DEFINITION: The care given in during the first hour after birth

Purpose Assessing the condition of the newborn and help implement and respiratory
sponton prevented or Hypotermi.

PREPARATION :
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• Delee
• Clamps 2 pieces
• Clamp the umbilical cord
• dry towel
• Eye ointment
• weighing babies
• Baby clothes 1 set

PROCEDURE:

1. Setting up the tool and the rooms were warm and clean
2. Setting up a complete baby clothes, towels soft, clean, clean dry cloth for baby
3. Preparing eyedrops / ointment
4. Washing hands with soap and clean water
5. Immediately after birth, assessing whether the baby breathing. If the baby
does not cry, quickly wash airway with DeLee, if still not crying
immediately take action according to the standard: handling of asphyxia
in newborns
6. Immediately dry the baby with a towel to dry, clean, and warm. Then put the cloth dry
warm, give the baby to his mother for being cuddled in her chest and breast-fed because it
will assist the release of the placenta
7. Keep the babies warm (provide headgear to prevent infants lose body heat
8. Cut and tie the umbilical cord
9. Checking the umbilical cord is cut to ensure no bleeding tadak
10. Closing the umbilical cord with a dry Gaas
11. Completing letter keterngan born baby
12. After 5 minutes of the general state of the baby did vote with the US
13. Perform a physical exam baby
14. Measure BB / PB
15. Megukur baby's vital signs, measuring first with a thermometer placed in the armpit or groin
16. Wearing baby clothes and baby wrap
17. Provide eye ointment
18. Give the baby to her mother to breastfeed immediately after birth later than the first 2 hours
19. Make sure the baby stays wrapped / wear warm clothing and headgear
20. Helping mothers to breastfeed
21. Washing hands
22. Noting of urine and meconium
23. Shall record all that was found in the mother and baby card and collaborating wheNo
abnormalities
NEWBORN PHYSICAL EXAMINATION

Rated aspect Value

12 3 4

A. Preparation tool
Tray and base, thermometer, stethoscope,
tensimeter, centimeters / meter / measuring tape, baby
1.
scales, tongue spatula, opthalmoscope, watches, stationery, sheet
assessment.

B. Phase pre interaction

2. Check the maintenance records and the medical records of clients

3. Washing hands

4. Prepare / bonding tools

C. Stage orientation

5 Give greetings, call the client / family name

6. Explain the purpose, procedures and duration of action on the family

D. work phase

7. Allow the client or family to ask before activity begins

8 Perf
orm observations whole body of the baby: posture, limb
including skin conditions, skin color, abnormalities in the skin, the
movement of the baby, birthmarks, vernix.
9. Measuring vital signs: breathing, blood pressure, temperature, pulse.

10 Kaji head: shape, lumps, measure the circumference of the head with
measuring tape

11 Assess face: symmetry / proportioned face

12 Assess the ear: the shape, location, spending (k / p)

13 Kaji eyes: symmetrical, the cleanliness of the eyelid, strabismus, pupil, reflex
to light (cornea, pupil), eye doll
Assess the nose: symmetrical, nostrils, nasal flaring circumstances, their
milia, reflexes (glabella, sneezing)

15 Assess the mouth: the cleanliness, the movement of the tongue, normal variations,
abnormalities lip / palate (labioplatoskizis), the reflexes (rooting, sucking, Gawn,
ekstrution, swaling)

16 Assess the neck and chest: long neck, clavicula, chest circumference, chest movement,
symmetry nipple, nipple expenditure, breath sounds, heart
sounds (apex of the heart), tonic neck reflex

17 Assess abdomen: intestinal peristalsis, the condition of the cord, breathing movements
abnormal, abdominal circumference, umbilical cord bleeding, abdominal reflex

18 Assess genitalia: female, labia majora, labia minora, klistoris, expenditure, normal
variations.

Male: testicular descent, the number of testes, a condition of the

penis, scrotum, normal variation, two testes in the scrotum

Anus: the body temperature, abnormalities (atresia ani)

19. Assess the upper and lower extremities: normal movement, symmetrical / no, the number of fingers, Babinsky reflex,
handheld, walked, reflex Peres

20 Considering BB and measuring TB

E. Stage termination

17 Conclude the activity

18 Give positive reinforcement in the family

19 Make a contract for the next activity

20 End of activities

21 W wash hands

F. Documentation

22. Record the results of actions in the nursing notes

TOTAL VALUE
MAINTENANCE ROPE P USAT
STANDARD
OPERATING
PROCEDURE
Giving babies umbilical cord care at birth begins the day 1 until the
umbilical cord off
AIM (crowbar)
Prevent infection
POLICY Started in newborns until the umbilical cord off (crowbar)
OFFICERS Nurse
EQUIPMENT • Sterile gauze in place
• Alcohol 70% in place
• Crooked 1 piece
• Perlak and pengalas
PROCEDUR Phase Pre Interaction
E FOR 1. Checking the therapy program
IMPLEMEN 2. Washing hands
3. Preparing tool
TATION Orientation Phase
1. Give greetings to greet the patient and the patient's name
2. Explaining the purpose and procedures of action on the client / family
3. Asking the client's consent and readiness before the activities carried
Work Phase

1. Attach the right side pengalas perlak and baby

2. Clean the cord with gauze Alcohol 70%
3. If the umbilical cord is still wet, wipe from the tip to the base
4. When the cord is dry, wipe from the base to the tip
5. Once done, baby clothes worn back. Baby should not
may octopus because it will make the area moist umbilical cord so that
the germs / bacteria thrive and ultimately hinder healing. But Also to
be seen habits of parents / mothers (Personal hygiene) Termination
Phase
1. Evaluating the results of a recent action
2. Saying goodbye to the patient
3. Picking up and return the device to its original place
4. Washing hands
5. Noting the activities in the sheet