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Objectives:
Goals
To establish, maintain and support respirations.
To provide warmth and prevent hypothermia.
To ensure safety, prevent injury and infection.
To identify actual or potential problems that may
require immediate attention.
THE NEONATE
From birth through the first 28 days of life
Also called the newborn period
2/3 of all deaths that occur during the 1st year of
life occur during this period; more than half
occur in the 1st 24 hours after birth---an
indication of how hazardous this time is for an
infant
How well a NB makes major adjustments
depends on his or her:
Genetic composition
The competency of the recent intrauterine
environment
The care received during the neonatal
period
Care of the Newborn
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3.
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4.
5.
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To Prevent Hypothermia
1. Dry and wrap baby
2. Mechanical pressure radiant warmer pre-heated
first isolette (or square acrylic sided incubator)
3. Prevent is necessary exposure cover baby
4. Cover baby with tin foil or plastic
5. Embrace the baby- kangaroo care
6. Delay initial bath until temp. has stabilized for at
least 2 hours.
7. Maintain ambient temp. of nursery at 24C or
75F.
8. Perform any extensive examination or procedure
under radiant heat to prevent heat loss and
expose only the part of the body to be examined.
9. Note the presence of any cyanosis:
2 types of cyanosis:
a.) central cyanosis
b.) peripheral cyanosis hands & feet
are cyanotic, due to cold
environment and poor circulation
Pale or
Body pink,
Pink all over
blue all extremities blue
over
absent
Below 100
Above 100
No
response
grimace
Sneezes,gags,
coughs,vigorous
cry and foot
withdrawal
Limp, Some flexion of Active motion/
flaccid the extremities
well-flexed
absent Slow,irregular,
Good,
weak cry
strong,lusty cry
APGAR result
0 3 = severely depressed, need CPR, admission NICU
4 6 = moderately depressed, needs addl suctioning &
oxygen
7 - 10 = good/ healthy
Care of the Newborn
Intercostal
Retraction
Xiphoid
Retraction
Nares
Dilatation
Expiratory
Grunt
2
Seesaw
respirations
none
Just visible
Marked
none
Just visible
Marked
none
minimal
Marked
none
Audible by
stethoscope
Audible by
unaided ear
Ophthalmia neonatorum
Any conjunctivitis with discharge occuring during
the first two weeks of life. It typically appears 2-5
days after birth, although it may appear as early as
the first day or as late as the 13th.
Administering
Erythromycin
or
Tetracycline
Ophthalmic Ointment
These ointments are the ones commonly used
nowadays for eye prophylaxis because they do not
cause eye irritation and are more effective against
Chlamydial conjunctivitis.
Apply over lower lids of both eyes, then,
manipulate eyelids to spread medication over the
eyes.
Wipe excess ointment after one minute sterile
cotton ball moistened sterile water.
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IX. Immunization
BCG should be given as soon as possible after
birth in all population at high risk of
tuberculosis infection
OPV a single dose of OPV at birth or in the two
weeks after birth is recommended to increase
early protection.
Hepatitis B vaccine it is important to administer
the first dose as soon as possible or within 24
hours after birth
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