ASSESSMENT PROTOCOL FOR CARE OF THE NEWBORN IMMEDIATELY AFTER BIRTH {Logic Tree No. 31) DIRECTI ON: Determine/identify which of the following symptoms/signs (S/S) or history data (Hx D) are present and follow the flowchart for the appropriate plan of management. RED S/S or Hx D , Baby is with pink body and blue e><tremities or is blue all over. Baby Ja;1, to cry after $:·t Jmulation or g. ives a very weak cry Heart beat. ls less than :too be~ts. per minute O:i. by h:is very weak cry or has no r~sponse when stimulated 510. n (H irregular breathing Extremities are flaccid Flat abdomen or ha~ an opening with or without exposed internal organ~ very matked concave breast bone Saby·:s head either ver·y small or very big with or without ten~e fontanelle Baby's head Is too sm. >11 or too big Baby's weight very low Baby hll difficulty of breathinr, Temper. H u re is low (below 36°C) INITIAL EXAMINATION YELLOW S/S or Hx D Club feet Extra finger/toe Nondevelopment of one part of the extremity DETAILED EXAMINATION One of the testes hasn't desc. e. nded vet Opening ofth~ urethra ob·served lo be at the underside of the penis GREEN S/S or Hx D Baby is pink all over Sp. onrnneous crying or b;,~y cried ef L~r slight stfmulaoon Heart beat is 100 beats per mi nule or more Baby gives a good sustained and vig010u~ cry when stimulated Extr-emil:i~s have active motion Abdomen Is. globular No obvious conge-nital defett. (cleft lip, etc. J Baby weighs about6 lbs (around 3 kilos) Temperatur e at leas1 36 ~c No. bru Js:es or. rushes on the skin F. qual exrrnnsion of the chest Both testes have desce-nded Opening of the urethra noted to be at the tip of the penis Female infant has both vaginal and urethral openings V/ith 3nnl opening Extremities with equal lengt. h and strength Fecdmgf. are well tolerated Vigorous suck Jng 267 