Monday, May 27, 2024

EXAMINATION OF A NEWBORN BABY AT THE LABOUR WARD

Table of Contents

REQUIREMENTS #

  1. A tray containing the following:
    1. Sterile gallipot with cotton wool swab
    2. Cord ligatures/clamps
    3. Stethoscope
    4. Pulse oximeter
    5. Scissors
    6. Measuring tape and gloves
    7. Antiseptic lotion
    8. Injection Vitamin K (depends on protocol of hospital)
    9. Syringe and hypodermic needle
    10. Baby dress
    11. Cot sheets
    12. Diaper
    13. Wipes
    14. Others (Good light source, flat surface, plastic apron, chairs, sharps container)

STEPS #

  1. Establish rapport to mother (Refer steps)
  2. Explain procedure (Refer steps)
  3. Collect and assemble all items
  4. Prepare a conducive room (close nearby windows, put off all fans and air conditioners if available)
  5. Maintain infection, prevention technique throughout the procedure
  6. Wear mackintosh apron and perform hand hygiene
  7. Put on gloves and collect baby from mother (invite mother to observe procedure if possible)
  8. Position baby on a safe flat covered surface
  9. Unwrap the baby, do general inspection and cover with a clean sheet
  10. Check the neonate temperature
  11. Examine baby’s head, face and neck for abnormalities
  12. Examine the chest (rise and fall of the chest, symmetry)
  13. Check for apical pulse or listen to heart sound
  14. Examine the abdomen (distention of the abdomen etc.)
  15. Examine the cord for number of vessels and any bleeding
  16. Examine the arms and hands for extra digits, webbed fingers, etc.
  17. Examine the genitalia (if male; position of urethra opening, undescended testes, if female; abnormal discharges)
  18. Test patency of rectum and urethra opening
  19. Examine hips for dislocation
  20. Examine lower extremities talipes, webbed toes, extra digits etc.
  21. Examine the back of the baby (sacral dimple, spinal bifida)
  22. Elicit for reflexes (Suckling, Moro, blinking, grasping etc.)
  23. Give injection Vitamin K according to hospital’s protocol
  24. Dress, wrap and place baby back into cot or sends to mother
  25. Express appreciation to mother and communicate findings to her
  26. Dispose off used items and decontaminate instruments
  27. Perform hand hygiene
  28. Record and report findings to the Officer in-charge