Ujian OSCE Stase 5 - Pemeriksaan Fisik Bayi Baru Lahir

Summary

The video demonstrates a newborn baby examination process conducted by a healthcare professional, Indri Apriani. The procedure includes a thorough head-to-toe checkup, covering vital aspects like muscle tone, heart rate, breathing, temperature, and reflexes. Additionally, the baby undergoes various assessments, including hearing, vision, and oral cavity checks, as well as immunization injections. The video emphasizes cleanliness, safety protocols, and proper documentation throughout the process. The healthcare provider ensures the baby’s well-being while also educating the mother on the care and procedures performed during the examination.

Takeaways

• 😀 Introduction: The speaker introduces themselves as Lanti, a lecturer in the Midwifery Program at Dikes Salsa, Serang, and mentions their role in evaluating newborn baby examinations.
• 😀 Purpose of the Video: The video aims to demonstrate a newborn baby examination, including the necessary steps involved in the process.
• 😀 Consent: The examiner introduces herself as Indri Apriani and seeks the mother's consent to perform the baby examination and immunization injection.
• 😀 Preparation: The setup involves ensuring proper lighting, wearing appropriate personal protective equipment (PPE), and following a hand hygiene procedure.
• 😀 Initial Baby Examination: The baby is observed for basic health indicators such as crying, muscle tone, heart rate (120 beats per minute), breathing rate (42 breaths per minute), and temperature (36.7°C).
• 😀 Head and Skull Check: The examiner checks for any abnormalities such as cephalhematoma or caput succedaneum, and measures the baby's head circumference (34 cm fronto-occipital, 35 cm occipitomental, 32 cm suboccipitobregmatic).
• 😀 Sensory Examination: The baby’s ears, eyes, nose, and mouth are checked for symmetry and abnormalities. The baby’s reflexes and the presence of any syndromes are noted.
• 😀 Chest and Abdominal Check: The examiner ensures the chest is symmetrical with no retractions, and the abdomen is checked for abnormalities, including signs of umbilical infections.
• 😀 Genital and Extremity Examination: The baby’s genital area is clean, with no abnormalities observed in the anus or extremities. Reflexes such as Babinski are confirmed as normal.
• 😀 Final Assessment: The baby’s skin is checked for any abnormalities, and measurements such as height (40 cm) and weight (3000 g) are taken. The baby receives a vaccination injection in the left thigh.
• 😀 Conclusion: The procedure concludes with the proper disposal of medical waste, sanitization, and documentation of the examination, with reassurance given to the mother regarding the baby's condition and the immunization process.

Q & A

What is the primary task being performed in the script?

The primary task involves performing a thorough physical examination of a newborn baby, including a series of health checks and procedures such as immunization, and documenting the results.

What is the first step taken before starting the examination of the baby?

The first step involves ensuring the spotlight is set up with the correct distance (60 cm) and wattage (60 watts), followed by wearing appropriate personal protective equipment (PPE) and washing hands using the six-step hand hygiene process.

What measurements are taken during the examination?

The measurements taken include the baby's head circumference, from front to back and around the occipital and mento points, and the baby's body length and weight. The head circumference is recorded as 34 cm, 35 cm, and 32 cm for different sections, while the baby’s height is measured as 40 cm, and weight is 3,000 grams.

What is the purpose of administering the Fika injection?

The Fika injection, which is administered into the left thigh of the newborn, is an immunization procedure, intended to protect the baby from certain infections.

How is the baby's vital health information recorded during the examination?

Vital health information such as heart rate, respiratory rate, temperature, and physical condition are carefully noted. For instance, the heart rate is 120 beats per minute, respiratory rate is 42 breaths per minute, and the baby’s temperature is 36.7°C.

What specific steps are taken when examining the baby's eyes?

The eyes are checked for symmetry, absence of bleeding in the sclera, and the cleaning of the eyes is done from the outer corner towards the inner corner. Salve is applied to prevent infection.

What is checked during the examination of the baby's mouth and nose?

The baby’s mouth and nose are examined for symmetry, and signs of respiratory issues such as nasal congestion or abnormal breathing. The presence of cleft lips or palates is also checked, with normal findings noted.

What is the significance of checking the baby’s extremities and reflexes?

Checking the extremities ensures that the baby has no abnormalities such as syndactyly, polydactyly, or other physical deformities. Reflex tests are performed to ensure normal neurological function, with positive results noted for specific reflexes like the rooting reflex.

What is the significance of the skin examination during the baby’s checkup?

The skin examination is essential to identify any issues such as cyanosis, lanugo (fine hair), or Mongolian spots. A thorough inspection ensures that there are no signs of abnormal birthmarks or skin conditions that require attention.

What is the process followed after the examination is completed?

After the examination, the medical professional ensures the baby is dressed and handed over to the mother. The immunization procedure (Fika injection) is discussed with the mother, and post-procedure care and any side effects are explained. Finally, proper hand hygiene and equipment sanitization are carried out, followed by documentation of the examination results.