Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Minor disorders of newborn 1
1. Submitted to:- Resp. Ms. Neha Ma’am
Submitted on:- March 2020
Submitted by:-Gurgagandip kaur
Roll no.15
Bsc(N) 4th year
2. Minor disorders are most common among newborn,
neglecting the minor health problems is one of the
factor Contributing to the newborn mortality rate.
Most mothers observe their babies carefully & are
often worried by minor physical percuiliarities
which may be of no consequences.
3. Neonate/Newborn:
The baby from Birth to
28 days of life.
Minor Ailments:
are physical conditions
in which there is a
disturbance of Normal
functioning.
These are:
4. Caused by anything that inflames the
nasal tissue like:
Cold
Influenza
Sinusitis
Allergies
Leads to mouth breathing and excessive
air swallowing which may lead to
abdominal distension & bleeding.
Treatment:
• Nostrils cleaned by cotton soaked
with normal saline.
• Nasal spray & Nasal drops.
5. Due to chemical irritant or bacterial
infection of staphylococcus. In eye
red with purulant and swollen lids.
Onset within 24 hours of birth to 2-
4days.
TREATMENT :
• Clean eyelids with cotton soaked
in warm saline solution
• Erythromycin (0.5%) every 6 hours
for 7-10 days.
6. • Also known as NAPKIN RASH , and
this is due frequent loose stools or
poor hygiene
• The perineal area become red
,indurated, excoriated.
Treatment : frequent care
Maintain hygiene of the baby
Positioning
Apply coconut oil
7. Fungal infection characterized by
white patches in the mouth &
tongue of baby.
They often bleed when try to
remove
Treatment: Application of 0.5% of
aqueous solution of Gentian Violet
or Nystatin
Suspension (100,000 units/ml) with
cotton dipped swab 3-4 times day.
After each feed clean baby’s mouth
and mother’s nipples also.
Avoid bottle feed.
8. Yellow appearance of face,
abdomen,legs and whole body due to
increase in blood bilirubin level and
it normally disappear within 7-10
days .
Treatment: Under phototherapy.
If beyond 2 weeks then proper
investigation and treatment.
9. • Due to the faulty techniques
of feeding
• Stenosis
• Intestinal Obstruction
Treatment:
1. Proper feeding techniques
2. Breast feeding
3. Avoid bottle feeding
10. Due to intake of maternal
medicine such as ampicillin
(cephalosporin) or any other
drugs and also due to
overfeeding
Treatment:
Avoid overfeeding and bottle
feeding
Maintain hygiene
Wash nipples after each feed
11. Due to insufficient fluid or milk
intake
Mor common in bottle fed infants
Treatment:
• Apply lubricant over anal.
• Milk of magnesia one teaspoon
twice a day.
12. Hiccups produced by spasmodic contraction of
diaphragm & characterized by sudden noisy
snd jerky retractions. It occurs usually after
feed due to distension of stomach and
irritation of diaphragm.
Sneezing in infants is reflex just like in
adults. The reflex occurs when nasal passage
is irritated (the irritation of nostrils is by
secretions).
Treatment: It should be sucked out by
mucous catheter.
Nasal spray and drops.
Burp.
13. During summer months when
environmental temperature goes
above 39°C newborn may develop
fever on the 2 or 3 day of life.
Treatment:
• Cold compressions.
• Loss cotton clothes for comfort.
• Breast milk only and avoid bottle
feeding.
14. Meconium is first stool of baby which is of dark
green color & healthy baby can pass urine and
meconium with in 24hours after birth and if a
baby is not passing meconium it may be due to
Gestational immaturity.
Intestinal obstruction and any other cause.
May be due to congenital abnormality.
Treatment:
• Immediate to inform the doctor.
• Intravenous fluid
• Enema
• Gently rubbing the lower abdomen in circular motions with a
piece of gauze soaked in cold liquid, to trigger urination.
15. • Due to hunger and discomfort
• Due to fullness of bladder before
urinating
• Constipation
• Insect bite
• Other causes
Treatment:
• Frequently feed the baby .
• Check for urine and discomfort.
• Cover the baby from insects.
16. • Due to sedation given to
mother at the time of labour.
• Excessive feeding
Treatment:
Keeping a log of the baby’s
sleep schedule for 1-2 days.
Feed according to need don’t
overfeed.
17. Caused by head pressing on
the pelvic outlet at the time of
last period of labour leading to
the swelling and edema of the
scalp. (Clear fluid filling
between scalp and bone)
Treatment:
• It usually disappear in 1-2
weeks.
18. Area around umblical cord
become moist & may swell or
bleeding may occur too.
Treatment:
• Treat with silver nitrate
• Cord care
19. Newborns still have many maternal hormones
circulating in their system in the first few weeks
following birth. These hormones can
cause pimples todevelop on the face (chin, cheeks,
forehead and eyelids, for example). It's not uncommon
to see baby acne on the chest, neck or back, too.
Treatment:
• Wash baby face with warm water and
mild soap once a daily.
• Dry baby’s face gently.
• Donot apply lotion or oils on baby’s face.
20. Small red flat or raised
lesion on chest,
abdomen,back & buttocks
of the newborn
Treatment:
It will disappear soon in
first two weeks.
21. Distended sabaceous glands in skin
yellow pin point size lesions located on the
nose bridge,chin or cheeks.
Treatment: No treatment required as it
disappears within first few weeks.
• Don’t prick or squeeze them
22. • Widening of surface
capillaries.
• Pale pink or red spots at the
neck , eyelids,glabella or
nasolabial folds of fair
skinned new born
Treatment: No specific
treatment. Usually disappear
by 2years.
23. Purple, bluish or black discoloration of area
over sacral & coccygeal area.
The spots appear when melanocytes (cells
that produce pigment, or melanin) remain in
the deeper skin layer during embryonic
development.What causes this to happen
isn’t known.
Treatment: no specific treatment
but most gradually disappear as
child grows.
24. By dialated blood vessels to
reddish purple birth marks
on face
Treatment:
• Cosmetic
• Laser therapy used to fade
port wine strains.
• It will not fade with time.
25. Collection of fluid in one or
both the testicles (scrotal
sacs) at birth during 1st week
of life due to hormonal
withdrawal.
Treatment:
• It will disappear with few
months.
• Incision and drainage.
26.
27. Due to maternal hormones
Mastitis Neonatum : enlargement of
breast.
Vaginal Bleeding: red spots seen on diaper.
Vaginal mucoid secretions: mucus
secretions discharge.
Engorged Breast: swollen breast
TREATMENT:
• Disappear with time.
• Local aseptic cleaning in genitalia.
• No need to squeeze breast to express
milk.
28.
29. • What is Neonatal jaundice?
• What is the cause of genital crisis?
• What do you mean by congenital
Hydrocele?
• What is not to do in engorged breast?
30.
31. Bhaskar Nima; midwifery and obstetrical nursing; 2nd edition ; published by
Emmess Publisher ; page no.300-301.
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