Immediate Newborn Care Procedures

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Questions and Answers

What is the main reason for delaying cord cutting after birth?

To facilitate early bathing

To keep the mother calm

To prevent anemia (correct)

To allow the baby to cry

What action should be taken immediately after drying the newborn for 30 seconds?

Administering vaccinations

Initiating skin-to-skin contact (correct)

Clamping the umbilical cord

Bathing the newborn

Which of the following is a non-time-bound intervention for newborns?

Towel-drying the newborn

Breastfeeding initiation within 90 minutes (correct)

Checking the newborn's Apgar score

Clamping the cord after 1 minute

What is the correct procedure for cord clamping?

Clamp 2 cm from the umbilicus and 5 cm for the second clamp Signup and view all the answers

What should be avoided in the first six hours after birth to reduce the risk of hypothermia?

Washing the baby Signup and view all the answers

What is an unnecessary procedure that should be avoided during newborn care?

Routine suctioning Signup and view all the answers

When should resuscitation begin for a newborn?

If the newborn is not breathing or gasping after 30 seconds of drying Signup and view all the answers

What should be given to the mother after delivery to prevent uterine atony?

10 IU of oxytocin Signup and view all the answers

What is the primary goal of the Essential Intrapartal Newborn Care protocol?

To provide evidence-based care for newborns Signup and view all the answers

Which of the following is NOT a documented benefit of skin-to-skin contact?

Enhances maternal mental health Signup and view all the answers

What is the recommended duration for exclusive breastfeeding after birth?

6 months Signup and view all the answers

What should be prioritized during the newborn care process?

Timely administration of eye care Signup and view all the answers

Which of the following is an example of an unnecessary procedure during essential newborn care?

Conducting a full physical examination Signup and view all the answers

When should complementary solids be introduced to a breastfeeding infant?

At 6 months of age Signup and view all the answers

What is the significance of checking the perineum, lower vagina, and vulva of a neonate?

To assess for any birth injuries or tears Signup and view all the answers

What immediate care should be provided to ensure the neonate’s health post-birth?

Providing a warm blanket and eye care Signup and view all the answers

Study Notes

Neonate Care Overview

A neonate is defined as an infant less than 4 weeks old.
The Philippines ranks among 42 countries contributing to 90% of global under-five mortality, with 37% of these deaths occurring in newborns aged under 28 days.

Essential Intrapartal Newborn Care (EINC)

EINC, launched by the DOH in 2009, is a protocol promoting globally accepted evidence-based newborn care during the first week of life.
Focuses on both time-bound and non-time-bound procedures as well as minimizing unnecessary interventions.

Benefits of Skin-to-Skin Contact

Enhances mother-child bonding.
Supports successful breastfeeding and colostrum feeding.
Fosters colonization with maternal flora which offers protection from hypoglycemia.
Encourages the crawling reflex in the newborn.

Preparation for Newborn Care

Gather necessary materials:
- 3 pairs of surgical gloves (2 for obstetrics, 1 for pediatrics)
- 2 blankets and a bonnet
- Cord care set and eye care supplies
- Vitamin K and Hepatitis B shot

Time-Bound Procedures

Essential interventions to perform immediately after birth include:
- Drying the baby within the first 30 seconds to prevent hypothermia.
- Initiating skin-to-skin contact right after drying.
- Clamping the umbilical cord 1 to 3 minutes after birth.
- Noting the time of birth and breastfeeding initiation within 90 minutes.

Non-Time-Bound Interventions

These should be conducted post-first breastfeeding (within 6 hours):
- Administration of Vitamin K prophylaxis.
- Vaccination against Hepatitis B and BCG.
- Examination and cord care of the newborn.

Unnecessary Procedures to Avoid

Routine suctioning, early bathing, and footprinting.
Offering sugar water, formula, or other pre-lacteals, including the use of bottles or pacifiers.
Application of substances on the cord stump or excessive bandaging.

Proper Cord Clamping Benefits

Helps prevent anemia in the newborn.
Reduces rates of intraventricular hemorrhages.

Newborn Resuscitation Protocol

Initiate resuscitation immediately if the newborn exhibits no breathing or gasping after 30 seconds.
Clamp and cut the cord without delay to expedite care.

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Description

This quiz covers essential procedures for immediate care of newborns, focusing on drying, handwashing, and the importance of skin-to-skin contact. It includes critical actions to take within the first 30 seconds of birth. Test your knowledge on these vital protocols for infant care.