Newborn Care

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Newborn Care Powered By Docstoc
					Newborn Care

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Maintain Clear Airway
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Keep free flow oxygen available Keep bulb syringe available Position newborn on back or side Take vital signs

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Maintain Neutral Thermal Environment
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Keep the newborn away from drafts Keep clothing warm and dry Place stocking cap on newborn’s head Bathe under radiant warmer ONLY after temperature is stable Return newborn to radiant warmer after bath Clothe, blanket, and place in crib IF temperature is stable Return newborn to radiant warmer IF temperature falls below 97.5
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Maintain Neutral Thermal Environment
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Warm items that will come in contact with the newborn- cold hands, cold stethescopes Make certain environmental temperature is at least 75º F Encourage mom to snuggle and cuddle with newborn

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Prophylaxis
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Vitamin K, Phytonadione – give in vastus lateralis or ventrogluteal IM, but DO NOT GIVE IV (potentially lethal)
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Prevention of hemorrhagic disease of the newborn

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Erythyromycin ophthalmic ointment or tetracycline or silver nitrate
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Prevention of Neisseria gonorrhoeae

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Feeding
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Initiation of feeding within the first 5 hours of life The first period of reactivity is a good time to begin breastfeeding The second period of reactivity is a good time to begin bottle feeding Consider facilitating bonding during periods of reactivity
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Maintain Skin Integrity
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Bathing the newborn is NOT an every day practice, but should occur about 3 times per week
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The skin is the newborn’s first line of defense against infection

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Umbilical cord care involves keeping the cord dry, cleansing with soap and water ONLY when soiled
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Any drainage, puruluent or serous or serosanguinous should be reported to the doctor/practitioner (infection/patent urachus
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Maintain Skin Integrity
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Diaper wipes- should not be used around the circumcision area until it has completely healed Diaper rash may be treated with protective barrier creams- diaper wipes should be avoided in this area as well. Plain water works best and allow the affected area exposure to air.
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Discharge Teaching
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Bulb syringe use- oral/nasal (clean with soapy water may use vinegar rinse) Picking up the newborn- head/butt heaviest and need most support Swaddling/Cuddling Bathing Taking axillary temperature Immunization schedule (begin @ birth-2 mo) Car Seat Prevent Shaken Baby Syndrome Back to Sleep, Tummy to Play
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posted:11/6/2009
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