Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Clinical Prep Tool: Newborn Nursery
Student:___________________________
Date:__________
As preparation for your clinical assignment, complete this form and bring it with you to clinical on your
first and subsequent days in postpartum. You will turn the PREP tool in at the end of the clinical
rotations. Be sure to also bring all appropriate medication cards/resources.
Normal Newborn Temperature Ranges:__________________to _________________________
What route is used to take infant temperature?
If a newborn’s temperature is below the normal temperature, list at least 3 interventions you will perform.
1.
2.
3.
Normal Pulse ranges: ___________to________________
Where and for how long should the newborn’s heartbeat be auscultated?
Normal respiratory ranges: ___________to________________
How are respirations assessed in the newborn? ___________________________
If an infant’s respiratory rate is abnormal, you should also look for the following signs of respiratory
distress________________________________________________
Capillary Blood Sugar (Blood Glucose) normal newborn range: ___________
Where do you obtain blood sample for capillary blood glucose: ____________________
List at least 3 signs/symptoms of hypoglycemia in the newborn.
1.
2.
3.
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
List 3 interventions that you would take to manage an infant with hypoglycemia:
1.
2.
3.
How often should a breastfeeding infant nurse?_______________ How do you know if the baby is
getting enough to eat?__________________ _________________
What hunger cues may an infant exhibit when it is time to feed?
1.
2.
Name at least 3 different breastfeeding positions.
1.
2.
3.
How often should a bottle feeding infant eat? How much should they consume per feeding?
Describe the 2 medications that must be given to the newborn within the first 2 hours of birth (include
name of med, dose, route, etc.)
Describe the purpose and function of the state newborn screen and when/how to obtain.
What is the APGAR score? Why is it important?
Describe the two types of hyperbilirubinia and significance.
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Clinical paperwork: Due at the end of your clinical day in Newborn Nursery. You will have 2 rotations in
NBN, you must complete ONE full newborn assessment.
Mother’s information:
Age:____GTPtAL:_____________ Blood Type:_______GBS status _______________
Prenatal/Intrapartum events:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Infant’s:
Delivery Date:___________Delivery Time: ______ Infant sex: ____________birth weight__________
Today’s weight:(if over 24 hrs of age) ________________________
APGAR score: ___________
Gestational Age: (from Dubowitz) ____________________________________
Infants Blood Type: ________________
Delivery method: Vaginal
Is there any incompatibility: _______
C-Section
Presentation:_________________
Type of feeding: Bottle______________Breast____________(supplements?)____________
How much/how often: _____________________________________________
Refer to Chapter 24, much of the information is in text box 24-2. You should fill out the column “Textbook
description/normal” prior to clinical to use as a reference during your newborn exam.
Assessment:
Weight (lbs & grams)
Length (inches & cm)
Head circumference(cm) and
shape
Sutures/Fontanels
Head molding:
Caput
Textbook
description/normal
My Newborn exam
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Assessment:
Cephalhematoma
Temp
HR (apical)
RR
Eyes/Ears/Nose/Mouth(palate,
tongue/gums
Neck/clavicles
Reflexes:
Rooting
Tonic neck
Grasp/palmar
Moro/startle
Babinski
Plantar
Dancing/stepping
Activity/behavior/states
Sleep/wake cycles
Skin: color and turgor
Variations:
Acrocyanosis
Milia
Vernix Caseosa
Mongolian Spots
Textbook
description/normal
My Newborn exam
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Assessment:
Birthmarks
Hair & Lanugo
Jaundice (Physiological vs.
Pathological)
Chest/thorax
Chest Circumference (cm)
Breath Sounds
Heart Sounds
Abdomen
Appearance
Bowel Sounds
Umbilical Cord
Abd Circumference (cm)
Elimination
Anus
Stools (Meconium,
Transitional, Breastmilk-fed,
Formula-fed)
Urine (Amt, Frequency,
Appearance)
Genitalia
Textbook
description/normal
My Newborn exam
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Assessment:
Female:
Male:
Musculoskeletal
Extremities:
Hands/Arms
Feet/Legs
Back & Spine
Textbook
description/normal
My Newborn exam
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Only fill out if Applicable to your patient!
Hearing screen given date?______________Pass/Fail
Transcutaneous Bili-Check: ____________________
Discuss any diagnostic labs/tests performed on your patient within the last 48 hours and relate to
the patient’s pathophysiology and or treatment.
Lab
Normal Value Patient’s value
Rationale for abnormal
labs
Medication
Dose/Frequency
Ordered
Medication Profile Prep Tool
Include vaccinations:
Nursing Implications
Actions
Adverse Reactions/Side
Indications/Classifications
Effects/Precautions
(provide recommended dose
(how to administer)
range)
Evaluation
Desired
Outcomes
Evidence of
Effectiveness
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Newborn Care Plan:
Assessment Data leading to nursing diagnosis:
Nursing Diagnosis:
Goal: (1)
Outcome Standard: (1)
Interventions: (3-5) with rationales (rationales must be supported with evidence and referenced
using APA):
Intervention
EVALUATION:
Rationale
Longwood University – NURSING
NURS 325 –Maternal Child Nursing
Describe the WORST thing that could happen to your patient today?
1.
2.
3.
Describe how you would assess and ensure safety for this patient?
1.
2.
3.