CLINICAL TEACHING

ON
NEWBORN ASSESSMENT
SUBMITTED TO
Mrs. Reshma Bodhak
Associate Professor
SCON.PUNE SUBMITTED BY
Miss. Dipali K. Bobade
M.Sc. 1st year SCON

SUBMITTED ON-

FIRST YEAR M.SC NURSING

 CLINICAL TEACHING EVALUATION
NAME OF THE STUDENT: Miss. Dipali K. Bobade
PLACE: DATE:
TOPIC: - Newborn Asseeement TIME:
NAME OF THE EVALUATOR: .Mrs. Reshma. Bodhak
SRNO CONETEN MARK MARKS
ALLOTTED OBTAINED
1 LESSON PLAN 10
 General objectives stated clearly
 Specific objectives stated in behavioral terms
 Lesson plan followed in sequence
 Bibliography up to dare and complete
2s LEARNING ENIVIROMENT 05
 physical set up of classroom
 classroom light adequate
 well ventilated
 motivates students
3 Preparation 10
 coverage of subject content
 depth of knowledge
 integration of subject matter
 speech –clear audible well-modulated
 use of current literature
 time limit
4 Use of audiovisual aids 10
 relevant clear and visible
  creativity
 used effectively at the right time
5 Questioning technique 05
 question equally addressed to all
 well worded question
 thought provoking question
 sufficient time allowed for answering
 questions relevant and challenging
6 Assignment 05
 appropriate to lesson
 clear feedback given to the students
7 Student teacher personality
 confidence, appearance grooming ,mannerism
Total marks 50

REMARK:

Signature of student Signature of Evaluator

 PROFORMA FOR LESSON PLAN

Topic: _Newborn Assessment

Name of the student:Miss. Dipali K Bobade

Sub topic:- introduction, Principles, Purpose, Articles, Procedure of new born assessment

Name of the Guide: Mrs. Reshma Bodhak

Unit: Date:

Time: 45 Min.

Venue:-

Class:

Method of teaching: Lecture cum discussion and Demonstration

Audio Visual Aids: PPT , Black Board.

Previous knowledge of the group: The group had some knowledge regarding Newborn Assessment.
General Objectives: At the end of the clinical teaching the group will be able to understand about
“Newborn Assessment” and will be able to apply this knowledge in their daily professional practice.

Specific Objective: At the end of the clinical Teaching the group will be able to,

 sate the meaning of bag technique.

 enlist the purpose of community bag.
 explain the principles of community bag technique.
 describe the steps of bag technique
 Get the meaning of newborn assessment
 describe Purposes for newborn assessment
 enumerate the articles for procedure
 describe in detail about steps of procedure of newborn assessment
 Explain the after care of articles
 SR. SPECIFIC TIME CONTENT TEACHER/LEA A.V. B/B EVALUTION
NO OBJECTIVE DURAT RNER AIDS ACTIVITY
ION ACTIVITY
1 state the 5min DEFINITION Lecture and PPT Introduction Students
meaning of Bag technique discussion understood
community A tool making use of public health bag through which the sate the
bag meaning of
technique nurse, during his/her home visit, can perform nursing bag
procedures with ease and deftness, saving time and effort technique

with the end in view of rendering effective nursing care.

PURPOSE OF COMMUNITY BAG: -
• To carry the equipment &materials
student
enlist the • Needed during home visits to attend family health needs understood
purpose of Lecture and the purpose
community • To carry out nursing procedures in home
discussion of
bag • To maintain &achieve quality care &morality community
of profession bag

PRINCIPLES FOR USING BAG-TECHNIQUE

 cleanliness the bag and its contents are al designed
for efficiency and cleanliness

explain the  the hand must be washed with soap and water Lecture and
discussion
principles each time before tou
of student
community  change the bag, the nurse must avoid touching
understood
bag dirty or contaminated thing after or between time the
technique principles
of washing
of bag
technique
explain the  the bag should be kept in clean and without PPT student
principles 3min the understood
danger of being contaminated and the children or Lecture and
of principles the
community pet animals discussion of principles
bag community of
technique  placing the bag over newspaper or met community
bag
 clean or boil the articles after using and replace it technique bag
technique
safely
 avoid unnecessary exposure while done procedure
 secure bag by often cleaning and should be
covered properly when it is not use
 the use of bag technique should minimize if not
totally prevent the spread of infection from
individuals to families hence to the community Lecture and PPT
discussion
 bag technique should save time and effort on the
part of the nurse in the performance of nursing
procedure
 bag technique should not overshadow concern for
the patient rather should show the effectiveness of
total care given to an individual or family
 5min STEPS OF BAG TECHNIQUE Lecture and the steps of student
descried  select a work area according to the convenient of discussion cut out bag understood
the steps of technique the steps of
the family
bag bag
technique  keep the bag in a met or newspaper in veranda and technique
placing the bag on a paper
 unbutton the bag of lower compartment
 removing the hand hashing item and wash hands
under the poured or tap water.
 be careful not contaminate the side that touches to
you uniform
 prepare newspaper waste bag
 remove the item needed for the outside
compartment if needed
students
 the items needed for the procedure place in the Lecture and understood
discussion the step of
clean area
bag
 close the bag securely step of bag technique
technique
 give nursing care as desired based on plan
 when the procedure is over wash hand with soap
under poured water or tap water
 replace the article to the bag after cleaning fold
used newspaper with side inside and keep it is you
bag, close the bag, recording
1 3. SPE 4. DU 5. CONTENT 6. TEACHE 7. AU 8. B/ 9. EVALUA
CIFI RA R/LERN DIO B TION
C TIO ER VID AC
2 OBJ N ACTIVIT EO TIV
ECTI Y AID ITY
VE S
1 18. The 26. 1 34. 288. L 296. 304. 312. T
gro mi 35. INTRODUCTION ecture erb ntr he
up n 36. It is a detailed systematic and whole body cum al od group
will examination of newborn .assessment of the discussi expl uct will be
be newborn as soon as possible after birth and on ana ion able to
abl subsequent assessment in the postnatal tion tell
e to period are responsibility of the nurses working about
und in the hospital or in the community. 313. N
erst Assessment of the newborn must be ewborn
and examined thoroughly within 24hrs of birth assessm
abo before actual examination, the important ent
1 ut maternal and perinatal history should be
ne reviewed.
w
bor
n 27. 2
mi 305.
n 37. DEFINE NEWBORN ASSESSMENT:- 289. L 297. ea
ecture erb nin
38. Health assessment is thorough inspection or cum al g 314. T
detailed study of entire body or some part of discussi expl he
the body to determine the general physical or on ana group
1 19. The mental conditions of the body. tion will be
gro able to
up 39. PURPOSES:- tell
will 40. To understand the physical and mental well about
be being of the child. 315. M
abl 28. 5 41. To detect disease in early stages. eaning
e to mi 42. To determine the cause and effect of of
und n the disease. 306. newbor
43. To teach child and parent.
erst ur n
44. To measures the health in future.
 and 45. To determine the nature of treatment or 290. L 298. po assessm
abo care needed for the child. ecture erb ses ent
ut cum al
me discussi expl
ani 46. Enumerate the general points to be on ana
ng remembered during examination of tion
ne newborn :-
wb
orn
ass 1) Examine 1hour after feeding. 316. T
ess 2) Examine the presence of the mother. he
me 47. 3)examine gently, methodically.(from top to group
nt bottom) will be
48. 4) Examine those system which require a able to
quiet child first and later do examination. tell
about
1 aims of
49. PREPARATION OF THE PROCEDURE
20. The newbor
gro 50. Preparation of the newborn: physical n
up preparation may be include undressing the assessm
will 29. 10 newborn, it is essential to note that the ent
be mi undressing should be limited to removal of
abl n cloths.
e to 307.
51. Preparation of the environment: well lighting,
und proper ventilated, privacy also maintained. re
erst pa
and 52. Preparation of the articles required. 291. L 299. rat
abo ecture erb ion
ut cum al
pur demon expl
pos stration ana
 es 53. ARTICLES:- tion
of and
ne 54. Articles 55. Purposes de
wb 56. Measuring 57. To measure mo
orn tape the length, nstr
ass circumfenrc atio
ess e of head, n
me chest,
nt abdomen.
1 58. Weighing 59. To check the 317. T
scale weight he
60. Torch 61. To assess 308. group
the rtic will be
eye,nose,ear 292. L les able to
and mouth ecture tell
62. Thermomet 63. To check the cum about
30. 5m er temperature demon 300. prepara
in 64. Stethoscope 65. To check stration erb tion
the heart al
21. The rate, and to expl
gro auscultate ana
up 66. Extra 67. If required. tion
will clothing and
be 68. Mackintosh 69. To de
abl protect mo
e to bed nstr
und 70. Wrist watch atio 318. T
erst 71. To count n he
and 72. Cotton the reading group
abo swabs 73. To use as will be
ut required able to
 pre during the tell
par assessment about
atio 74. Bowl with 75. To clean articles
n of warm water the baby if
pro passed
ced stool.
ure

31. 10
mi
n
76. STEPS OF THE PROCEDURE:-
77. NURSING 78. RATIONALE 309.
ACTION te
79. 1.wash 80. Avoids any chan 293. L ps
22. The hands and infection to bod ecture
gro dry them 83. For normal cum
up 81. 2.general baby findings : demon
will appearance 84. -body symmetri stration
be 82. Uncover the 85. -head large in
abl baby and proportion to
e to note general b 301.
und appearance. 86. -narrow chest erb
erst 87. Protruding abdo al
and 88. 3. check the 89. Normal findings expl
abo vital sign 90. Temp. ana
ut 91. Pulse rate. tion
arti 92. Respiration rate and 319. T
cles 93. Blood pressure de he
94. 4.take the head 95. Normal measur mo group
and body are:
 anthropometric 96. Head circumference nstr will be
measurements 33- 35cm atio able to
97. Midarm n tell
circumference: 98. 30- about
33cm steps
100. 5.take 99. Abdomen circumference
the height 101. Normal findings
103. 6.assess 102. Height
1 the weight 104. Normal findings
105. 7.assess weight
the skin 108. Normal skin is
106. Note the smooth, soft, .the skin is
colour of skin. pink.
and finger nail
bed 109. Trauma marks
107. note any may be present on
Mongolian spot babies harm by
at trauma marks instrumental delivery
on the head
neck or body
110. 8.assess
the head 116. Asymmet
111. Examine ry indicates
23. The the head for molding –
gro symmetry 117. -swelling
up 112. Shape, on the scalp
will size, color of that indicates
be hair. capute
abl 113. Fontanels succedaneum
e to – 118. -sub
und 114. Anterior periosteal
erst 115. Posterior bleeding,
which does not
cross suture
line
and indicates
abo cephalloheamat
ut oma
arti 119. -
cles depressed
fontanel
indicates
dehydration
120. Anterior
fontanels are
diamond in
shape
121. Posterior
fontanels
triangular,
smaller.
122. 9.assess 124. Asymmet
face ry is usually due
123. Observe to damage in
the symmetry of facial nerve
baby.
125. 130.
126. 10. 131. Sclera-
Assess eyes white
127. Sclera 132. conjuncti
128. - va-pinkish
conjunctiva 133. Cornea-
129. -cornea transparent.
134. A defect
in the
development of
eyes causing
abnormalities
 135. 11.assess 136. Soft,
the ears readily recoil.
137. Top of
ear parallel to
canthus of eye.
138. Low set
ear
139. Absence
of ear
140. Small ear

141. 12.assess 142. nostrils

the nose narrow
143. (channel
atresia-
narrowing of a
funnel shaped
opening either of
the two opening
1
between the
nasal cavities
and the pharynx)
144. 13mouth 147. cleft lip
145. Lips -pink 148. -cleft
146. Tongue- palate
32. 5m pink clear 149. -oral
in thrush
150. 14.assess 154. -short

neck neck with

151. Examine flexible
the neck movement of
152. -head head to each
freely movable side is normal.
153. - 155. -neck 310.
extended arms webbed on efl
on one side shoulder is seen 294. L ex
(shoulder
in down ecture es
dystocia)
syndrome and cum
turner’s demon
syndrome. stration
156. 15.assess 159. Diaphrag
chest matic breathing
157. Examine with symmetric
the chest for the
movement of
following
chest and
158. -shape
abdomen is
and movement
with
302.
160. 16. assess 165. Normal
abdomen. erb
abdomen should al
161. Observe be round.
the abdomen expl
166. Cord
162. -Shape stump dry, smell ana 320. T
or tion he
163. -umbilical discharge(umbili and group
cord cal cord sepsis) de will be
164. Liver 167. Large mo able to
liver and nstr tell
enlarged atio about
spleen(rh n reflexes
hemolytic
disease)
168. 17.Anoge 177. Normally
nital area foreskin covers
169. Male glans penis.
 170. Examine 178. -
if any abnormal
171. -foreskin urethral opening
covers the glans can indicates
penis. hypospadiasis,or
172. -urethra epispadiasis.
173. -testicles 179. Labia
are palpable in minora is
the scrotum covered by labia
bilaterally majora
180. -vaginal
1 174. Female discharge is a
175. -labia normal respond
majora to maternal
176. -labia hormones.
24. The minora
gro 181. 18.assess 183. may
up anus indicates fistula
will 182. Verify the
be presence of a
abl perforate anus
e to
und
erst 184. Assessments of reflexes
and 185. 186. 187. 188.
abo efle xpe ge ge
ut xes cte of of
refl d app dis
exe res ear app
s po anc ear
nse e anc
e
189. 191. 193. 195.
)ref nfa irth oes
lex nt not
es blin app
of ks ear
eye at
s sud
blin den
kin app
g ear
(shi anc 194.
ne e of irth
a brig
sud ht 196.
den ligh oes
brig t or not
ht any app
ligh obj ear
t at ect
bab s
ys tow
eye ard
s) s
eye
190. s
)do 192.
lls s
eye hea
s d is
mo
ved
to
righ
t or
 left
,
eye
s
lag
beh
ind
and
do
not
im
me
diat
ely
adj
ust
to
ne
w
pos
33. 5m
itio
in n.
197. 200. 201. 203.
)Re pon irth oes
flex tan not
es eou dis
of s app
nos res ear
e. pon 202. 311.
198. se irth iles
)sn of 295. L to
eez nas 204. ecture ne
ing al oes cum
pas not
199. sag dis demon
)gla e app stration
bell to ear
ar any
irrit
ant
tap
pin
g
bris
kly
on
bri
dge
of 303.
nos erb
e al 321. T
(gla expl he
bell
ana group
a)
cau tion will be
se and able to
eye de tell
s to mo about
clos nstr milesto
e atio ne
tigh n
tly.
205. 207. 208. 210.
)ref he
lex infa 209. 211.
es nt irth -4
of tur mo
ns
 mo his nth
uth hea s
206. d
)ro to
oti w
ng ard
(str s
oke ant
sid obj
e of ect
che tha
ek, t
lips tou
or che
mo s
uth his
25. The wit che
gro h ek
the and
up
fing acti
will er) vel
be y
und see
erst ks
and the
abo nip
ut ple
the and
mil bei
est ngs
one to
suc
212. k. 214. 215.
suc 213. irth ersi
aby
 kin beg st
g ins dur
(pla to ing
ce suc infa
fing k in ncy
er res .
in pon
bab se
y’s to
mo sti
uth mul
) atio
n.

216. 217. 218. 219.

gag tim irth mo
ulat nth
ion
of
pos
teri
or
pha
ryn
x
by
foo
d
or
suc
tio
n
cau
ses
 infa
nt
to
gag
.
220. 221. 222. 223.
ext hen irth ersi
rusi ton st
on gue life
is lon
tou g
che
d
or
dep
res
sed
,
infa
nt
res
pon
ds
by
for
cin
g it
out
war
d.
224. 225. 226. 227.
cou rrit irth ersi
ghi atio st
ng n life
 of lon
mu g
cou
s
me
mb
ran
e of
lary
nx
cau
se
cou
gh.
228. 231. 234. 236.
efle
xes
of 232. 237.
ext ouc alm
re hin ar
mit g gra
ies. pal sp
229. ms at
0) of 3m
gra han ont
sp ds hs
or and
sol pla
es nte
of r
fee gra
t sp
nea at 8
r mo
 bas nth
e 235. s.
of
digi irth
ts
cau
se
230. flex
1) ion
Bab of
ins han
ki ds
(pal
ma
r
gra
sp)
and
sol
es
(pla
nta
r
gra
sp).
233.
tro
kin
g
out
er
sol
e of
foo
 t
up
wa
rd
fro
m
he
el
acr
oss
ball
of
foo
t
cau
se
toe
s to
hyp
er
ext
en
d
.
238. 240. 241. 242.
) t irth -4
Ma sud mo
ss den nth
refl cha
exe nge
s. in
239. equ
2) ilibr
mo ium
ro’s ,it
 (ho cau
ld se
infa
nt
at
an
ang
le

243. Milestone:-

244. Psychoso 245. Sense of

cial development trust versus
mistrust (starts
developing trust
in caregiver. If
not care
properly conficts
of
mistrust
development)
246. Psychose 247. Oral
xual stage (sucking ,
development bubbling are the
pleasures giving
activities.)
248. Language 249. Crying
(excessively
)babbling (less
cry)
250. IMMUNIZATION

251. AT BIRTH 252.

253. 254. BCG
255. 256. OPV zero
257. 258. Hepatitis
B-1

259. AFTER CARE OF THE CHILD AND

ARTICLES:-

260. Remove mackintosh and towel.

261. Give comfortable position or hand
over the child to the patient, tidy the bed.
262. Inform the parents about the
findings and give health education
accordingly .
263. Clean the articles and dry and
replace the articles in proper place.
264. Wash hands thoroughly.

265. RECORDING ANF REPORTING

266. Recording should be standardized and

recorded according to the format though the
 sequence of examination of scholar
is unstructured.

267. Report of significant finding should

be done to senior staff or pediatrician.

268. Record should be done in past tense

and use legible writing and stated clearly.

269. Avoid cancelling or entering of

wrong recording .
270. Remark of examiner related
to assessment should be stated in
brief
271. 271.
272. SUMMARY:- At the end of the clinical
Teaching the group will be able to,

273. Get the meaning of newborn

assessment
274. describe Purposes for newborn
assessment
275. enumerate the articles for
procedure
276. describe in detail about steps of
procedure of newborn assessment
277. Explain the after care of articles

278. CONCLUSION:
279. Appropriate knowledge of
reflexes enables a paedodontist
280. To identify whether the child
is developing normally or not.
281. To identify whether development
is going. on at a proper rate or not.
282. Knowledge of abnormalities if
all reflexes are not proper.

283. References:-

284. B.T. Basvantappa(2005) “Textbook

of community health nursing practice”
Jaypee brothers publication.

285. K. Park. “Textbook of

community health nursing practice”
edition 21. Jaypeebrotherspublication.

286. 3.Annamma Jacob, Rekha R.,

Clinical Nursing Procedure: The Art of
Nursing
287. Practice,NewDelhi,Jaypee
Brothers medical publishers(P) LTD, edi-2
;2010.
3 323. 324. 325. 326. 327. 328. 329.
3 331. 332. 333. 334. 335. 336. 337.