Immediate care of new

born
 :objective
 to identify definition of neonatal
& neonatal care.
 To explain aim of care.
 Identify the sequence to follow
in the physical assessment of a
neonate.
 Discuss N.C.P.
 Summary.
;Neonatal period
Is the time from birth through
..the 28 day of life

;Neonatal care
it’s care which begins
immediately after birth &
focuses on assessing &
stabilizing the newborn
 ;Aim of neonatal care

To maintain normal body *

.function
.To ensure comfort *
.To prevent infection *
.To prevent injury *
To teach mother how to care her *
.baby
 Immediate care of new:
born
*Drying the baby with warm towels or cloths,
while being placed
on the mother's abdomen or in her arms. This
mother-child skin
to-skin contact is important to maintain the
baby's temperature,
encourage bonding and expose the baby to the
mother's skin
bacteria.

* Ensuring that the airway is clear, removing

mucus and other
material from the mouth, nose and throat with a
suction pump.

*Cutting umbilical cord with sterile instrument .

* A few drops of silver nitrate solution or an
Physical assessment
antibiotic is
Usually placed into the eyes to prevent infection.

* Vitamin K is also administered to prevent

hemorrhagic DIS of newborn..
* Putting the baby to the breast as early as possibl
suckling/breast feeding should be encouraged,
within the first
hour after  about 6 hours or so after birth, the baby
is bathed.

*About 6 hours or so after birth, the baby is bathed

but the vernix caseosa (whitish greasy material
that covers
:Ph ysic al a sse ssm ent
suction, cut umbilical*
.cord, bath
.Apger ,reflex*
 sign Score 0 Score 1 Score 2

A appearance Blue or Body pink All pink

pale Limbs
blue
P Pulse or apex absent Below Above
beat 100/min 100/min

G Reflex non grimace cry

))grimace

A Activity , tone limp Some Active

flexion of movemen
limbs t limbs
well
R Respiratory non Slow , flexed
Good
effort irregular strong
cry
 Physical assessment
Measurement infant
weight.
Measurement
temperature
Measurement.
 :Nursing care plane
DX Goal Nursing intervention Evaluation
Ineffecti To Suction mouth &* Airway
ve maint nasopharynx with bulb remains patent
airway ain syringe aspiration pharynx , breathing is
airway
clearanc then nose , to prevent & regular
.
e R\T . aspiration of fluid respiratory
excess Position infant on lift or* rate is within
mucus , right side after feeding to normal limits
imprope .prevent aspiration
r Take V\S according to*
positioni institutional policy & more
.ng .frequently if necessary
Observe for signs of*
respiratory distress and
report any of abnormal
breath sound ,cyanosis or
.pallor
 Dx Goal Nursing intervention Evaluation

Risk for To t
cover infant in a warmed* Infant
altered maintain .blanket temperat
body stable Place infant on a padded* ure
.,covered surface
temperat body remain at
Take infant temperature on*
ure R\T temperat optimum
arrival at nursery or mother
change in ure .room level
environm Maintain room temperature* (36,5-
ent between 24c_25.5c .(37,5
temperat Give initial bath according to*
ure hospital policy and Prevent
.chilling of infant during bath
Dress infant in shirt & diaper*
& swaddle in a blanket and
Provide with head covering
only one area of Body
uncover for examination or
..procedures
Keep infant away from air*
conditioning
Warm all objects used to*
 DX Goal Nursing evaluation
intervention
Risk for To Wash hands* Infant no
infection or prevent before & after exhibits of
inflammatio exhibits .caring of infant signs
n R/T of signs Wear gloves* infection
deficient infection were is contacts or
immunologi or with baby inflammati
c defenses , inflammat .secretions .on
environmen ion Use of cover*
tal factor gown
,maternal Check eyes daily*
.dis for evidence of
inflammation or
.discharge
Keep umbilical*
stump clean & dry
.
Apply*
antibacterial
.agent as order
 DX Goal Nursing Evaluation
intervention
Risk for To Avoid using* Infant
trauma R/T prevent rectal remain free
physical physical thermometer from
helplessness .injury to prevent physical
. rectal .injury
.perforation
Never leave*
infant
unsupervision
on a raised
surface with
.out sides
Always close*
diaper pins if
use & place
them away
.from infant
Keep sharp*
object away
summary:
;Done by
Kholood Alharbi
Afnan Alahmadi
Waad Alahmadi
Al anood Assiri
Kholood Merir