Module 9: Newborn Care

Question 1

Vitamin K

Answer 1

• Im injection given in the vastus lateralus to aid in Vit K dependent clotting
• Vit k is naturally produced from the intestinal flora that is still developing
• without the injection they’re at risk for bruising, hemorrhaging, etc

Question 2

erythromycin eye ointment

Answer 2

• administered to each eye within one hour after birth
• antibiotic
• standard for all newborns, whether the mother has an STI or not

Question 3

universal screening test for newborns

Answer 3

• blood screening
  
  • blood type, genetic screening, blood glucose level
  • poking the heel

Question 4

newborn hearing screening

Answer 4

• function of auditory nerve

- no reaction to loud sounds would be concerning ( moro reflex not shown)

Question 5

Describe and perform a newborn bath

Answer 5

• general considerations
  
  • always test the water
  • acceptable temperature 37.2 degrees celsius - 38 degrees celsius
  • wash from clean to dirty ares
  • shampoo head last to prevent heat loss (hold the baby wrapped in a towel)
  • stay with the baby
  • bath between feedings not after feedings
• sponge bath
• tub bath

Question 6

Describe and identify the nursing interventions and teachings for cord care

Answer 6

• if not already done, apply a plastic clamp 1/2 inch above the skin and cut the extra cord
• keep the cord clean and dry
• fasten diaper under the cord to allow the cord to air dry
• clam can be removed when the end of the cord is dry and crisp (24hrs)
• report signs of infection
• assess the cord for 2 arteries 1 vein
• can take 10 days for the umbilical cord to fall off

Question 7

voiding

Answer 7

• in the first 24 hours 1 wet diaper

- after 24hrs 6-8 wet diapers

Question 8

stooling

Answer 8

• in the first 24 hrs their should be one meconium
• meconium is dark green to black and sticky, use vaseline to help remove
• stools will progress

Question 9

Identify the care of the uncircumcised penis

Answer 9

• foreskin does not easily retract until puberty or school age
• keep the penis clean, wash with soap and water and dry
• when the foreskin can retract, they must retract and then clean around the head of the penis and then they can place the skin back

Question 10

Describe the care to a newborn receiving a circumcision and teaching required for the parents

Answer 10

• monitor for signs of infection present, drainage, swelling, etc
• newborn might be fussier as they may be in pain or uncomfortable

Question 11

infant security

Answer 11

• Id band is on the ankle, mothers wrist band has her id and the babies
• do not leave baby unattended, keep hand on chest and if you can’t reach what you need then its too far and baby needs to come with you

Question 12

Sleep safety

Answer 12

• baby face is uncovered
• no smoking around baby
• do not overheat or overdress baby
• baby sleeps on back
• nothing in sleep area
• firm mattress,, tight fitting sheet

Question 13

car seat

Answer 13

• using the appropriate car seat for size and weight of child
• rear facing car seat is the safest for the child
• ensure the car seat hasn’t expired
• if a car seat has been in an accident it is no longer safe

Question 14

environment

Answer 14

• no smoking around child

- pets (allergies, respiratory distress)