N106 Nursing Care of the Newborn. Immediate Baby Care. Airway - Clean mouth and nose Thermoregulation - Warmth APGAR Gross assessment Identification Bonding – safety against infection Medications. Fetus to Newborn: Respiratory Changes. Initiation of respirations
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- Suction secretions – bulb, keep near head, mouth first, avoid trauma to membranes
Methods of heat loss
Evaporation – wet surface exposed to air
Conduction – direct contact with cool objects
Convection- surrounding cool air - drafts
Radiation – transfer of heat to cooler objects not in direct contact with infant
Nonshivering thermogenesisThe distribution of brown adipose tissue (brown fat)
Not crossing suture line
Cephalhematoma is a collection of blood between the surface of a cranial bone and the periosteal membrane.
Crossing suture line
Caput succedaneum is a collection of fluid (serum) under the scalp.
A, Congenitally dislocated right hip B, Barlow’s (dislocation) maneuver. C, Ortolani’s maneuver
A, Measuring the head circumference of the newborn. B, Measuring the chest circumference of the newborn.
Axillary temperature measurement. The thermometer should remain in place for 3 minutes.
Potential sites for heel sticks. Avoid shaded areas to prevent injury to arteries and nerves in the foot.
Nevus flammeus “port wine stain”- no blanchingNevus vasculosus “strawberry hemangioma”usually on head, disappears by school age
Port Wine Stain
Newborn maturity rating and classification
Classification of newborns based on maturity and intrauterine growth.
Classification of newborns by birth weight and gestational age.
Common Breastfeeding Positions
Infant in good breastfeeding position : tummy-to-tummy, with ear, shoulder, and hip aligned.
LATCH was created to provide a systematic method for breastfeeding assessment and charting.
Infant teaching checklist is completed by the time of discharge.
Circumcision using a circumcision clamp.
Circumcision using the Plastibell.
Neonatal morbidity by birth weight and gestational age.
Measuring gavage tube length.
Auscultation for placement of gavage tube.
nasal flaring cyanosis- centralgrunting- expiratoryseesaw respirationsasymmetry
Evaluation of respiratory status using the Silverman-Andersen index.
Conjugation of bilirubin in the newborn.