FDAR. Immediate Newborn Care

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Date Time Focus Data Action Response

Novembe 02:40 Immediate D>Newly delivered an active baby boy NVSD


r 23, 2020 p.m. Newborn in Cephalic presentation at 2:40PM; vigorous
Care cry and active pull of extremities noted, bluish
extremities noted.
A>Thoroughly dried baby from face to trunk
to extremities; rubbed back gently to stimulate
cry; removed wet and soiled linen; provided
skin to skin contact for 90 minutes; placed
identification tags on baby’s legs; covered
head with bonnet; clamped and cut cord
aseptically after pulsation was no longer felt;
initiated breastfeeding at 3:07pm to 3:22pm;
brought baby to the newborn care area, applied
Oxytetracycline Polymyxin B Sulfate 1 squirt
on both eyes; injected Phytomenadione 0.1mL
IM at right anterolateral aspect of the thigh;
NOD injected Hepatitis B 0.5mL IM at left
anterolateral aspect of the thigh; BCG
administered on right deltoid, APGAR Score
noted, anthropometric measurements recorded
and vital signs taken q15 for the first hour and
q30 for the next hour, and then q1hr until
stable, assisted Pediatrician in determining the
newborn’s Ballard Score, monitored intake and
output, for rooming in with mother and kept
thermoregulated at 36.5℃-37.5℃.
R> Baby is subjected for hearing screening
and newborn screening at least 24 hours of life
has passed, monitored for any unusualities.

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