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., & Cashion, K. (2007)). The higher the final APGAR score, the better condition of the infant. The score is usually an 8 or 9. Vitamin K is usually administered to the infant for clotting formation and erythromycin acts as a prophylaxis (Silvestri, L. A. (2008)). Assessments conclude: palmar-plantar grasp, startle reflex, ull-to-sit response, tonic neck, and sucking and rooting (Silvestri, L. A. (2008)). These many assessments are performed to ensure that all the babies reflexes are responsive.Vital signs are assessed and body measurements during the birth assessment. Infant identification are applied to the patient and mother to avoid infant abduction (Silvestri, L. A. (2008)). Parent teaching on formula feeding, breast-feeding, bathing (Perry, S. E., & Cashion, K. (2007)).

Work Cited

Perry, S. E., & Cashion, K. (2007). Maternity & women's health care (9th ed.). St. Louis, Mo.: Mosby Elsevier.
Silvestri, L. A. (2008). Saunders comprehensive review for the NCLEX-RN examination (4th ed.). St. Louis, Mo.: Saunders Elsevier.