Examination of the newborn baby
Examination of the newborn baby
الدكتور عبد المهدي عبد الرضا حسن
كلية التمريض / جامعة بابل
PhD, pediatric & Mental Health Nursing
Examination at birth
Aim
To describe and carry out an examination of a baby soon after birth
Objectives
To screen for malformations
To observe smooth transition to extra uterine life
An asses overall of baby’s condition
Examination of the newborn baby
Minimum prerequisites
Mother & baby together
Warm room, fresh clean sheet/clothes
Thermometer
Weighing scale
Watch with seconds
Stethoscope
Principles of examination
Assess
Ask, Check, Record
Look, Listen, Feel
Classify
Treat or advise
Examination at birth: Assess
Ask
Antenatal details
Antenatal visits – TT, Iron-folate supplementation, HIV/Syphilis screening
Exposure to teratogens, infections
Poly or oligohydramnios
Postnatal details: Condition at birth; resuscitation, Single umbilical artery ,excessive drooling
Check
Weigh the baby
Temperature
Record
Assess:
Look for
Assess:
Look for
Quick screening for malformations
Screen from top to bottom, midline, and back examination
Orifice examination
Anal opening
Assess:
Look for
Single umbilical artery
Simian crease
Dysmorphic features
Excessive drooling of saliva
Assess:
Look for
Look for abnormal swelling
Abnormality of limbs & spine
Eyes, ears, umbilicus
Observe
Breathing rate / pattern
Color
Heart rate
Activity- feeding , movements
Assess:
Listen for
Assess:
Feel for
Any abnormal swelling:
Caput, cephalhematoma
Palpable femoral pulses
Dislocation of hip
Capillary refill time ( CRT)
Confirm the findings of inspection
Palpate the abdomen
Feel for testes in male baby
Weighing the baby
Prepare the scale: cover the pan with a clean cloth/autoclaved paper; ensure the scale reads zero
Preparing and weighing the baby
Remove all clothing
Wait till the baby stops moving
Weigh naked
Read and record
Return the baby to the mother
Scale maintenance
Calibrate daily
Clean the scale pan between each weighing
Temperature
At birth-warmth, keep the baby in skin to skin contact with the mother
Temperature recording
Hands and feet should be checked for warmth with the back of the hand to see if the baby is in cold stress
Temperature measurement
Use clean thermometer
Hold vertically in the axilla for 3 minute
Read and record
Normal 36.5ºC-37.5ºC
Examination within 24 hours
Objective
To describe and carry out an examination of a baby within 24 hours of birth
Aim
To ensure that malformations are detected
To ensure establishment of breast feeding ; maintenance of temperature ;classify baby as normal or abnormal
Assess
Ask, Check, Record
Look, Listen, Feel
Classify
Treat or advise
Examination at 24 hrs: Assess
Ask
Breastfeeding
Activity of the baby
Any other problems*
Check
Weigh the baby
Temperature
Record
Color
Skin
Discharge from eyes, umbilicus
Count respiratory rate
Chest retractions
Grunt
Cry
Auscultation of heart
Femoral pulse
CRT
Temperature by touch
Descent of testis
Depth or extent of jaundice
Feel for abdomen
Confirm findings of inspection
Record
Examination at discharge
Aim
To ensure that baby is normal on exclusive breast feeds
Objective
To screen that heart is normal
To ensure baby has no significant jaundice or danger signs
Tell about follow up and danger signs
Discharge from eyes , umbilicus
Breathing difficulty
Breast feeding- exclusivity and adequacy
Jaundice
Temperature by touch
Depth or extent of jaundice
Confirm findings of inspection, if any
Danger signs
Examination on follow-up
Aim
To ensure that baby is growing well on exclusive breast feeds & give immunization as per national policy
Objective
To record the anthropometry weight , head circumference
To ensure baby has no malformations like – cardiac murmurs
Normal: feeding behaviour
Positioning
Head in line with body
Well supported
Abdomen touches the mother abdomen
Turned to the mother
Attachment
Mouth wide open
Lower lip everted
Little areola visible
Chin touches mother breast
Assessment of feeding adequacy
It is NORMAL for a baby
To pass urine six or more times a day after day 2
To pass six to eight watery stools (small volume) in 24 hrs
Female baby may have some vaginal bleeding for a few days during the first week after birth. It is not a sign of a problem.
Loses weight and regains by 7-10 days
Normal breathing
30 to 60 breaths per minute
No chest in-drawing, no grunting on breathing out
When assessing breathing:
Count number of breaths for a full minute
Babies may breathe irregularly for short periods of time
Small babies ( ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- baby jaundice and phototherapy
- newborn nursery anticipatory guidance
- neonatal infant death report template form
- newborn assessment study guide
- newborn jaundice information for parents baby steps to
- reviewed and approved by the pediatric curriculum
- children s health pc
- jaundice in the newborn health
- examination of the newborn baby
- lesson plan healthy newborn network
Related searches
- baby dogs of the dow 2019
- microscopic examination of urine analysis
- newborn baby shots
- newborn baby icd 10
- reb examination of 2018
- guess the date baby calendar
- newborn baby breathing
- newborn baby sewing patterns
- s6 national examination of economics
- s6 national examination of geography
- reb examination of s6
- examination of sri lanka results