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Introduction http:// www.youtube.com/watch?v=yVLDi-FFjVo
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Transcript
  • Slide 1
  • Introduction http://www.youtube.com/watch?v=yVLDi-FFjVo
  • Slide 2
  • Developed by D. Ann Currie, RN MSN 2012
  • Slide 3
  • Assessment Data: Condition of the Infant Apgar scores at 1 and 5 minutes Resuscitative measures Physical examination Vital signs Voidings Passing of meconium
  • Slide 4
  • Apgar Score
  • Slide 5
  • Care of the Newborn immediately after birth Maintain respirations Provide and maintain warmth Apgar score Physical assessment Newborn identification Facilitate attachment
  • Slide 6
  • Slide 7
  • Signs of Newborn Transition
  • Slide 8
  • Neonatal Distress
  • Slide 9
  • Newborn Care Positioning Feeding Elimination Safety Issues- Newborn identification Newborn abduction Bonding Cord Care Circumcision Care/Uncircumcision Care
  • Slide 10
  • When to Call for Help
  • Slide 11
  • Assessment Data: Infant Complications Excessive mucus Delayed spontaneous respirations or responsiveness Abnormal number of cord vessels Obvious physical abnormalities
  • Slide 12
  • Assessment Data: Labor and Birth Duration and course Status of mother and fetus Analgesia or anesthesia Prolonged rupture of membranes Meconium-stained amniotic fluid Nuchal cord Precipitous birth Use of forceps or vacuum extraction assisted device Fetal distress
  • Slide 13
  • Assessment Data: Maternal Complications Preeclampsia Spotting Illness Recent infections Rubella status Serology results Hepatitis B screen results Exposure to group B streptococci History of maternal substance Human immunodeficiency virus (HIV) test result
  • Slide 14
  • Assessment Data: Family Parents interactions with their newborn Their desires regarding infant care Information about other children in the home Available support systems Patterns of interaction within each family unit
  • Slide 15
  • Physiologic Alterations Respiratory distress Pallor Hypothermia Alterations in feeding and elimination
  • Slide 16
  • Nursing Care: Assessment Airway clearance Vital signs Body temperature Neurologic status Ability to feed Evidence of complications
  • Slide 17
  • Slide 18
  • Nursing Care: Assessment Review of prenatal and birth information Gestational age Newborns adaptation to extrauterine life Weight and measurement Vital signs every 30 minutes Assessment of Hct or blood glucose if warranted
  • Slide 19
  • Slide 20
  • Slide 21
  • Slide 22
  • Daily Assessments Vital signs Weight Overall color Intake and output Umbilical cord Circumcision Newborn feeding Attachment
  • Slide 23
  • Daily Newborn Care Assist with feedings Thermoregulation Skin care Cord care Prevention of infection Security
  • Slide 24
  • Cord Care
  • Slide 25
  • Common Concerns How to pick up a newborn Holding and feeding the infant Changing the diaper Interpreting newborn cues Bathing the newborn Cord and circumcision care Normal voiding and stooling pattern
  • Slide 26
  • Slide 27
  • Parent Education Periods of reactivity and expected newborn responses Normal physical characteristics of the newborn The bonding process The infants capabilities for interaction The role of touch in facilitating parent-infant interaction Comforting techniques Progression of infant behaviors Information about available educational materials and support
  • Slide 28
  • Discharge Education Safety measures Voiding and stool characteristics Circumcision care Cord care Waking and quieting the newborn Car safety Immunizations Signs of illness
  • Slide 29
  • Wrapping Newborn
  • Slide 30
  • Infant car restraint for use from birth to about 12 months of age
  • Slide 31
  • Signs of Illness Temperature above 38 o C or below 36.6 o C axillary Continual rise in temperature Forceful or frequent vomiting Refusal of two feedings in a row Difficulty in awakening baby Cyanosis with or without a feeding Absence of breathing longer than 20 seconds Inconsolable infant or continuous high-pitched cry Discharge or bleeding from umbilical cord, circumcision, or any opening Two consecutive green watery or black stools, or increased frequency of stools No wet diapers for 18 to 24 hours Fewer than 6 to 8 wet diapers per day after 4 days of age Development of eye drainage
  • Slide 32
  • Documentation of Discharge Teaching How Checking of ID Bands With whom Condition at discharge Where
  • Slide 33
  • The End of Part III
  • Slide 34
  • QUESTIONS
  • Slide 35
  • THANK YOU

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