teaching aids: nnf nc-1 care of normal newborn. teaching aids: nnf nc-2 principles of care at birth...
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Teaching Aids: NNF
NC- 1
Care of Normal NewbornCare of Normal Newborn
Teaching Aids: NNF
NC- 2
Principles of care at birthPrinciples of care at birth
Establishment of respiration Prevention of hypothermia Establishment of breastfeeding Prevention of infection Identification of at risk neonates
Teaching Aids: NNF
NC- 3
Care of normal newbornCare of normal newborn
Preparation before deliveryPreparation before delivery
Immediate care at and after birthImmediate care at and after birth
Essential postnatal careEssential postnatal care
Teaching Aids: NNF
NC- 4
Contents of clean delivery Contents of clean delivery kit (at home)kit (at home)
Soap for washing hands; ensure clean and boiled Soap for washing hands; ensure clean and boiled waterwater 2 to 3 sterilized cord ties2 to 3 sterilized cord ties A new clean blade / boiled at home A new clean blade / boiled at home
instrument to cut cordinstrument to cut cord Clean sun-dried cloth / sheet, small gauze Clean sun-dried cloth / sheet, small gauze
padspads A clean plastic envelope / cloth to keep A clean plastic envelope / cloth to keep
the kit in the kit in
Teaching Aids: NNF
NC- 5
‘‘Five cleans’ to prevent infectionFive cleans’ to prevent infection
Teaching Aids: NNF
NC- 6
Physical facilities for Physical facilities for resuscitation (at hospital)resuscitation (at hospital)
Resuscitation corner with warmerResuscitation corner with warmer
Contents of resuscitation kitContents of resuscitation kit
Suction catheter 10 Fr, De Lee trap, Suction catheter 10 Fr, De Lee trap,
suction machine suction machine
Resuscitation bag and masksResuscitation bag and masks
Teaching Aids: NNF
NC- 7
Physical facilities for Physical facilities for resuscitation (at hospital)resuscitation (at hospital)
Infant laryngoscope with bladesInfant laryngoscope with blades
Endotracheal tubes (2.5, 3.0, 4.0 mm)Endotracheal tubes (2.5, 3.0, 4.0 mm)
Medications – epinephrine, naloxone, Medications – epinephrine, naloxone,
normal saline, sodium bicarbonatenormal saline, sodium bicarbonate
Plenty of disposablesPlenty of disposables
Teaching Aids: NNF
NC- 8
Newer Newer guidelines guidelines
for for neonatalneonatal
resuscitationresuscitation
Teaching Aids: NNF
NC- 9
Concept ofRoutine Care,
Supportive care and
Ongoing Care
Teaching Aids: NNF
NC- 10
Teaching Aids: NNF
NC- 11
Immediate care after birthImmediate care after birth
Prevent hypothermiaPrevent hypothermia
Eye, skin, cord careEye, skin, cord care
Give injection vitamin K Give injection vitamin K
Breastfeed within ½ hour of birthBreastfeed within ½ hour of birth
Search for malformationsSearch for malformations
Teaching Aids: NNF
NC- 12
Increased risk of Increased risk of malformationmalformation
Single umbilical arterySingle umbilical artery
Simian creaseSimian crease
Dysmorphic featuresDysmorphic features
Asymmetric cry due to absence of Asymmetric cry due to absence of Depressor Angularis Oris Muscle Depressor Angularis Oris Muscle
Excessive drooling of salivaExcessive drooling of saliva
Teaching Aids: NNF
NC- 13
Quick screening for Quick screening for malformationsmalformations
Screen from top to bottom and in midlineScreen from top to bottom and in midline Orifice examination Orifice examination
Anal openingAnal opening Oesophagus patency*Oesophagus patency* Choanal atresiaChoanal atresia
** SFD baby, polyhydramnios, excessive SFD baby, polyhydramnios, excessive drooling, drooling,
single umbilical arterysingle umbilical artery
Teaching Aids: NNF
NC- 14
Essential postnatal careEssential postnatal care
Nurse in thermal comfortNurse in thermal comfort
(warm to touch, pink soles)(warm to touch, pink soles)
Check umbilicus, skin, eyesCheck umbilicus, skin, eyes
Good sucking at breast Good sucking at breast
Screen for danger signalsScreen for danger signals
Advice on immunizationAdvice on immunization
Teaching Aids: NNF
NC- 15
Care of umbilical stumpCare of umbilical stump
Inspect 2 to 4 hours after ligation for Inspect 2 to 4 hours after ligation for bleedingbleeding
Do not apply anything, keep cord Do not apply anything, keep cord clean and dryclean and dry
Inspect for discharge or infection till Inspect for discharge or infection till healing occurshealing occurs
Teaching Aids: NNF
NC- 16
Care of the skinCare of the skin
Dry using soft prewarmed clean clothDry using soft prewarmed clean cloth Bathing soon after birth is not Bathing soon after birth is not
recommended recommended Do not make vigorous attempts to Do not make vigorous attempts to
remove vernix caseosaremove vernix caseosa Inspect for superficial infections Inspect for superficial infections
Teaching Aids: NNF
NC- 17
Care of the eyesCare of the eyes
Clean at birth and subsequently dailyClean at birth and subsequently daily
No kajal applicationNo kajal application For sticky eyes use normal saline or For sticky eyes use normal saline or
appropriate medication appropriate medication Nasolacrimal duct blockage, Nasolacrimal duct blockage, Massaging helpsMassaging helps
Teaching Aids: NNF
NC- 18
Summary: care of normal Summary: care of normal neonates at homeneonates at home
Protect from cold/ heatProtect from cold/ heat
Keep umbilical stump clean and dryKeep umbilical stump clean and dry
Don’t apply anything on cordDon’t apply anything on cord
No application in eyesNo application in eyes
Exclusive breastfeeding - day and night Exclusive breastfeeding - day and night for six months for six months
Teaching Aids: NNF
NC- 19
Weight change pattern in Weight change pattern in term babyterm baby
May loss up to 5-7% during first 3-5 May loss up to 5-7% during first 3-5 daysdays
Regains birth weight by 7-10 daysRegains birth weight by 7-10 days
Gains 30 g/day during 1Gains 30 g/day during 1stst month month
Teaching Aids: NNF
NC- 20
Danger signsDanger signs
LethargyLethargy
HypothermiaHypothermia
Respiratory distressRespiratory distress
CyanosisCyanosis
ConvulsionsConvulsions
Abd distensionAbd distension
BleedingBleeding
Yellow palms/ soleYellow palms/ sole
Excessive wt lossExcessive wt loss
VomitingVomiting
DiarrhoeaDiarrhoea
Teaching Aids: NNF
NC- 21
Follow up visit: ObjectivesFollow up visit: Objectives
Assess growth & developmentAssess growth & developmentEarly diagnosis and management of Early diagnosis and management of illnessillnessHealth educationHealth education
Exclusive breastfeeding for 6 monthsExclusive breastfeeding for 6 monthsComplementary feeds after 6 monthsComplementary feeds after 6 monthsSpacing of familySpacing of family
Teaching Aids: NNF
NC- 22
ImmunizationImmunizationAgeAge VaccineVaccine Optional Optional 0-7 days0-7 days BCG, OPV, Hep B BCG, OPV, Hep B 6 Weeks6 Weeks OPV,DPT, Hep B HibOPV,DPT, Hep B Hib10 Weeks 10 Weeks OPV,DPT, Hep B* HibOPV,DPT, Hep B* Hib14 Weeks 14 Weeks OPV, DPT, Hep B HibOPV, DPT, Hep B Hib9 months 9 months MeaslesMeasles15 months 15 months MMR MMR 18 months 18 months OPV, DPT HibOPV, DPT HibSchool entry(4-5 yrs) School entry(4-5 yrs) OPV, DTOPV, DT10 years 10 years Tetanus toxoid Tetanus toxoid (every 5 years)(every 5 years)
* May omit this dose of hepatitis B vaccine if birth dose is given