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Maternity
Newborn Clinical Teaching Cards
13
Health Care
Undergraduate 2
02/05/2009

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Cards

Term
Newborn Bath
Definition
·Lay out your baby's towel prior to the bath, so you don't have to struggle with it while handling your squirming and slippery baby.
·Fill the baby's tub with only 2 to 3 inches of water initially. This is just enough water to clean your baby without overwhelming them.
·Try to keep the babies water warm but not too hot. A good range is between 85-90 degrees Fahrenheit.
·Avoid undressing your baby until you are ready to actually bathe them, so they don't become unnecessarily chilled.
·Wash your baby from top to bottom and front to back with a soapy cloth. Be sure to check behind the ears (where spit up milk likes to collect) and be sure to clean the genital area thoroughly.
·Be sure to rinse your baby with a couple of cupfuls of water before removing them from the tub.
Be sure your baby's genital area is thoroughly dry before placing a diaper on him/her, to help prevent diaper rash.
Term
Hearing Screen
Definition
nurses or medical assistants are trained extensively on how to operate automated equipment for testing infants. Prior to discharge, each newborn has his/her hearing tested.
Term
Circumcision Procedure
Definition
a medical procedure that removes a boy’s foreskin from his penis. The foreskin is a sleeve of skin that covers the lower shaft of the penis, working to protect the head, or "glans" of the penis. Circumcision is typically performed one or two days after labor and birth
Term
Newborn Infant Screen
Definition
-Heel stick for:
*B/G
*PKU (phenal ketone uria)
*bilirubin test
*Coomb's test
-Auditory test
Term
Newborn Assessment
Definition
-B: breasts
-U: uterus
-B: bladder
-B: bowel
-L: lochia
-E: episiotomy
-H: homan's Sign
-E: emotional support
Term
Heel Stick
Definition
A procedure in which a newborn baby's heel is pricked and then a small amount of the blood is collected, usually with a narrow-gauge ("capillary") glass tube or a filter paper.
Term
Circumcision Care
Definition
·Change your baby's diaper as soon as it is dirty.
·Gently clean the area with water.
Apply petroleum jelly or an antibacterial ointment to the penis during the first three to four days after the circumcision.
Term
Cord Care
Definition
-Cord should be checked for bleeding or oozing
-Cord clamp should be securely fastened
-Parents should clean the cord with alcohol at least 3 times daily
-Fold the diaper below the cord
-Clamp can be removed 24hrs after birth if cord is dry
Term
Reflexes
Definition
-Moro: allow the head and trunk of newborn to fall backward (arms and legs should extend and abduct
-Palmer grasp: when infant's hand is touched at the base of the fingers the hand should close into a tight fist
-Plantar grasp: same as above except on the feet
-Babinski: stroking the sole of the infant's foot causing the toes to flare
-Rooting: when infant's check is touched near the mouth the head turns toward that side
-Sucking: when the mouth or palate is touched the infant should begin to suck
-Tonic neck: arm and leg should extend on the side of the body in which the head is turned (fencing reflex)
-Stepping: when infant is held upright w/their feet touching a hard surface they should lift one foot then the other as if they were walking
Term
Breast Feeding
Definition
-Latch within the first 2hrs of birth
-Offer breast every 2-3hrs
-Feed 20min or longer ea side
-Position: football, cross, cradle, side lying
-Stimulate baby's lower lip
-Support baby's head
-Listen for swallows
-Avoid artificial nipples
-Avoid formula or glucose H2O
-Offer encouragement
-Est. care plan if problems
*begin pumping as soon as problem arises
-Not wanting to breast feed:
*do not take hot showers
*No stimulation of breasts
-Tight fitting bras
Term
Newborn VS
Definition
-Temp:
*Axillary: 97.7 - 99.5
*Rectal: 97.7 - 99.7
-HR: 120-160
-Resp: 30-60
-BG: 40-45
Term
Bottle Feeding
Definition
-Offer your breast or the bottle every two to three hours at first or as your baby seems hungry. Until your baby reaches about 10 pounds, she'll probably take one to three ounces per feeding. Don't force more than she seems ready to eat.
-Use before the expiration date on the label
-Use refrigerated, opened, ready-to-feed and prepared formula within 48 hours.
-Don't leave bottles of formula out of the refrigerator for more than two hours.
-Throw away the formula left in the bottle after a feeding, since germs from baby's saliva will multiply in the warm formula.
-Refrigerate any formula saved from one day to the next.
-Be very careful if you are using a microwave oven to warm formula. It's better not to microwave. Because of uneven heating, hot spots develop. If you do use the microwave, shake the bottle well before testing the temperature on your wrist.
-Avoid bottle propping, and don't let a baby fall asleep holding his own bottle.
Term
Newborn Measurments
Definition
-Weight: 2500-4000g
-Length: 48-53cm
-Head Cir: 33-35.5cm
-Chest Cir: 30.5-33cm
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