5. 2-4 Start by cleaning the face, the scalp then co ti special attention to the skin folds. n nue downwards. Pay 5. 2. 5 Wrap the baby in a clean blanket. 5_3 Dress tl1e cord after the giving the baby a bath. 5. 3. 1 Clean the hands thor?ughly with alcohol again. 5. 3. 2 W~t the cotton balls m the cord dressing pack with alcohol 5. 3. 3 gs~ng fl:e ~et cotto 1n balls, clean the area around the umbilicus 5. 3. 4 smg c1rcu ar stro ces, start cleaning the center mov· tw d Do this several times. mg ou ar s. 5. 3. 5 Throw away the cotton ball after each circular stroke. 5. 3. 6 Clean ~e cord with t~e alcohol-wet cotton balls starting from the base gomg up. Do this several times, discarding the used cotton ball each time. 5. 3. 7 flace a piece of sterile gauze that has been cut halfway thru the middle at the base of the cord bringing the cut edges around the cord. 5. 3. 8 If the cord stump. is long, clump or tightly tie the cord around one inch from the base. Trim the cord aroqnd an inch from the clump or tie using a sharp sterile blade or a pair of sterile scissors, 5. 3. 9 "\Vith a piece of sterile gaure, express out the blood from the stump and clean the top of the stump with alcohol-wet cotton ball~.. 5. 3. 10 Put another sterile gauze around the stump and wet 11 with alcohol. 5. 3. 11 Put the top dressing and tie the abdominal binder. 6. o Do a more complete physical examination after the cord dressing. 6. 1 Take the baby's weiight if possible. 6. 2 Take bis temperature by rectum... d b e if any of the 6. 3 Examine the baby's skin under a good light ap. 0 serv following are pre~ent:_ · 6. 3. 1 Birth mark. tbe bead for obvious defect 6. 3. 2 Any rashes or bruises 6-4 E~mreabn ormality in the eyes, nose, like very small or ~ery dlar/ ge le~p,alate, and absence of skull. mouth ears, cleft lip an or c. '-· 'f there 1s: 6. 5 Examine the chest and observe 1 t fthe chest. 6. 5. 1 Inequality in the movemen : breast bone) which could cause 6. 5. 2 Any defect Oike a concav. difficulty in breathing. fl t or if the abdominal wall is open 6. 6 Observe if the abdomen is globular~~ a.. with or without exposed internal org ass ~pecially along the m1dlme. 6. 7 Examine the back for any lump or 01 · 6. 8 Examine the genital area. 6. 8. 1 ln a male infant: tes have descended... at the tip or at its a Feel if both tes. of the pems,s. ·f tl e opemng al b. Check 1 1. 1 ening and a urethr d ·ae ' vag U1a op un ersi · ck "ftbere J. S a · f nt che 1 ) · t th 6. 8. 2 In a·female JO a '. cornes out . articular attenaon o e opening (where urine rt. remities paying p 6. 9 Examine the upper and lower ex fi gers non-development or · "1:ra n, following: t Jike club feet, e. m·ty defec f e. xtre1 · 'ties 6. 9. 1 Any ob V1ous lopmcnt o nn,.., of the extrenu. improper deve gt11 or leni,~1 · the stren 1t 6. 9. 2 Inequality in ning is preser. 271 6-10 &-..amine if the anal ope I j 