Discharge teaching- bathing a newborn PDF

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Basic Concept

lauren san millan ST UDENT NAME _____________________________________ discharge teaching newborn CONCEPT ______________________________________________________________________________

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Underlying Principles

(E.G., DELEGATION, LEVELS OF PREVENTION, ADVANCE DIRECTIVES)

Bathing - Teach the parents proper newborn bathing techniques by a demonstration. Have the parents return the demonstration. - After the inital bath, the newborn’s face, diaper area, and skin folds are cleansed daily. Complete bathing is performed two to three times per week using a mild soap.

ACTIVE LEARNING TEMPLATES

REVIEW MODULE CHAPTER ___________

Nursing Interventions WHO? WHEN? WHY? HOW?

Client Education 1) Bathing by immersion is not done until the newborn’s umbilical cord has fallen off and the circumcision has healed. 2) Move from the cleanest to dirtiest part of the body Eyes—> face —> head —> chest —> arms —> legs—> groin area last 3) Organize all equipment Do not left the newborn alone in the tub or sink. 4) Bathing should not take place immediately after feeding to prevent spitting up and vomiting. 5) hot water heater is set at 49C. Warm room temperature. Bath water should be 38C. Test water for comfort with your elbow before bathing the newborn. 6) Avoid drafts or chilling of the newborn. Expose only the body part being bathed. Dry the newborn thoroughly to prevent chilling and heat loss. 7) Clean the newborn’s eyes - use clear water to clean each eye, moving from the inner to the outer canthus. 8) Each area of the newborn’s body should be washed, rinsed, and dried with no soap left on the skin

9) wrap the newborn in a towel, and swaddle them in a football hold to shampoo the head. Rinse shampoo from the newborn’s head, and dry to avoid chilling. 10) Cleansing an uncircumcised penis wash with soap and water and rinse the penis. The foreskin should not be forced back or constriction can result. 11) Cleaning a circumcised penis- use warm water. Do not use soap until the circumcision is healed. 12) wash the vulva by wiping from the front to back to prevent contamination of the vagina or urethra from rectal bacteria. 13) Applying a fragrance free, hypoallergenic, moisturizing emollient immediately after bathing can help prevent dry skin

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