Question

Baby H. was just born in a hospital that provides single-room maternity care (SRMC). SRMC allows the
infant to remain with the parents after birth. H.'s mother was in labor for 12 hours and gave birth vaginally.
Baby H. is the first baby born to these parents. The nurse will complete the physical assessment and
observe for physiologic changes in the infant's transition from intrauterine to extrauterine life.

9. Identify six important points to include in your teaching plan.

10. H.'s mother calls you to tell you that her baby seems too sleepy and is not feeding well. What
will your next action be?

11. Baby H.'s mother asks you about cord care and circumcision care for her infant. What will
you tell her?

12. Baby H.'s mother asks you how she can keep her infant from catching a cold or some other
type of infection. What is the most important measure to teach her?

13. After discharge, it is important for Baby H. to receive follow-up care. What should you teach
the mother to help her understand the importance of regular visits?

14. You realize that Baby H.'s mother needs information about safety issues before being
discharged. After a review of safety issues, which statement by Baby H.'s mother indicates
that she needs further instruction?
a. “I have a car seat and will use it for my baby every time we use the car.”
b. “I can leave him on the infant table for just a few moments while he is a newborn.”
c. “I will not drink hot coffee while holding my baby.”
d. “I will check the bath water temperature before bathing him.”

Answer 1

9.A.Breast feeding techniques
Including proper latching and the techniques and duration of feedings

B.Exclusive breastfeeding

It is defined as feeding infants only breast milk, be it directly from breast or expressed, except drops or syrups consisting of vitamins, mineral supplements or medicine. Exclusive breastfeeding is one of the essential actions for infant development and survival.

C.Umbilical cord care

D.Immunization

E.Burping after feeding.

F.Supporting baby's neck

10.The baby seems sleepy may be due to hypoglycaemia.So his blood sugar level should be checked immediately.

11.Use the following guidelines for your newborns umbilical cord stump care:

• The umbilical cord stump will look bluish-purple and have a plastic clamp on it. The clamp will be removed at the hospital before going home. The umbilical stump will fall off in about two or three weeks.
• Until it falls off, keep the stump clean and dry.
• Wipe the cord with alcohol and always fold the diaper below the cord.
• It is normal for there to be a bit of bleeding when the cord falls off.

Watch the umbilical cord area for signs of infection, including:

• Foul odor
• Red skin around the stump
• Yellow fluid coming from the stump
• Fever: Rectal temperature of 100.4 degrees F or higher

  Use the following guidelines to care for your baby after the circumcision:

• After the circumcision, the physician will place a small amount of petroleum jelly on your baby's incised area and wrap a thin strip of gauze over the wound
• Keep this area clean and dry and at each diaper change, apply petroleum jelly and a clean gauze pad. Continue this care until the discharge stops and the redness fades away in about two to three days
• The wound usually heals in five to seven days. During this time, you may gently wash the area with warm water and pat dry. A tub bath should be avoided until the wound has healed and the umbilical cord has fallen off

12

• The most important measure to teach her is exclusive breast feeding.It should be initiated immediately after delivery.The milk which produced in the first 24 houre of delivery should be given to the baby frequently.Breast fed babies will have more immunity through mother's milk.Through breast milk they will get adequate immunoglobulins to resist infections.
• Keep the baby warm enough with covering him properly.
• Immunization as per the guidelines.