

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care

4. Now your baby has central cyanosis with HR 96, weak crying, Some flexion of the extremities and irregular respiration
 So, what is your APGAR score?

 What APGAR indicate:

That is indicate that is low

 What is your action based on the APGAR score?

Need for resuscitation.

5. You have received the following newborn who is his heart rate of 70 bpm after being placed under the warmer, dried, and
stimulated. Only 30 seconds have passed since delivery. What should the newborn resuscitation team do next?

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care

A. Continue to stimulate the newborn until the 1-minute Apgar score can be assigned.

B. Start resuscitation as appropriate before the 1-minute Apgar score is assigned.

C. Start chest compressions before the 1-minute Apgar score is assigned.

D. Ensure the accuracy of the heart rate with an ECG.

6. While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing
action is appropriate for this situation?

A. Activate the code blue or emergency system

B. Do nothing because acrocyanosis is normal in the neonate
C. Immediately take the newborn’s temperature according to hospital policy
D. Notify the physician of the need for a cardiac consult

7. Now your baby is bleeding from his umbilicus cord, you notice that while you perform umbilical check, what is your first
action?
Clamp the umbilical cord between the first and second clamping

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care

8. Still your baby is bleeding, so what is you action?

Give the baby vitamin K injection

9. Oh my god he still bleeding, what should we do?

Increase the dose of vitamin K

10. So, what do you think? and What you will assess further?
I will check the coagulation profile

11. After the nurse administers an injection of vitamin K to a newborn, what is the most appropriate nursing action?
A. Avoiding any sucrose analgesia.

B. Having the mother avoid breastfeeding for 30 minutes.

.C. Applying an ice pack to the injection site

D. Applying pressure to the injection site with a gauze pad.

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022

 NU 201 Family Focused Nursing Care
12. The mother of a delivered baby, she complains from itching in her vaginal with discharge, what is your nursing action?

Put an antipoetic eye ointment medication for the child to prevent the bacterial infection such as gonorrhea

13. As you know the care of newborn is divided into immediate newborn care and routine newborn care, would you please list
the routine newborn care?
Immediate care involves: Drying the baby with warm towels or cloths, while being placed on the mother's abdomen or in her arms.
This mother-child skin to skin contact is important to maintain the baby's temperature, encourage bonding and expose the baby to
the mother's skin bacteria

NU201/Family Focused Nursing Care/Orientation Week/Prep Sheet/2022