NU423-MN : SPECIALIZATION3-MN

Course Outline

The Neonatal Period

1. Definition

2. Profile of the newborn

2.1 Vital Statistics

2.1a Weight

2.1b Length

2.1c Head Circumference

2.1d Chest Circumference

2.1e Abdominal Circumference

2.1f Arm Circumference

2.2 Vital Signs

2.2a Temperature

2.2b Pulse

2.2c Respiration

2.3d Blood Pressure

3. Physiologic Function

3.1 Cardiovascular System

3.2 Respiratory System

3.3 Gastrointestinal System

3.4 Urinary System

3.5 Immune System

• Characteristics, definition, procedural steps/assessment steps, clinical manifestations of normal versus abnormal, possible care and management as to medical-surgical and nursing.

Nursing Skills:

1. Review of Universal precautions
2. PPE donning and doffing
3. Newborn Screening Test

3.6. Neuromuscular System (Newborn Reflexes

3.6a Blink Reflex

3.6b Rooting Reflex

3.6c Sucking Reflex

3.6d Swallowing Reflex

3.6e Extrusion Reflex

3.6f Palmar Grasp Reflex

3.6g Step-in Place Reflex

3.6h Placing Reflex

3.6i Plantar Grasp Reflex

3.6jTonic Neck Reflex

3.6k Moro Reflex

3.6l Babinski reflex

3.6m Magnet Reflex

3.6n Crossed Extension Reflex

3.6o Trunk Incurvation Reflex

3.6p Landau Reflex

3.6q Deep Tendon Reflexes

3.7 The Senses

3.7a Hearing

3.7b Vision

3.7c Touch

3.7d Taste

3.7e Smell

• Definition, characteristics/normal manifestations, disorders pertaining to abnormal signs and symptoms, possible management as to medica-surgical and nursing.

Nursing Skills:

1. The Warm chain
2. Unified System for Gestational Age Evaluation and Classification of the newborn based on Maturity and Intrauterine growth
3. Assessment Skills of newborn reflexes

4. Physiologic Adjustment to Extrauterine Life

1. Appearance

1.1 Skin Color

1.1acyanosis

1.1b jaundice

1.2 Birthmarks

1.2a Hemangiomas

1.3 Vernix Caseosa

1.4 Lanugo

1.5 Desquamation

1.6 Milia

1.7 Erythema Toxicum

1.8 Forceps marks

1.9 Skin Turgor

2. Head

1. Fontanelles (Anterior; Posterior)

2. Sutures

3. Molding

4. Caput Succedanum

5. Cephalhematoma

6. Craniotabes

3. Eyes

1. Subconjunctival Hemorrhage

2. Opthalmia Neonatorum (Gonorrheal Conjunctivitis)

3. Orbital Edema

4. Eye Care

4. Ears

5. Nose

6. Mouth

7. Neck

8. Chest

9. Abdomen

10. Anogenital Area (Male/Female)

11. Back

12. Extremities

5. APGAR Scoring

• Definition, characteristics/clinical manifestations, nursing considerations, associated complications, therapeutic management as medical, surgical and nursing

Nursing Skills:

1. Computation and vignette of APGAR computation

2. Immediate essential newborn care

3. Suctioning

6. Respiratory Evaluation

7. Physical Examination

8. Nursing Care of Newborn

8.1 Initial Feeding – Advantages of Breastfeeding

8.2 Bathing

8.3 Sleeping Position

8.4 Diaper Area Care

8.5 Metabolic Screening Tests

8.6 Hepa B Vaccination

8.7 Circumcision

9. Immediate Care of the Newborn

1. Establishing Airway

2. Maintaining Body Temperature

3. Cord Care

4. Vitamin K Administration

5. Eye Prophylaxis

6. Identification Bracelet

• Definition, steps and procedures, normal versus abnormal clinical manifestations, medical-surgical and nursing care and management

Nursing Skills:

1. Breastfeeding
2. Oxygen therapy
3. NGT insertion

II. High –Risk Newborn/Neonatal Resuscitation

1. Small for Gestational Age Infant

2. Preterm Infant

2.1 Potential Complications

2.1a Anemia

2.1b Kernicterus

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management as to medical-surgical and nursing.
• Steps in Neonatal Resuscitation

Nursing Skills: Demonstration and return demonstration:

1. Inverted pyramid of Neonatal Resuscitation
2. Newborn Life Support
3. Assisting in endotracheal tube insertion

2.1c Persistent Patent Ductus Arteriosus

2.1d Periventricular/Intraventricular Hemorrhage

3. Postterm Infant

III. Illness in the Newborn (Morbidity and Mortality)

1. Respiratory Distress Syndrome (RDS)

2. Transient Tachypnea

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management as to medical-surgical and nursing.

Nursing Skills:

1. Care of newborn under phototherapy
2. care of newborn in incubator

3. Meconium Aspiration Syndrome

4. Apnea

5. Sudden Infant Death Syndrome

6. Neonatal Sepsis

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management as to medical-surgical and nursing.

Nursing skills:

1. ABG extraction
2. Assisting in umbilical catheterization

7. Hyperbilirubinemia

8. Hemolytic Disease of the Newborn

9. Rh Incompatibility

10. ABO Incompatibility

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management as to medical-surgical and nursing.

Nursing Skills:

1. NGT feeding
2. Gastric lavage and gavage

11. Hemorrhagic Disease of the Newborn

12. Retinopathy of Prematurity

13. Congenital Rubella

14. Hepa B Virus Infection

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management as to medical-surgical and nursing.

Nursing Skills:

1. Review of IM injection for Hepa B vaccination
2. Reverse Isolation Technique

IV. Birth Injuries

1. Cranial Injuries

2. Peripheral Nerve Injuries

3. Soft Tissue Injuries

4. Bone Injuries

4.1 Clavicle Fracture

4.2 Hip Dysplasia

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management

Nursing Skills:

1. Review and
2. Return demonstration of the Skills taught

V. Neonatal Convulsion

1. Cerebral Anoxia

2. ICP

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management

Nursing Skills:

Graded return demonstration of Skills Laboratory topics

3. Intracranial Infection

4. Tetanus Neonatorum

5. Narcotic Withdrawal

• Definition, classifications, clinical manifestations, diagnostic tests or investigations, health problems and health risks, nursing considerations, therapeutic care and management

Nursing Skills:

1. Drug computation of NICU medications and parenteral nutrition