immediate-care-of-newborn.ppt

immediately care after New born

1. IMMEDIATE CARE
OF NEWBORN

3. DEFINE A HEALTHY NEWBORN
Thehealthynewborninfantisbornatterm,criesalmost
immediatelyafterdeliveryandestablishessatisfactoryrhythmic
pulmonaryrespiration

4. IMPORTANCE OF IMMEDIATE CARE
Periodoftransitionfromintrauterinetoextrauterinecondition
ChangesintheCVSandrespiratorysystem
Immaturityofthebodyinthermoregulation
Lossofheatthroughconduction,convection,radiationand
evaporation
Checkforbleeding

5. CLEARING THE AIR PASSAGES
Itisanurgentdutythatmustbeperformedwithoutdelay
Mucusshouldbesuctionedfromthemouthassoonasthe
headisborn.
Assoonasthebodyisbornthebodyshouldbeheldfora
fewsecondswiththeheadslightlydependentforthe
drainage.
Someholdthebabyupsidedown.
Mucusmustberemovedbeforethefirstbreathtoprevent
aspiration.
Ifthebodycriesimmediatelythereshouldbenoneedtouse
suctioning.
Iftheinfantcontinuestohaveanaccumulationofmucusin
themouthornosedosuctionagain.

12. SUCTIONING
Useabulbsyringeorasoft,smallcatheterforsuctioning
Dosuctionfirstinthemouthfollowedbynose.
Avoidvigouroussuctioning
Ifthebulbsyringeisusedforsuctioningitshouldbe
decompressedbeforebeinginsertedtheinfant’smouthor
nose.
Incaseofasphyxiatedbabyendotrachealsuctioninghastobe
done.
Keepreadyresuscitationequipmentsandmedications

13. Baby laryngoscope
Endotracheal tube
Suction tubes
Mucus extractors
Paediatric I.V administration set

14. MEDICATIONS
Inj. Sodium bicarbonate
Inj. Calcium gluconate
Sodium chloride
Glucose 10%
Neonatal nalaxon (Narcan)

15. APGAR SCORING
Signs Score
0 1 2
Colour Blue pale Body pink
limbs blue
Completely
pink
Respiratory
effort
Absent Slow, irregular
weak cry
Strong cry
Heart beat Absent Slow, less than
100
Over 100
Muscle tone Limp Some flexion of
limbs
Active
movement
Response to
flicking foot
Absent Fascial grimace Crying
Severe 0 -2 Moderate 3-4 Mild 5-7
No asphyxia 8-10

17. THERMOREGULATION
Maintaintheroomtemperature21C(70F)
Lossofheatthroughconduction,convection,radiationand
evaporation.
Drythebodyandwrapthebabywithawarmsterileblanket.
Coverthehead
Keepthebabyunderradiantwarmer
Immediatebathisnotpermitted
Re-assessthetemperatureafteronehour.
Ifthetemperatureis98.6Fandstable,bathcanbegiven
Keepthebabywarm
Hotwaterbottlesarepotentiallydangerousinproviding
warmth.

19. ATTENTION TO THE UMBILICAL CORD
Time of clamping and cutting the cord.
Where do you clamp the cord?
Type of scissors used for cutting the cord
How did you cut the cord?
Examination of the cord for arteries and veins
Types of clamps
Plastic cord clamps (disposible)
Rubber bands
Pieces of compression tubing
Assess cord haemorrhage

21. OTHERNURSINGMEASURES
Caseoftheeyes
Restafterthetraumaofbirth
Bondingofmotherandbaby
-Initiationofbreastfeedingwithinhalfanhour
-Byadministeringsedativesduringlabor
-Byencouragingfatherstobepresent
Byascertainingandcomplyingwiththemother’swishes
regardingthebondingprocess.
Byallowingthemothertocuddleherewhappedbaby
Bypractisingroomingin

22. NURSINGDIAGNOSIS
1.Riskforineffectiveairwayclearancerelatedtopresenceof
mucusinmouthandnoseatbirth.
2.Riskforineffectivethermoregulationrelatedtonewborn’s
transitiontoextrauterineenvironment.
3.Riskforinfectionrelatedtonewlyclampedumbilicalcordand
exposureofeyestovaginalsecrtens.