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PEDIATRIC NURSING



FOLDING AND CHANGING
       NAPKIN
DEFINITION
• Napkin : A folded piece of absorbent
  material, such as paper or cloth that is placed
  between a baby leg’s and fastened at the
  waist to contain excretion.
TYPES
1. All in one cloth diapers
   -easiest and leak proof diapers
   -build in diaper cover sewn into
    cotton or fleece layer

2.Fitted cloth diaper
  -contoured to the shape of baby
   with elastic around the leg and
   waist
TYPES con’t…
3.Prefold and flat diapers
  -need to be fastened with
  diaper pins

4.Pocket diapers
 -waterproof
 -easy to use as a disposable
 -easily fit
STEPS IN CHANGING DIAPER
• Lay baby on a towel or a
  changing mat. Unfasten the tabs
  on the dirty nappy. Fold them
  over to prevent them from
  sticking to baby, but don't
  remove the dirty nappy yet.

• Pull down the front half of the
  dirty nappy. If baby is a
  boy, cover his penis with a clean
  cloth or another nappy so baby
  not pee on us.
STEPS IN CHANGING DIAPER con’t…
• If there's faeces in the nappy,
  use the front half of the nappy
  to wipe the bulk of it off baby's
  bottom.

• Fold the dirty nappy in half
  under a baby, clean side up. To
  do this, lift baby's bottom off the
  table by grasping both ankles
  with one hand and gently lifting
  upwards.
STEPS IN CHANGING DIAPER con’t…
• Clean baby's front with a damp baby
  wipe or cloth. If baby's a girl, wipe
  from front to back (towards her
  bottom) to prevent bacterial
  infection.

• To clean any faeces that remains, grab
  another wipe and gently clean her
  bottom. We can either lift her legs or
  roll her gently to one side then the
  other. Clean in the creases of baby's
  thighs and bottom.
STEPS IN CHANGING DIAPER con’t…

• Let baby's skin air-dry for a few
  moments or pat it dry with a
  clean cloth, or with the towel
  that a baby is lying on. Apply a
  barrier cream or, if it's needed, a
  rash cream.

• Remove the dirty nappy and set
  it aside.
MOVIE HOW TO FOLD BABY NAPKIN
COMMON PROBLEM
1.Leaking

2.Smell due to:
  -improper washing
  -improper drying

3. Rash itchy
COMMON PROBLEM con’t…
4.Infection due to
prolong skin
contact with the urine
and faeces

5.Sore at thigh gap
due to tightly applied
WAY TO OVERCOME THOSE PROBLEMS
COMMON PROBLEM                             WAY TO OVERCOME
Leaking                                    -use suitable size
                                           -fold proper way ,not too loose
                                           - change napkin every time baby pass urine


Smell                                      Improper washing
                                           -use proper soap to wash
                                           -don’t mix with other cloth
                                           Improper drying
                                           -drying well under sunlight

Rash and itchy                             -frequent change baby diaper
                                           -apply rashes cream at rash site
Infection                                  -Immediately change baby napkin after
                                           baby pass motion or pass urine
Sore at thigh gap due to tightly applied   -avoid wear napkin too tight to baby
TOILET TRAINING
1. Toilet training should be start when their kids is
   walking and can set for short period of time.
2. Teach to follow simple instruction
3. Make sure kids understand about the toileting
   process.
4. Teach them how to contact the muscle
   responsible for elimination.
5. Ask their kids to express a need to go to toilet
   verbally.
TOILET TRAINING STEPS
1. Introduce and explain
    the potty allow kids to
   try it out to get familiar with it.

2.Encourage kids to sit
on the potty each day every time
he/she likely to have
bowel movement.
TOILET TRAINING STEPS con’t…
4. Give them positive praise
    for their effort, even they are very slow.
5.Teach kids with some simple word like “I need
   to go” , “pee” , associated with going to the
   toilet .
6.Teach them to go to the toilet when at night
   every time they have the urge to go the
   toilet.
baby Napkin

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baby Napkin

  • 2. DEFINITION • Napkin : A folded piece of absorbent material, such as paper or cloth that is placed between a baby leg’s and fastened at the waist to contain excretion.
  • 3. TYPES 1. All in one cloth diapers -easiest and leak proof diapers -build in diaper cover sewn into cotton or fleece layer 2.Fitted cloth diaper -contoured to the shape of baby with elastic around the leg and waist
  • 4. TYPES con’t… 3.Prefold and flat diapers -need to be fastened with diaper pins 4.Pocket diapers -waterproof -easy to use as a disposable -easily fit
  • 5. STEPS IN CHANGING DIAPER • Lay baby on a towel or a changing mat. Unfasten the tabs on the dirty nappy. Fold them over to prevent them from sticking to baby, but don't remove the dirty nappy yet. • Pull down the front half of the dirty nappy. If baby is a boy, cover his penis with a clean cloth or another nappy so baby not pee on us.
  • 6. STEPS IN CHANGING DIAPER con’t… • If there's faeces in the nappy, use the front half of the nappy to wipe the bulk of it off baby's bottom. • Fold the dirty nappy in half under a baby, clean side up. To do this, lift baby's bottom off the table by grasping both ankles with one hand and gently lifting upwards.
  • 7. STEPS IN CHANGING DIAPER con’t… • Clean baby's front with a damp baby wipe or cloth. If baby's a girl, wipe from front to back (towards her bottom) to prevent bacterial infection. • To clean any faeces that remains, grab another wipe and gently clean her bottom. We can either lift her legs or roll her gently to one side then the other. Clean in the creases of baby's thighs and bottom.
  • 8. STEPS IN CHANGING DIAPER con’t… • Let baby's skin air-dry for a few moments or pat it dry with a clean cloth, or with the towel that a baby is lying on. Apply a barrier cream or, if it's needed, a rash cream. • Remove the dirty nappy and set it aside.
  • 9. MOVIE HOW TO FOLD BABY NAPKIN
  • 10. COMMON PROBLEM 1.Leaking 2.Smell due to: -improper washing -improper drying 3. Rash itchy
  • 11. COMMON PROBLEM con’t… 4.Infection due to prolong skin contact with the urine and faeces 5.Sore at thigh gap due to tightly applied
  • 12. WAY TO OVERCOME THOSE PROBLEMS COMMON PROBLEM WAY TO OVERCOME Leaking -use suitable size -fold proper way ,not too loose - change napkin every time baby pass urine Smell Improper washing -use proper soap to wash -don’t mix with other cloth Improper drying -drying well under sunlight Rash and itchy -frequent change baby diaper -apply rashes cream at rash site Infection -Immediately change baby napkin after baby pass motion or pass urine Sore at thigh gap due to tightly applied -avoid wear napkin too tight to baby
  • 13. TOILET TRAINING 1. Toilet training should be start when their kids is walking and can set for short period of time. 2. Teach to follow simple instruction 3. Make sure kids understand about the toileting process. 4. Teach them how to contact the muscle responsible for elimination. 5. Ask their kids to express a need to go to toilet verbally.
  • 14. TOILET TRAINING STEPS 1. Introduce and explain the potty allow kids to try it out to get familiar with it. 2.Encourage kids to sit on the potty each day every time he/she likely to have bowel movement.
  • 15. TOILET TRAINING STEPS con’t… 4. Give them positive praise for their effort, even they are very slow. 5.Teach kids with some simple word like “I need to go” , “pee” , associated with going to the toilet . 6.Teach them to go to the toilet when at night every time they have the urge to go the toilet.