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Sun, 27 Jun 2004 11:23:50 -0500 |
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Naomi asks:
Is there a better place to observe normal newborn behavior than in mother's
arms and on her chest??
I totally agree. You can listen to a baby's heart and lungs from the
backside. If one hears something potentially serious, then it might be
necessary to listen more directly over the chest, but if baby is not showing
any distress, I would think even that could wait until baby finished
nursing. Nurses are so programmed to do the initial assessment with baby
lying on its back under a warmer that some find it stressful to change!
However, nurse's comfort should not be the first priority! Another
challenge is those computer charting setups that require the full initial
assessment as well as record of the eye and Vit. K meds having been given to
be entered in the computer before the chart can officially be initiated!
When I was a floor nurse and was a "baby nurse" at delivery I would refuse
to do the meds until after baby had had the opportunity to nurse. The L&D
nurse who was responsible for initiating the chart would frequently say,
"Well, I already put in the computer that you did it, so don't forget."
This certainly wasn't a good way to handle it and it always made me nervous,
but I held my ground on not doing them immediately before mom at least got
to hold her baby!
Winnie
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