Page 824 - Saunders Comprehensive Review For NCLEX-RN
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10. Crawling
                                                             a. Place the newborn on the abdomen.
                                                             b. The newborn begins to make crawling
                                                                movements with the arms and legs.
                                                             c. The reflex usually disappears after
                                                                about 6 weeks.

                            IV. Newborn Safety

                                A. Newborn identification
                                             1. Information bracelets are applied to the mother and
                                                newborn immediately after birth and before the
                                                mother and newborn are separated; in addition,
                                                identification pictures of the newborn and footprints
                                                from the newborn may be obtained before the
                                                newborn leaves the mother’s side in the delivery
                                                room.
                                             2. The bracelets include name, sex, date, time of birth,
                                                and identification numbers.
                                             3. Some agencies use identification bracelets that have
                                                radiofrequency transmitters that set off alarms if the
                                                newborn is removed from a certain area.
                                             4. Agencies also conduct unit and hospital-wide drills to
                                                prevent newborn abductions.
                                B. Newborn abduction
                                             1. The mother is taught to check the identification of any
                                                person who comes to remove the infant from her
                                                room and is taught other precautions to prevent
                                                newborn abduction (nurses must be wearing photo
                                                identification or some other security badge) (Box 27-
                                                1).
                                             2. Closed-circuit televisions, code-alert bands, computer
                                                monitoring systems, or other monitoring systems may
                                                be used in some agencies.
                                             3. The newborn is wheeled in a bassinette, not carried in
                                                a staff member’s arms.

                            V. Parent Teaching

                                A. Formula feeding
                                             1. Teach sterilization techniques if the water supply is
                                                located in areas where the purification process of the
                                                water is questionable.
                                             2. Remind the mother not to heat the bottle of formula in
                                                a microwave oven.
                                             3. Inform the mother that formula is a sufficient diet for
                                                the first 4 to 6 months.
                                             4. Assess the mother’s ability to burp the newborn.
                                B. Breast-feeding




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