Good morning ma’am, today I’m going to perform the immediate new born care. The purpose of this
assessment is to identify the new born abnormalities and problems in adapting to life outside the
uterus.
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First I’m going to assess the new born baby using the APGAR SCORING
A – appearance (skin color)
P – pulse (Heart Rate)
G – grimace Response (Reflex)
A – activity (Muscle Tone)
R – respiration (breath rate and effort)
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This are the materials that I’ll be need
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Tape measure
Eye ointment
Vitamin K Ampule
Tuberculin syringe
Rectal Thermometer and Lubricant
Dry cotton ball and Sterile OS 2x2
Cotton balls soaked with NSS (Normal Saline Solution)
Alcohol swab/Cotton balls with OH
Kidney basin
Before I started I’m going to wash my hand to avoid transmission of micro-organism
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A. Anthropometric Measurement
Place to baby on the supine position
Measure head circumference from the center of the forehead to the most prominent portion of
the posterior head (occiput)
Measure the chest circumference at the level of the nipple.
Measure the abdominal circumference at the level of umbilical area.
Measure the length form the crown to rump them from rump to heel
Measure the weight and document all measurements taken.
Document: the finding of the baby is the head measured (34-35 cm) which is normal and if the
infant heads is below 34cm the baby has a microcephaly and if it’s to large the baby has
megacaphly.And the chest measured is (32 – 33 cm) which is normal, this is to identify the
nutritional status of the baby. and the abdomen measured (32-33 cm) lastly the length of the
baby 19-20 inches or 50 cm that is the normal length of the baby. The average birth weight for
babies is around 3.5 kg (7.5 lb or 5 – 8 POUNDS), although between 2.5 kg (5.5 lb) and 4.5 kg (10
lb) is considered normal.
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B. Crede’s Prophylaxis
Clean the eyelid carefully with a sterile cotton ball moistened with sterile NSS from the inner to
outer canthus of the eye.
Retract the lower eyelid using your thumb (non-dominant hand)
Drop generous amount of the prescribed antibiotic eye ointment on the lower conjunctival sac
from inner to outer canthus of the eye.
Wipe off excess medication with sterile dry OS
Do the same procedure with the other eye.
Purpose: Credé procedure is the practice of washing a newborn's eyes with a 2% silver nitrate
solution to protect against neonatal conjunctivitis caused by Neisseria gonorrhoeae.
C. Vitamin K Administration
Prepare the medication (observe 10 rights)
Select the site for injection
Clean the site with cotton ball soaked in 70% OH using circular motion from inside to outside.
Using the non-dominant hand grasp and compress the muscle tissue between fingers with dry
cotton balls in other fingers.
Place the injection straight down into the top of the thigh at 90º angle.
Aspirate first, then give the injection slowly.
Remove the needle quickly and apply dry cotton ball.
Purpose: The Low levels of vitamin K can lead to dangerous bleeding in newborns and infants.
The vitamin K given at birth provides protection against bleeding that could occur because of
low levels of this essential vitamin.
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D. Rectal Temperature Taking
Wipe the thermometer from bulb to stem.
Apply a lubricant in the base of the thermometer.
Spread the buttocks of the newborn and insert the thermometer at the rectal area for about 0.5
inch and allow to stay for 2-3 minutes.
Remove the thermometer and wip0e from stem to base.
Documents: the baby temperature is 98.6° F (37° C) that is normal. This method gives a quick
reading of baby’s internal temperature.
NOTE:
The average birth weight for babies is around 3.5 kg (7.5 lb), although between 2.5 kg
(5.5 lb) and 4.5 kg (10 lb) is considered normal.