NURSING_Basic Care of the Newborn Work Sheet: Critical teaching points and common questions: Bathing

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Basic Care of the Newborn Work Sheet: Critical teaching points and common questions Bathing (p. 493) When is the best time to bathe the baby? 

Before a feeding to decrease risk of emesis related to jostling during bathing

What type of soap or lotion or powder should I use?



Use of a mild preservative-free soap that has a neutral pH is recommended to decrease risk of skin irritation

How do I know if the water is warm enough?



Water should be between 90 F and 100 F -keep bath time short (5-10 minutes) to reduce heat loss

How should I wash the baby’s face?



No soap on face -face should be cleaned after feedings with plain water

How should I wash the diaper area?



Genitals and rectal areas should be cleaned at each diaper change with water or diaper wipes -wash front to back for female -elevate scrotum and cleanse area

Skin Care (p. 499) How can I prevent my baby from getting a diaper rash? (diaper dermatitis)



-change diapers frequently, every 1 to 3 hours during the day and at least once during the night -cleanse infants bottom with water/disposable diaper wipes during each change

What can I do if my baby gets a diaper rash? (diaper dermatitis)



-use petroleum or zinc oxide ointments during diaper changes (at 1st sign of rash) -avoid use of powders -avoid use of antibiotics ointments (can increase risk for allergic skin reactions) -expose infants bottom to air while sleeping -add a half cup of vinegar to rinse cycle

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Basic Care of the Newborn Work Sheet: Critical teaching points and common questions Clothing (p. 494) What is the most comfortable fabric for my baby?



100% cotton, -synthetic clothing may irritate skin

Should the baby wear a T-shirt?



yes, usually comfortable wearing diaper, t-shirt and loose-fitting outfit when indie

When should I put on extra layers of clothing? 

When infant is outside in cooler weather

How do I know if my baby is over-dressed or too hot?



avoid overheating/ overbundling infant at sleep time; signs of overheating: -sweating -damp hair -heat rash -rapid breathing -restlessness

Cord Care (p. 495) Do I put the diaper under or over the cord? 

Diaper is placed below the cord

What do I if the cord gets dirty? 

Clean it with plain water and dry it with a clean, absorbent cloth

When would I be concerned that something is wrong with the cord? 

If there is bleeding from cord site, foul-smelling drainage, redness in the surrounding ski, or fever

When should the cord fall off? What will it look like? 

1-2 weeks after birth o Looks dry, hard and black

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Basic Care of the Newborn Work Sheet: Critical teaching points and common questions Bulb Syringe (pp. 493 - 494) If the baby is choking, how do I use a bulb syringe?



compress syringe and insert it into mouth -place in each side of mouth, roof of mouth and back of mouth -release pressure of syringe

If the baby’s nose is stuffy, how do I use a bulb syringe? 

Syringe is placed in each nostril

How do I clean the syringe? 

With soapy water and rinsed after each use

Diapering/Elimination (pp. 495-496 and table 15-1 on p. 449) How often should I change the baby’s diaper? 

Every 1 to 3 hours during the day and at least once at night

How do I clean the baby’s bottom?



use water or commerical diaper wipes to clean genital and rectal areas, wiping from to back for female and for males life scrotum and wash under it

How often should my baby be peeing or pooping?



newborns pass several stools per day -newborns should have at least 6 wet diapers per day once breastfeeding or bottle feeding establishes

What does it mean if my baby has a pink stain or blood in the diaper?



pink stain is related to urates and is a normal response -if in more than 2 diapers may suggest dehydration and weight loss call HCP -blood may occur on diaper of female newborns related to withdrawal of maternal hormones

Circumcision (p. 494) How long will it take for the circumcision site to heal? 

Within 2 weeks

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Basic Care of the Newborn Work Sheet: Critical teaching points and common questions They used a clamp for my baby’s circumcision. How do I take care of the circumcision site?



apply a protective lubricant over circumcision site after each diaper change for 1st week

They used a Plastibell for my baby’s circumcision. How do I take care of the circumcision site?



do not apply lubricants -let ring fall off on its own in 7-10 days

How do I know if the circumcision isn’t healing well?



bleeding from circumcised area -penis is red, warm and swollen and/or drainage from surgical site

Follow-up Care (p. 496) When should I make my baby’s first appointment with the pediatrician? 

Within 48 to 72 hours of discharge

What will they do at that visit?



assess the infants growth -assess feeding pattern -assess developmental level -assess for jaundice -provide appropriate immunizations -do follow up metabolic screening -continue teaching parents about care of their child and what to expect

When will my baby get the next Hepatitis B injection?



1st hep B shot is given 1st 24 hours of birth -2nd dose is given at age 1 or 2 months -3rd dose at least 8 weeks after 2nd dose & 16 weeks after 1st dose, 6-18 months

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