IMMEDIATE CARE OF NEWBORN

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G O A L S

To establish, maintain and support respirations. To provide warmth and prevent hypothermia. To ensure safety, prevent injury and infection. To identify actual or potential problems that may require immediate attention.
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To establish. then. 2. the nose 1. 3 .Wipe mouth and nose of secretions after delivery of the head. maintain & support respirations: 1. •Compress bulb syringe before inserting •Suction mouth first. Suction secretions from mouth and nose.

or if the cry is weak. -The normal infant cry is loud and husky. Stimulate the baby to cry if baby does not cry spontaneously. -Observe for the following abnormal cry: *High.3. -Stimulate to cry after secretions are removed. A crying infant is a breathing infant. (Rub the soles of the feet) 1. pitched cry *Weak cry *Hoarse cry 4 .

Place the infant in a position that would promote drainage of secretions. Newborns are obligatory nose breathers until they are about 3 weeks old. Keep the nares patent.4. -Trendelenburg position 1. Oral mucous may cause the newborn. to choke. -Side lying position 5. cough or gag during the first 12 to 18 hours of life. 5 . Remove mucus and other particles that may be cause obstruction.

6 . *NO SHIVERING in the newborn *initial temperature of the newborn is checked per rectum to rule out an imperforate anus. * Place in INFANT WARMER or use DROPLIGHT 1.To provide warmth and prevent hypothermia: *DRY and WRAP newborn to prevent heat loss.

To ensure safety. *Reasons for bleeding tendency: gastrointestinal tract of newborns INITIALLY STERILE> no bacteria to synthesize vitamin K >decrease clotting factor >bleeding tendency *Site for intramuscular injections in newborns: Thigh muscles – VASTUS LATERALIS (best site) RECTUS FEMORIS (alternate site) 7 . prevent injury & infection : A. given to all newborns to prevent bleeding. VITAMIN K INJECTION *Mandatory.

prevent injury & infection : B.To ensure safety. HEPATITIS B INJECTION * ALL NEW BORN INFANTS SHALL BE GIVEN IMMUNIZATION AGAINST HEPATITIS-B IMMEDIATELY WITHIN TWENTYFOUR (24) HOURS AFTER BIRTH . *Site for intramuscular injections in newborns: Thigh muscles – VASTUS LATERALIS (best site) RECTUS FEMORIS (alternate site) 8 .

To ensure safety. CREDE’S PROPHYLAXIS • Done to prevent OPTHALMIA NEONATORUM or gonorrheal conjunctivitis *Mandatory – done to all newborns Drugs used : 1. Terramycin opthalmic 1 cm from INNER TO OUTER CANTHUS 9 . prevent injury & infection : C.1% Silver Nitrate 1 – 2 gtts into each conjunctival sac 2.

I. 10 . tag should be applied.D.PROPER IDENTIFICATION After delivery. Bracelet Before transferring to nursery. gender should be determined Pertinent records should be completed including the I.D.

* To remove the transient microorganisms. *To stimulate circulation of the skin. * To prevent or eliminate unpleasant body odors. 11 . • To assess the newborn skin and body parts.NEWBORN BATH PURPOSES: * To remove the vernix caseosa that covers the skin of the fetus. body secretions & excretions.

NEWBORN BATH Oil bath or complete warm water bath From cleanest to dirtiest part DO NOT remove vernix caseosa vigorously 12 .

CORD CARE Strict asepsis prevents TETANUS NEONATORUM CHECK for 1 umbilical vein and 2 umbilical arteries Report incomplete vessels 13 .

*Do not apply anything on the cord such as baby powder or antibiotic. *If you notice the cord to be bleeding.Instruction to the mother on cord care: *No tub bathing until cord falls off. *Leave cord exposed to air. *Report any unusual signs and symptoms which indicates 14 infection. Do not apply dressing or abdominal binder over it. Do not sponge bath to clean the baby. Fold diaper below so that it does not cover the cord and does not get wet when the diaper soaks with urine. The cord dries and separates more rapidly if it is exposed to air. *Avoid wetting the cord. except the prescribed antiseptic solution which is 70% alcohol. *See to it that cord does not get wet by water or urine. . apply firm pressure and check cord clamp if loose and fasten.

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*taken at one minute & five minutes after birth 16 .To identify actual or potential problems that may require immediate attention A. APGAR SCORING *method of assessing the newborn’s adjustment to extrauterine life.

ASSESS HEART RATE RESPIRATION MUCLE TONE 0 Absent Absent Flaccid 1 Below 100 Slow Some flexion 2 Above 100 Good crying Active motion REFLEX IRRITABILITY COLOR No response Grimace Blue all over Body pink. Vigorous cry Pink all Extremities over blue 17 .

needs only admission care 18 . needs suctioning and oxygenation 7 – 10:GOOD.needs resuscitation 4 – 6:FAIR: moderately depressed.Interpretation: 0 – 3: POOR: severely depressed .

5 lbs.) – International standard : 6 – 6.5 lbs.400g (7 – 7. – average birth weight of a Filipino newborn > lower limit normal : 2.WEIGHING & TAKING OF OTHER ANTHROPOMETRIC MEASUREMENT Weight: 3000g – 3.500g 19 .

50 cm) HC : 33 – 35 cm/13 – 14 inches CC : 31 – 33 cm/12 – 13 inches AC : 31 – 33 cm/12 – 13 inches 20 .Height : 19 – 21 inches (ave.

9 – 36.VITAL SIGNS RR= 32-60 bpm CR= 110 – 160 bpm Temp: Oral= 36.2 – 37.4 C Rectal= 36.4 – 37.73/55 mmHg -varies in height and weight 21 .7 C BP.8 C Axillary= 35.

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