Nursing Care Of A Neonate PDF

NURSING CARE OF A NEONATE ○ Examine perineum, lower vagina, and vulva for tears Neonate - infant who is less than 4 weeks of age ○ Benefits of Skin-to-skin contact:...

NURSING CARE OF A NEONATE ○ Examine perineum, lower vagina, and vulva for tears Neonate - infant who is less than 4 weeks of age ○ Benefits of Skin-to-skin contact: Promotes bonding between ESSENTIAL INTRAPARTAL NEWBORN CARE mother and child (EINC/Unang Yakap) Overall success of Philippines is one of 42 nations that account breastfeeding or colostrum count for 90% of global under-five mortality feeding 37% are newborns less than 28 days old Colonization with maternal asphyxia, prematurity, or sepsis flora December 7, 2009, the DOH issued Protect from hypoglycemia Administrative Order 2009-0025 to implement Encourage crawling reflex the EINC protocol ○ Carry out eye procedures and aims to provide globally accepted administer vaccines evidence-based essential newborn care ○ Keep the child in mother’s arm focusing on the first week of life ○ Exclusive breastfeeding starts at birth time-bound, non-time-bound and with colostrum feeding and continues unnecessary procedures for 6 months PREPARATION: ○ At 6 months, appropriate ○ 3 pairs of surgical gloves (2 for ob, 1 complementary solids are started for pediatrician) while breastfeeding continues until 2 ○ 2 blankets years or beyond ○ Bonnet ○ Cord care set TIME BOUND PROCEDURES ○ Eye care should be routinely performed first: ○ Vit K. and Hep B Shot a. immediate drying (within the first 30 ○ Wash hands seconds) ○ Double gloving b. skin-to-skin contact PROCEDURE: c. clamping of the cord after 1 to 3 minutes d. ○ Call out time of birth non-separation of the newborn to the mother ○ Towel -dry baby (30 secs) and breastfeeding initiation (within 90 ○ Do not wash the baby within first six minutes) hours to avoid hypothermia and infection NON-TIME-BOUND INTERVENTION ○ Do a rapid assessment while drying should only be done after the first full ○ Remove the wet cloth breastfeed (within 6 hours): ○ Initiate skin-to-skin contact a. Give Vitamin K prophylaxis ○ Cover the baby’s head and back b. Hepatitis B and BCG vaccinations c. ○ Remove the first pair of gloves Examine the newborn ○ Do not cut the cord immediately d. Cord care (allow pulsation to stop) ○ Clamp the cord at 2 cm from the UNNECESSARY PROCEDURES umbilicus base and 2nd clamp at 5 1. Routine suctioning cm 2. Early bathing ○ Cut the cord 3. Footprinting ○ Benefits of proper cord clamping: 4. Giving sugar water, formula or other Prevents anemia pre-lacteals and the use of bottles or pacifiers Lower rate of intraventricular 5. Application of alcohol, medicine and other hemorrhages substances on the cord stump and ○ Inject 10 IU of oxytocin to mother’s bandaging the cord stump or abdomen arm to prevent uterine atony (soft and weak uterus after childbirth) NEWBORN RESUSCITATION ○ Check on the mother’s condition and 1. Start resuscitation if the newborn is not deliver the placenta breathing or is gasping after 30 seconds of drying or before 30 seconds of drying.  2. Clamp and cut the cord immediately. 3. Call for help. CHEST CIRCUMFERENCE 4. Transfer the newborn to a dry, clean and 32-33 cm or 12.5-13 inches warm surface. Keep the newborn wrapped or usually measures about 2 cm (0.75-1 inch) under a heat source if available. less than the head circumference tape measure placed at the level of the nipple DISCHARGE INSTRUCTIONS 1. Advise the mother to return or to go to the ABDOMINAL CIRCUMFERENCE hospital immediately for: same as chest circumference a. Jaundice of the soles 32-33 cm or 12.5-13 inches b. Difficulty feeding measured measured at at level of umbilicus c. Convulsions d. Movement only when stimulated VITAL SIGNS e. Fast or slow or difficult breathing temperature, pulse rate, and respiratory rate f. Temperature 37.5 or