Antenatal and Postnatal Care - Romanian Family Health Initiative ...

Newborn care - Protocolo Explain to client procedures as they are performed on babyo Ask questions for clarification while conducting examinationo Calm baby as needed• Vital signs and body measurementso Ask client to place baby on examination place and to undress babyo Measure heart rate/rhythm/soundso Measure temperatureo Measure weight, length and head circumference• Head and neck:o Inspect head for:• Symmetry• Fontanels (extent of closure, depression or bulging)o Inspect eyes for:• Reaction of pupils to light• Red reflex• Blink reflex• Corneal reflex• Opaqueness• Coordination and movement• Shape• Color of sclera• Discharge (e.g. yellowish or greenish)o Inspect nose for patency (observe nursing)o Inspect ears for baby’s reaction to loud noiseo Inspect mouth and tongue for presence of white deposits (Candida)o Elicit rooting and sucking reflexeso Elicit range of motion of head/neck• Abdomeno Inspect abdomen for:• Size• Shape or contour• Healed umbilicuso Palpate abdomen for:• Hernia (umbilical and inguinal)• Liver or spleen enlargement• Extremitieso Inspect arms/hands/digits for:• Color (e.g. pale or blue nailbeds)o Determine range of motion and muscle toneo Inspect legs/feet/digits for:• Color (e.g. pale or blue nailbeds)o Determine range of motion and muscle tone and check for hip dislocation• External genitaliao Put on gloves without contaminating themo If female baby, inspect vulva, then gently separate labia to determine presenceof:• Redness or irritation• Vaginal discharge• Patency of urethral meatus (observe urination)o If male baby:Weekly postpartum visits - baby- 2 -