Free Essay

Newborn Assessment

In: People

Submitted By minion81
Words 1519
Pages 7

Newborn Assessment
College of Southern Nevada
Nurs 247

Newborn Assessment

Student Name: Date: November 21st, 2009

Infant Sex: Male Age at Exam: 6 hours old Gestational Age: 40 weeks Diet: Formula

Features of Pregnancy, Labor & Delivery: Data obtained from Prenatal History, L&D Record, and Verbal Report:

The patient is a 27 year old female that was a G3 P2. The patient did not receive any prenatal care with this pregnancy or previous pregnancy. The patient stated that this pregnancy went very fast as she didn’t realize how far along she was until her water broke at home on 10/9/09. The patient stated that she did not have much pain and did not receive any pain medication. When the patient arrived, she was 10cm, 100% and +2. The patient gave birth to the baby vaginally within 15 minutes of arriving to the hospital and stated she only pushed 3 times. The patient lost approximately 200mL of blood during birth and the patient had lab work drawn the morning of the interview however no results were available. The patient reports no known diseases or illnesses.

|Assessment |Textbook Normals |Finding |
|Posture |Vertex: arms and legs in moderate flexion; fists clenched |Flexion of arms and legs. Fists |
| |Normal spontaneous movement bilaterally asynchronous but equal extension in all |clenched closely to chest. |
| |extremities | |
| |Frank breech: legs straighter and stiff | |
|Vital Signs | |Apical pulse of 115 when lying |
|Heart Rate and Pulses |Visible pulsations in left midclavicular line, 5th intercostals space |quietly. S1 and S2 were sharp and |
| |Apical pulse, 4th intercostals space 100-160 beats/min, 80-100 bpm (sleeping), up|clear. at rest. S1 & S2 sharp and |
| |to 180 bpm (crying) |clear. |
| |Quality: first sound (closure of mitral and tricuspid valves) and second sound | |
| |(closure of aortic and pulmonic vales) sharp and clear | |
| |Possible murmur | |
| |Peripheral pulses equal and strong | |
| |Femoral pulses equal and strong |Femoral and brachial pulse was |
|Peripheral pulses: | |equal and strong. |
|Femoral, brachial, poplitieal, post.| | |
|Tibial |Axillary: 36.5(C to 37.2(C |Axillary temp: 98.2 F |
| |Temperature stabilized by 8-10 hr of age | |
|Temperature |30-60 breaths/min |Respiratory Rate: 42 |
| |Shallow and irregular in rate, rhythm, and depth while infant is awake. Breath |Breath sounds were shallow, |
|Respiratory Rate |sounds loud, clear, near |irregular and no crackles were |
|(Count respirations for full minute)|Crackles may be heard after birth |present. |
| | | |
| | |87/42 |
| |80-90s/40-50s | |
|B/P | | |
|Apgar Score (Describe) |Evaluation made 1-5 min after birth. Scores 0-3 indicate severe distress; 4-6 |1 Minute: 9/9 |
| |indicate moderate difficulty; 7-10 indicate no difficulty adjusting to |5 Minute: 9/9 |
| |extrauterine life. | |
| | | |
| | | |
| | | |
|Heart Rate | | |
|Respiratory Rate | | |
|Muscle Tone | | |
|Reflex irritability | | |
|Color | | |
| |0 |1 |2 | |
| |Absent |Slow (100 | |
| |Absent |Slow, weak cry |Good cry | |
| |Flaccid |Some flexion |Well flexed | |
| |No Response |Grimace |Cry | |
| |Blue, Pale |Body pink, extremities |Completely pink | |
| | |blue | | |
|Weight today |2500-4000g |2880g |
| |Acceptable weight loss: ( 10% | |
|Head Circumference |32-36.8 cm |34cm |
|Chest Circumference |2-3 cm less than head circumference, avg. 30-33cm |31cm |
|Abd Circumference |Same size as chest |31cm |
|Length |45-55 cm |44cm |
|Skin color |Generally pink, varying with ethnic origin, acrocyanosis (if chilled), mottling, |Pink coloring all over |
| |harlequin sign, plethora, telangiectases, erythema toxicum or neonatorum, milia, | |
| |petechiae, ecchymoses | |
|Birthmarks |Mongolian spot |N/A |
|Lanugo |Over shoulders, pinnas of ears, forehead |Minimal lanugo around ears and |
| | |forehead. |
|Fontanels | | |
|Anterior |5cm diamond, increasing as molding resolves |Normal |
|Posterior |Triangle, smaller than anterior |Normal |
|Eyes |Both present, equal size, round, firm, Symmetric, blink reflex, no discharge, |Both eyes present, round firm and |
| |pupils (PERRLA), Eyeball movement random, jerky, uneven, focus possible briefly, |of equal size. Symmetric shape |
| |following to midline, transient strabismus or nystagmus until third or fourth |noted. |
| |month | |
|Nose |Midline, some mucus but no drainage, preferential nose breather, sneezing to |Located midline, minimal mucus, no|
| |clear nose, slight deformity (flat or deviated to one side) from passage of birth|drainage. |
| |canal | |
|Ears |Correct placement (line drawn through inner and outer canthus of eyes should |Correct placement noted. Cartilage|
| |reach to notch of ears) |well formed. Responds to noise. |
| |Well formed, firm cartilage | |
| |Responds to voice and other sounds | |
| |State (eg. alert, asleep) influences response | |
|Mouth | Symmetry of lip movement; buccal mucosa pink dry or moist, pink gums; tongue not|Buccal mucosa pink and moist. |
| |protruding, freely movable, symmetric in shape; sucking pads inside cheek; soft |Tongue moving freely, not |
| |and hard palates intact; uvula in midline; distinct chin; moist mouth; rooting, |protruding and soft/hard palate |
| |sucking, extrusion reflexes present |intact. |
|Chest |
|Symmetry |Circular, barrel shaped; clavicles intact; rib cage symmetric and intact; nipples|Circular, barrel shaped. Rib cage |
| |prominent and symmetrically placed |symmetric and intact. Nipple |
| | |placement symmetrical. |
|Breast Tissue |breast nodule 3-10mm, secretion of witch’s milk |N/A |
|Lungs |symmetric chest movement, chest and abdominal movements synchronized during |Symmetric chest movement, |
| |respirations; occasional retractions, especially when crying |retractions seen when crying. |
|Heart Sounds |Quality: first sound (closure of mitral and tricuspid valves) and second sound |S1 and S2 sharp and clear. No |
| |(closure of aortic and pulmonic vales) sharp and clear |murmur auscultated. |
| |Possible murmur | |
|Abdomen |Rounded, prominent, dome shaped, some diastsis of abdominal musculature, liver |No distension and bowel sounds |
| |possibly palpable 1-2 cm below right costal margin, no other masses palpable, no |present. |
| |distention; bowel sounds present within minutes after birth | |
|Umbilical Cord |Two arteries, one vein, whitish gray, definite demarcation between cord and skin,|Dry around base, odorless with |
| |no intestinal structures within cord, dry around base, drying, odorless, cord |cord clamp. |
| |clamp in place for 24hr, reducible umbilical hernia | |
|Stool |Meconium stool passing within 24-48hr after birth, meconium followed by |N/A |
| |transitional and soft yellow stools | |
|Genitals | | |
|Female |Female genitals | |
|Male |Male genitals |Male genitals, meatus visible at |
|Meatus |Meatus at tip of penis |tip of penis and testes palpable |
|Testes |Palpable on each side |when squeezed on each side. |
|Urination |Voiding within 24 hr, stream and amount adequate |N/A |
|Extremities |Full ROM, possible slight tremors, some acrocyanosis |Full ROM |
|Fingers/Toes |5 fingers on each hand, fist often clenched with thumb under fingers, 5 toes on |5 fingers/toes on each hand/foot. |
| |each foot | |
|Back/Spine |Spine straight and easily flexed |Spine straight and easily flexed. |
|Anus |One anus with good sphincter tone, passage of meconium within 24-48 hr after |One anus with good sphincter tone.|
| |birth, good “wink” reflex of anal sphincter | |
|Pulses |Peripheral pulses equal and strong |Femoral and brachial pulses equal |
| |Femoral pulses equal and strong |and strong. |
|Mother’s ABO & RH | |B (+) |
|Infant ABO & RH | |O |
|Infant Lab Values |Hemoglobin |14-24 gm/dl |Labs were drawn but results not |
| |Hematocrit |44%-64% |available at time of assessment. |
| |Glucose |46-65 mg/dl | |
| |Leukocytes (white blood cells) |9,000-30,000/mm3 | |
| |Bilirubin, total serum |( 2.0 mg/dl | |
| |Blood gases | | |
| |Arterial |pH 7.32-7.49 | |
| | |PCO2 26-41 mm Hg | |
| | |PO2 60-70 mm Hg | |
| |Base excess |-10 to –2 mEq/L | |
| |Bicarbonate, serum |21-28 (arterial) | |
| |Anion gap |7-16 mEq/L | |
| |Venous |pH 7.31-7.41 | |
| | |PCO2 40-50 mm Hg | |
| | |PO2 40-50 mm Hg | |
|Medications/Purpose | |N/A |
|Erythromycin ophthalmic ointment 5mg|To prevent ophthalmia neonatorum in newborns of mothers who are infected with |Placed in eyes at birth. |
|in each eye after birth |gonorrhea, conjunctivitis, and Chlamydia. | |
|Vitamin K 0.5mg IM |Vitamin K is used for prevention and treatment of hemorrhagic disease in the |Administered at birth. |
| |newborn. | |
| | | |
| | | |
| | | |

Reflexes- Test at least 5 – Learn these: Describe how to test each and the interpretation:

|Reflex |Eliciting the reflex |Characteristic Response |Interpretation |
|Sucking and rooting |Touch infant’s lip, cheek, or corner of mouth|Infant turns hear toward stimulus; opens |Infant turned head towards finger |
| |with nipple |mouth, takes hold, and sucks |when cheek rubbed. |
|Swallowing |Feed infant; swallowing usually follows |Swallowing is usually coordinated with |Infant able to suck effectively and |
| |sucking and obtaining fluids |sucking and usually occurs without gagging, |swallow formula. |
| | |coughing, or vomiting | |
|Grasp | |Infant’s fingers curl around examiner’s |Infant curled finger and toes when |
|Palmar |Place finger in palm of hand |fingers, toes curl downward |finger placed near fingers/toes. |
|Plantar |Place finger at base of toes | | |
|Crawling |Place newborn on abdomen |Newborn makes crawling movements with arms |Infant failed arms/legs when placed |
| | |and legs |on abdomen. |
|Glabellar (Myerson) |Tap over forehead, bridge of nose, or maxilla|Newborn blinks for first four or five taps |Infant blink 4 times when tapped 4 |
| |or newborn whose eyes are open | |times on forehead. |

Mother- Infant Interaction:

The interaction between the mother and infant was observed and the mother was very gentle and loving towards her baby. She stated that she missed her other children being this small and that this time was one of her favorite times as a mother. Infant did not cry and went to sleep in mothers arms.

Nursing evaluation of any abnormal or unusual findings:

Nursing evaluation of mother/baby interaction was normal and newborn assessment findings were all within normal ranges.…...

Similar Documents

Free Essay

Newborn Assessment

...and very large babies are at greater risk for problems. Babies are weighed daily in the nursery to assess growth, fluid, and nutrition needs. PERCENT OF WIEGHT LOSS: Newborn babies may lose as much as 10 percent of their birthweight. This means that a baby weighing 7 pounds 3 ounces at birth might lose as much as 10 ounces in the first few days. Premature and sick babies may not begin to gain weight right away. LENGTH - the measurement from crown of head to the heel HEAD CIRCUMFERENCE: NORMAL, 32-38CM (the distance around the baby's head) - is normally about one-half the baby's body length plus 10 cm CHEST CIRCUMFERENCE: NORMAL: 30-36CM -2-3CM LESS THAN THE HEAD MORO REFLEX: A reflex is a type of involuntary (without trying) response to stimulation. The Moro reflex is one of many reflexes that are seen at birth. It normally disappears after 3 or 4 months. ROOTING REFLEX: occurs when you stroke the baby's cheek. The infant will turn toward the side that was stroked and begin to make sucking motions with the mouth. SUCKING REFLEX: sucks when area around mouth is touched. GAG REFLEX: gagging when the throat or back of the mouth is stimulated. GRASP REFLEX: occurs if you place a finger on the infant's open palm. The hand will close around the finger. Trying to remove the finger causes the grip to tighten. Newborn infants have strong grasps and can almost be lifted with one finger. Babinski's reflex: occurs when the big toe moves toward the top surface of the foot and the......

Words: 1298 - Pages: 6

Premium Essay

Newborn Care

...this campaign, the DOH aims to cut down infant mortality in the Philippines by at least half. The campaign employs Essential Newborn Care (ENC) Protocol as a strategy to improve the health of the newborn through interventions before conception, during pregnancy, at and soon after birth, and in the postnatal period. The ENC Protocol provides an evidence-based, low cost, low technology package of interventions that will save thousands of lives. Based on health statistics, the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. 82,000 Filipino children under five years old die every year. 37% of them are newborn. Majority of them (3/4) die within the first two days of life. Mostly due to stressful events or conditions during labor, delivery and immediate postpartum period. The current practice of handling newborns, like clamping and cutting the umbilical cord and washing the baby right after birth, have been known to actually contribute to the high incidence of neonatal deaths and illnesses in the country. Thus the need for a paradigm shift from the prevailing standard procedures into the new protocol. Health Secretary Duque explained that the ENC Protocol involves focusing on the first hours of life of the newborn with the manual guiding health workers in providing evidence-based essential newborn care. Essential Newborn Care Workflow The ENC Time-bound Interventions The guidelines categorize procedures into time-bound, non time-bound......

Words: 3976 - Pages: 16

Free Essay

Newborn Care

...Newborn Care Guide South Tulsa Pediatrics Elizabeth Dunlap D.O. Jerry Freed D.O. Dawn Mayberry D.O. Christine Narrin-Talbot D.O. Office Hours 8am to 5pm Monday through Friday Phone 918-728-2000 Fax 918-728-2001 To the New Parents [pic] Few things that happen to your baby in the first year are more important than nutrition. As your physician, I would like to share my concerns about feeding your baby. Breastfeeding is the best feeding for your baby. I recommend it for as long as possible, preferably during the entire first year of life. In addition to giving the proper nutrition, it offers protection from disease, and fosters that special closeness between you and your baby. However, if you are unable or choose not to breastfeed—or if you are breastfeeding and have decided to switch your baby to infant formula—I have recommended what I believe to be the best infant formula for your baby. My recommendation is based on a number of factors—the nutrition the formula provides, the ingredients and quality of the formula, and how closely the formula is patterned after breast milk. Also, if I feel your baby has any special feeding needs, I’ve taken this into account when coming to my decision. After careful consideration, I’ve recommended the infant formula that I feel best meets the nutritional needs of your baby for the first full year of life. You can accept my recommendation with complete......

Words: 7535 - Pages: 31

Premium Essay

Newborn with Special Considerations

...THE NEWBORN WITH SPECIAL CONSIDERATIONS A preterm infant is usually defined as a live-born infant born before the end of week 37 of gestation; another criterion is a weight of less than 2,500 grams (5lb 8oz) at birth I. INCIDENCE Occurs approximately 7% of live births of white infants, in Afro-American infants the rate is doubled 14% (Thilo & Rosenberg, 2003) CAUSES/FACTORS ASSOCIATED WITH PRETERM BIRTHS 1. Low socio-economic status 2. Poor nutritional status 3. Lack of prenatal care 4. Multiple pregnancy 5. Previous early birth 6. Race (non-whites have higher incidence than whites) 7. Cigarette smoking 8. Age of the mother (highest incidence is in mothers younger than age 20) 9. Order of birth (early termination is highest in first pregnancies and in those beyond 4th pregnancies) 10. Closed spaced pregnancies 11. Abnormalities of mother’s reproductive system, such as intrauterine septum 12. Infections (especially UTI) 13. Obstetric complications (PROM, premature separation of placenta 14. Early induction of labor 15. Elective cesarean birth ASSESSMENT A. History – detailed pregnancy history will reveal reason for the preterm birth; be careful not to convey disapproval of reported pregnancy behaviors such as smoking, etc. Being overburdened with guilt may be detrimental to her attempts to bond with her infant B. Appearance Criteria Posture Premature infant Resting posture – characterized by very little, if any, flexion in upper extremities and only partial flexion......

Words: 6588 - Pages: 27

Premium Essay

Heritage Assessment

...differently. Heritage is whom we are, where we came from and our historical roots. The Heritage Assessment Tool is designed to “give nurses an understanding of the patient’s traditional health and illness beliefs and practices so that culturally appropriate interventions can be initiated. The tool is a series of twenty nine questions.   These twenty nine questions are designed to determine a patient’s ethnic, cultural, and religious background,” (Flowers, D.L., 2005).  The Heritage Assessment Tool (HAT) , is a check list used by professionals to gain knowledge of patients culture and beliefs prior to initiating care (Spector 2000).   In combination with questions that relate to health beliefs and practices the HAT assessment includes events in their childhood, which contribute to the values, and beliefs in adulthood (Spector, 1989).   NursesThe Heritage Assessment Tool is a worksheet operated by people in the medical field in order to recognize the standpoint of a patient in respect to culture and beliefs.   It’s an accurate method in which the medical professional comprehends the patients prior to beginning any interventions.   Ultimately the objective is to diminish disease and ease anguish in the most effectual way that is feasible, it is wise for the licensed practitioner to recognize the utmost comfy actions for the client.   (Edelman & Mandle, 2010) The heritage assessment tool aids medical professionals in evaluating somebody's mental, physical and spiritual......

Words: 951 - Pages: 4

Premium Essay

Breastfeeding and Newborns

...BREAST FEEDING COUNSELING Research Critique, Part1 Article Used: LaanteraS, Polkki T, Pietila A-M. International Journal of Nursing Practice 2011; 17: 72-84, “A descriptive qualitative review of the barriers relating to breast-feeding counseling” Problem Statement: Breast-feeding is not only an intimate and bonding experience for many new mothers, but important and very healthy for newborns. Breast-feeding provides newborns with antibodies, and protects them from many health problems along with fighting diseases ( However to know this important information, breast-feeding counseling is a great aid in helping new parents learn all about its benefits. While breast-feeding counseling is beneficial, many parents and mothers do not know about it and many barriers exist. In an article by Laantera et al, called “A descriptive qualitative review of the barriers relating to breast-feeding counseling”, these barriers are identified and can be helpful in developing future measurements to assess barriers for breast-feeding counseling. Little research has been conducted previously on barriers to breast-feeding counseling, which makes this an important topic and problem to address. This topic is also important to discuss because despite breast-feeding benefits, only 35% of infants worldwide are exclusively breast-fed for 6 months (WHO, 2009). Purpose and Research Question: The main purpose of this study was to describe barriers in breast-feeding......

Words: 878 - Pages: 4

Free Essay

Newborn Health

...Executive Summary I. Introduction Background Methodology Scope Limitations 1 5 II. III. IV. V. VI. VII. VIII. IX. X. Innovations and Best Practices Recommendations and Next Steps Bangladesh Case Study Ethiopia Case Study India (Bihar) Case Study Nigeria Case Study Tanzania Case Study Uganda Case Study Conclusion Annex I: References 11 26 28 41 58 75 92 103 113 114 Acronyms General AMTSL BEmONC CEmONC CIDA DFID DHS EML EmOC EmONC MCHIP MDG MgSO4 MH MMR MoH NGO PE/E POPPHI PPH RH RHCS SDPs STGs SWAps UNFPA UNICEF UNIDO USAID WHO Active Management of the Third Stage of Labor Basic Emergency Obstetric Newborn Care Comprehensive Emergency Obstetric and Newborn Care Canadian International Development Agency UK Department for International Development Demographic and Health Survey Essential Medicines List Emergency Obstetric Care Emergency Obstetric and Newborn Care Maternal and Child Integrated Program (USAID) Millennium Development Goal Magnesium sulfate Maternal Health Maternal Mortality Ratio Ministry of Health Non-Governmental Organization Pre-eclampsia/Eclampsia Prevention of Postpartum Hemorrhage Initiative Postpartum hemorrhage Reproductive Health Reproductive Health Commodity Security Service Delivery Points Standard Treatment Guidelines Sector wide approaches United Nations Population Fund United Nations Children's Fund United Nations Industrial Development Organization United States Agency for International Development World Health......

Words: 60793 - Pages: 244

Free Essay

Newborn Screening

...FOR ENSURING NEWBORN SCREENING Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: ARTICLE 1 GENERAL PROVISIONS SECTION 1. Short Title. - This Act shall be known as the "Newborn Screening Act of 2004." SEC. 2. Declaration of Policy. - It is the policy of the State to protect and promote the right to health of the people, including the rights of children to survival and full and healthy development as normal individuals. In pursuit of such policy, the State shall institutionalize a national newborn screening system that is comprehensive, integrative and sustainable, and will facilitate collaboration among government and non-government agencies at the national and local levels, the private sector, families and communities, professional health organizations, academic institutions, and non-governmental organizations. The National Newborn Screening System shall ensure that every baby born in the Philippines is offered the opportunity to undergo newborn screening and thus be spared from heritable conditions that can lead to mental retardation and death if undetected and untreated. SEC. 3. Objectives. - The objectives of the National Newborn Screening System are: 1) To ensure that every newborn has access to newborn screening for certain heritable conditions that can result in mental retardation, serious health complications or death if left undetected and untreated; 2) To establish and integrate a sustainable newborn screening......

Words: 2239 - Pages: 9

Free Essay

My Newborn Assessment

...Newborn Assessment Prior to the delivery of the baby, the nurse performs concurrent assessments and provides the necessary interventions needed for the patient and the fetus. Gestational age is determined by measuring the fundus height. Fetal Heart Rate monitoring is assessed to ensure the baby is in good standing. During the Delivery process the time of birth is the precise time the entire body is out. The time of birth is recorded. During this time if the newborn in danger, he or she may be placed on the mother abdomen and the umbilical cord is cut. After the birth, the primary focus on the assessment and stabilizing the newborn. The nurse is responsible for numerous interventions and evaluations in relation to the well-being of the infant. After the birth of the infant, the mouth is suction and the nares with a bulb syringe to remove any excess secretions. If the baby has excess meconium in his lungs the nurse does not want the baby to cry and will not try to suction. Respiratory will do necessary interventions for the child. Following suction, the newborn is then dried to stimulate crying. Temperature regulations is maintained by a blanket and placing the baby under a warmer. APGAR scoring system is performed and recorded at 1 minute and at five minute (Perry, S. E., & Cashion, K. (2007)). Heart rate is counted by holding the tip of the umbilical cord. The final APGAR score is the sum total of the five items, with a maximum score of ten (Perry, S. E., &......

Words: 423 - Pages: 2

Free Essay

Newborn Discharge

...Newborn Discharge Instructions Feeding: Feed your baby whenever he or she shows signs of hunger (hands in mouth, rooting, lip-smacking, cooing). Breastfed babies usually eat every 2-3 hours but may eat more frequently at certain times of the day. Bottle fed babies usually eat every 3-4 hours. Urination: During the first few days of life, your baby will urinate 2-3 times each day. By the 4th or 5th day of life, your baby should urinate 6-8 times a day. Bowel Movement: Your baby’s first bowel movements are called meconium and are thick, black and sticky. During the first 4-5 days of life, your baby’s bowel movements will change from brown to green and finally to yellow. Most babies have 3-4 bowel movements daily. If you are breast feeding, you will know your baby is getting enough to eat if he/she has at least 3-4 soft yellow bowel movements each day. Bathing: Your baby does not need to be bathed every day 2-3 times a week is enough. Use mild, non deodorant soap and dry the baby very well to prevent him/her from becoming cold. Be sure to clean the diaper area well with each diaper change. Cord Care: Your baby’s cord will fall off in 5 to 15 days. Positioning: Your baby should fall asleep on his/her back. Your baby should NOT sleep on his/her stomach. It is OK for your baby to lie on his/her stomach when he/she is awake and you are playing. Temperature: If you are concerned that your baby is sick, you can take a temperature under the......

Words: 648 - Pages: 3

Premium Essay

Heritage Assessment

...Heritage Assessment Mary DeCastro Grand Canyon University NUR 429V Lori James July 7, 2014 Heritage Assessment Health care professionals deliver cultural competent care on a daily basis. In 1969 Campinha-Bacote was pursuing an undergraduate degree in nursing. At the same time relationships between the Caucasians and Blacks were strained. Parties of either side felt compelled to identify with ethnic background. It was at this time that Campinha-Bacote laid the developmental stages of her model, The Process of Cultural Competence in the Delivery of Healthcare Services (Campinha-Bacote, 2002). Cultural competence requires the health care deliverers to value diversity, be able to assess culture, be conscious of the interactions of cultures, have cultural knowledge, and develop a deliver system that reflects and understanding of diversity (Cross, Bazron, Dennis, and Isaacs, 1998). Heritage Assessment Tool Since Campinha-Bacote introduce the idea of cultural competency in the delivery of nursing care healthcare, professionals have developed many tools to help identify the cultural beliefs of patients and how culture affect patient’s medical beliefs (Campinha-Bacote, 2002). Questionaries’ such as the Heritage Assessment Tool ( have been key to identifying a patient’s cultural need. The Heritage Assessment Tool was used to assess three families: Family A, Family B, and Family C cultural needs. ......

Words: 1122 - Pages: 5

Premium Essay

Care of the Newborn

...given the option of renouncing their Christianity or being fed to the lions. In choosing the latter, they chose their own death, but we would hardly say that they “committed suicide”, would we? Others were responsible for their deaths; they should take the blame. Or what about Socrates? He drank hemlock and thereby killed himself, but he had previously been sentenced to die by the Athenian government. Does that count as a suicide? (Admittedly, the judgment in Socrates case is clouded by the fact that he had the option of exile too). The point is that describing an act of self-killing as “suicide” is not always straightforward. This has knock-on implications for the ethics of suicide. The ethical assessment of the Christian martyrs is likely to be very different from the assessment of Hitler. This is something that should be borne in mind. In his discussion, Hill suggests that we focus on paradigmatic cases of voluntary and intentional killing first, and then expand our analysis to cover the borderline cases. I’m not so sure that this will work if we include the voluntariness requirement — since that is a highly controversial concept — but it might work if we dropped it. 2. Four Key Questions about Suicide Assuming we have a basic grasp of the phenomenon of suicide, we can proceed to subject it to some philosophical scrutiny. Hill suggests that there are four important questions to be asked:   A. The Competency Question: Was the person mentally competent and......

Words: 3071 - Pages: 13

Premium Essay

Newborn Physical Assessment

...physical assessment of a newborn is very important because it focuses on normal and abnormal findings. Observing the head’s shape is important because of the molding that happens in majority of births that occur vaginally. There are many things that can occur to a newborn resulting from birth trauma causing unusual masses or prominences. Two most common types of birth traumas that can occur during birth are caput succedaneum or cephalhematoma. The most commonly observed scalp lesion is caput succedaneum, a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery (Hockenberry & Wilson, 2011, p 280). It more likely to form during a long or hard delivery. The swelling extends beyond the sutures and can be associated with petechiae or ecchymosis. Most of the time, the problem is noticed after birth. No treatment is needed. The problem usually goes away on its own within a few days. Complications may include a yellow color to the skin. A cephalhematoma forms when blood vessels rupture during labor or delivery to produce bleeding into the area between the bone and its periosteum (Hockenberry & Wilson, 2011, p 281). Cephalohematomas are more common in first pregnancies, if the baby's head is larger than the birth canal. It gets better with no treatment within 3 months. The boundaries of the cephalhematoma are distinguishable and do not extend beyond the limits of the bone. Hyperbilirubinemia may result during......

Words: 263 - Pages: 2

Premium Essay

Newborn Nursing Care Plan

...Running Head: NEWBORN ASSESSMENT AND CARE PLAN Newborn Assessment and Care Plan Newborn Assessment On 1/29/09, at 0610, 39 week gestational age, 7lb 4.6oz, black male was born to 18 year old mother. Infant born via vaginal delivery with assistance of vacuum extraction, nuchal cord x1 noted. Mother received adequate prenatal care beginning at 8weeks. Prenatal medications included Iron supplements and prenatal vitamins. Prenatal complication included pregnancy induced hypertension. Onset of labor 0647, full dilation 1705, and delivery of infant at 1810. Apgar scores 6/8.Weight 3305gms, length 20 inches, head circumference 12 inches, chest circumference 12 ¾ inches, abdominal girth 12 inches. The infant is alert and active. Anterior fontanel is soft and flat. No oral lesions. Head caput/ molding, elongated with edema, abrasion noted from suction. Color is pink and changing all over (African American.) Skin is warm, dry, and well perfused. No rashes, vesicles, or other lesions noted. Birthmark present on forehead approximately 2cm. Bilirubin test ordered. Lanugo present. Hair pattern is scattered evenly all over, fine texture and moderate amount. Eyes symmetrical and in midline. No discharge present from eyes. Eyes move from left to right and sclera is white. Eyebrows are fine and symmetrical. Nose is patent and midline. Ears present symmetrically. Mouth midline. Gums and tongue pink and moist. Cheeks symmetrical with no lesions. Saliva present. Chin well aligned on......

Words: 1186 - Pages: 5

Premium Essay

Knowledge and Conformance on Essential Newborn Care

...Knowledge and Conformance of Delivery Room Staff on Essential Newborn Care Protocol A Thesis Proposal Presented to the Faculty of the Graduate School of University of the Visayas Cebu City, Philippines In Partial Fulfillment of the Requirements for the Degree of Masters of Arts in Nursing Major in Maternal and Child Health Nursing by MAY PRINCES T. ABUCEJO, RN August, 2012 THE PROBLEM AND ITS SCOPE INTRODUCTION Rationale of the Study The Child Survival Strategy published by the Department of Health has emphasized the need to strengthen health services of children throughout the stages. The neonatal period has been identified as one of the most crucial phases in the survival and development of the child. The Millennium Development Goal Number four (4) of reducing under five child mortality can be achieved by the Philippines, however, if the neonatal mortality rates are not addressed from its non-moving trend of decline, MDG 4 might not be achieved ( Based on health statistics, the Philippines is one of the 42 countries that account for 90% of under-five mortality worldwide. Eighty two thousand (82,000) Filipino children under five years old die every year. Thirty seven percent (37%) or 40,000 of them are newborn. Majority of them (3/4) die within the first two days of life, mostly from preventable causes. The high mortality and morbidity rates in newborn are directly related to inappropriate hospital and community......

Words: 6901 - Pages: 28