When your baby is born the umbilical cord is cut and there is a stump left. The stump should dry and fall off by the time your baby is 5 to 15 days old. Keep the stump clean with gauze and water only. Sponge bathe the rest of your baby, as well. Do not put your baby in a tub of water until the stump has fallen off. Show
Let the stump fall off naturally. Do not try to pull it off, even if it is only hanging on by a thread. Watch the umbilical cord stump for infection. This does not occur often. But if it does, the infection can spread quickly. Signs of a local infection at the stump include:
Be aware of signs of a more serious infection. Contact your baby's health care provider immediately if your baby has:
If the cord stump is pulled off too soon, it could start actively bleeding, meaning every time you wipe away a drop of blood, another drop appears. If the cord stump continues to bleed, call your baby's provider immediately. Sometimes, instead of completely drying, the cord will form pink scar tissue called a granuloma. The granuloma drains a light-yellowish fluid. This will most often go away in about a week. If it does not, call your baby's provider. If your baby's stump has not fallen off in 4 weeks (and more likely much sooner), call you baby's provider. There may be a problem with the baby's anatomy or immune system. Cord - umbilical; Neonatal care - umbilical cord Esper F. Postnatal bacterial infections. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 48. Nathan AT. The umbilicus. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 125. Taylor JA, Wright JA, Woodrum D. Newborn nursery care. In: Gleason CA, Juul SE, eds. Avery's Diseases of the Newborn. 10th ed. Philadelphia, PA: Elsevier; 2018:chap 26. Wesley SE, Allen E, Bartsch H. Care of the newborn. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier; 2016:chap 21. Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Cord - umbilical; Neonatal care - umbilical cord The umbilical cord connects the baby to the mother's placenta. During fetal development in the womb,
the umbilical cord is the lifeline to the baby supplying nutrients. After birth, the cord is clamped and cut. Eventually between 1 to 3 weeks the cord will become dry and will naturally fall off. During the time the cord is healing it should be kept as clean and as dry as possible. A sponge bath is the best way to clean your baby until the umbilical cord falls off. To give a sponge bath, dip a soft cloth in the warm water and wring out the excess. If needed, a mild soap can be used in the water. Wipe the baby's skin gently starting from the area of the baby's head and work your way down to the rest of the body. Pay special
attention to the skin creases and diaper area. Rinse your baby with clean warm water and dry him or her completely. When your baby is born the umbilical cord is cut and there is a stump left. The stump should dry and fall off by the time your baby is 5 to 15 days old. Keep the stump clean with gauze and water only. Sponge bathe the rest of your baby, as well. Do not put your baby in
a tub of water until the stump has fallen off. Let the stump fall off naturally. Do not try to pull it off, even if it is only hanging on by a thread. Watch the umbilical cord stump for infection. This does not occur often. But if it does, the infection can spread quickly. Signs of a local infection at the stump include:
Be aware of signs of a more serious infection. Contact your baby's health care provider immediately if your baby has:
If the cord stump is pulled off too soon, it could start actively bleeding, meaning every time you wipe away a drop of blood, another drop appears. If the cord stump continues to bleed, call your baby's provider immediately. Sometimes, instead of completely drying, the cord will form pink scar tissue called a granuloma. The granuloma drains a light-yellowish fluid. This will most often go away in about a week. If it does not, call your baby's provider. If your baby's stump has not fallen off in 4 weeks (and more likely much sooner), call you baby's provider. There may be a problem with the baby's anatomy or immune system. ReferencesEsper F. Postnatal bacterial infections. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 48. Nathan AT. The umbilicus. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 125. Taylor JA, Wright JA, Woodrum D. Newborn nursery care. In: Gleason CA, Juul SE, eds. Avery's Diseases of the Newborn. 10th ed. Philadelphia, PA: Elsevier; 2018:chap 26. Wesley SE, Allen E, Bartsch H. Care of the newborn. In: Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 9th ed. Philadelphia, PA: Elsevier; 2016:chap 21. Version InfoLast reviewed on: 12/10/2021 Reviewed by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.  Which would the nurse recommend to a new mother when teaching her about the care of a newborn's umbilical cord area?What should the nurse recommend to a new mother when teaching her about the care of the umbilical cord area? Leave the area untouched or clean with soap and water, then pat it dry.
Which instructions would the nurse give to a new mother regarding umbilical cord care?Which instructions would the nurse give to a new mother regarding umbilical cord care? "Apply alcohol on the cord stump daily to keep it dry until it falls off." "Apply Vaseline to the cord stump several times a day to keep it moist until it comes off."
What should nurses be aware of with regard to umbilical cord care?With regard to umbilical cord care, nurses should be aware that: The cord stump can easily become infected. If slight bleeding from cord vessels is noted, call the physician.
Which actions by the nursing mother will support milk production and promote infant comfort?Endorphins help make the transition easier for the baby, facilitating relaxation and calm. Prolactin and oxytocin are released in response to stimulation by the baby's sucking at the breast. Prolactin is responsible for milk production, and oxytocin for milk letdown.
|
Which would the nurse recommend to a new mother when teaching her about the care of a newborns umbilical cord area?
zusammenhängende Posts
Urheberrechte © © 2024 ketiadaan Inc.
