Care Of The Newborn
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The document discusses care of the newborn in the first 24 hours of life and in the nursery. It covers immediate care including establishing airway and breathing, maintaining temperature, and APGAR scoring. It also discusses components of newborn care like identification, bathing, measurements, eye prophylaxis, vitamin K administration, and assessments.
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Care Of The Newborn
- 2. The 1 st 24 hours of Life The first 24 hours of life is a very significant and a highly vulnerable time due to critical transition from intrauterine to extrauterine life
- 9. Care of the Newborn in the Nursery
- 15. Cord Care 051104 Neonatal Care
- 16. Weight/ Anthropometric Measurements 051104 Neonatal Care
- 18. Crede’s Prophylaxis 051104 Neonatal Care
- 19. Vitamin K Administration 051104 Neonatal Care
- 20. Foot Printing 051104 Neonatal Care
- 21. Vital Signs 051104 Neonatal Care
- 24. NEWBORN ASSESSMENT Assessment of the newborn is essential to ensure a successful transition
- 27. 051104 Neonatal Care APGAR Scoring System INDICATORS 2 1 0 Activity Active, spontaneous Some flexion of extremities No movement (flaccid, limp) Pulse >100 bpm < 100 bpm Absent Grimace Pulls away, sneezes, coughs Facial grimace only No response with stimulation Appearance Completely pink Acrocyanosis Bluish-gray or pale all over Respiration Good vigorous cry Slow, irregular Weak cry Absent
- 28. 051104 Neonatal Care Score Interpretation Score Interpretation Nursing Interventions 7 to 10 Well baby Rarely needs resuscitation 4 to 6 At risk INFANT NEEDS INTENSIVE CARE Requires resuscitation Suction Dry immediately Ventilate until stable Careful observation 0 to 3 Sick baby PROGNOSIS FOR NB IS GRAVE Intensive resuscitation ET/ Ambu bag Ventilate with 100% O 2 CPR Maintain body temperature Parental support
- 33. VITAL SIGNS
- 44. Silverman Scoring System 051104 Neonatal Care 0 1 2
- 45. Example 051104 Neonatal Care 0 1 2 Score: 5
- 46. Score Interpretation 051104 Neonatal Care Score Interpretation 0-3 No RDS 4-6 Moderate RDS 7-10 Severe RDS
- 54. SKIN
- 65. Phototherapy units 051104 Neonatal Care
- 66. 051104 Neonatal Care Nursing Responsibilities: -cover eyes and sex organ
- 74. Birthmarks
- 81. 051104 Neonatal Care Large capillary hemangioma
- 82. 051104 Neonatal Care Cavernous Hemangioma
- 85. Other Skin Marks
- 94. Neurofibromatosis 051104 Neonatal Care
- 95. HEAD
- 102. 051104 Neonatal Care
- 110. 051104 Neonatal Care
- 114. 051104 Neonatal Care Low set ears
- 125. 051104 Neonatal Care
- 134. 051104 Neonatal Care
- 135. 051104 Neonatal Care
- 138. Neurologic System
- 139. Reflexes
- 151. Usher’s Criteria 051104 Neonatal Care FINDINGS 0-36 WKS 37-38 WKS 39 WKS AND OVER Sole creases Anterior transverse crease only Occl creases in ant 2/3 Sole covered with creases Breast nodule diameter (mm) 2 4 7 Scalp hair Fine and fuzzy Fine and fuzzy Coarse and silky Ear lobe Pliable; no cartilage Some cartilage Stiffened by thick cartilage Testes and scrotum Testes in lower canal; scrotum small; few rugae Intermediate Testes pendulous, scrotum full; extensive rugae
- 153. 051104 Neonatal Care Physical maturity
- 154. 051104 Neonatal Care Neuromuscular Maturity
- 155. 051104 Neonatal Care Scoring
- 156. 051104 Neonatal Care Physical maturity 19
- 157. 051104 Neonatal Care Neuromuscular Maturity 17
- 158. 051104 Neonatal Care Scoring 19+17=36 36 39
- 162. 051104 Neonatal Care Disorder Screened If not screened If screened Congenital Hypothyroidism Severe mental retardation Normal Congenital Adrenal Hyperplasia Death Alive and Normal Galactosemia Death or Cataracts Alive and normal PKU Severe mental retardation Normal G6PD Deficiency Severe Anemia, Kernicterus Normal
- 167. The end 081007 Neonatal Care