I. Description of the learner: Mother is G1P1, and 2 days post partum. She is college graduate, 25 years old.

old. Lives in Upper

Bonifacio St., Baguio city. She can understand tagalong, English and Ilocano. She verbalizes that she wants to learn how to
properly manage and care the cord stump of her baby. She verbalizes that she learns easier with brochures and flyers and
she wants to know the common practices about the cord cleaning.

a. subjective clues: The mother verbalizes wants to learn about cord care.

b. Objective clues:

II. Learning need: To know the ways to clean the umbilical cord stump, the dos and donts, the natural way of healing, and
the common misconceptions about cord care.
III. Learning style:
a. The mother is able to understand English, tagalong and Ilocano. The mother is easier to learn if flyers and visual aids are
present. And she learns more in one on one discussion.
IV. Learning Diagnosis
a. Knowledge deficit related to enhanced cord healing.
b. Knowledge deficit related to dos and donts in cord cleaning.
c. Knowledge deficit related to lack of exposure to umbilical cord care stump.
d. Readiness for enhanced therapeutic regimen.
V. Goal/s:

Behavioral Learning Objective/s:
1. Within 3 minutes of client
teaching, the mother will
enumerate 3 measures to
take when cleaning the
umbilical stump.
Topic Outline Teaching Strategy/ Time allotment and Method of Evaluation
Method and Activities Resources Needed
After the umbilical cord is One on one 3 minutes with flyers Instant Feed
cut at birth, a stump of tissue discussion. with visual aids backing
remains attached to babys Visual aids. about cleaning - The patient will
navel. The stump gradually umbilical stump. be able to
dries and shrivels until it falls enumerate
off, usually 1-2 weeks after ways how to
birth. It is important to keep clean umbilical
the umbilical cord stump stump.
and surrounding skin clean Demo-Return
and dry. The basic care Demo

2. Within 3 minutes of health
teaching, the mother will
be able to identify 5
common practices done
for cord care.
3. Within 5 minutes of health
teaching, the mother will
be able to enumerate 3
warning signs of infection.
4. Within 7 minutes of health
teaching, the mother will
be able to enumerate 3
dos and donts regarding
umbilical cord stump
cleaning.
helps skin clean and dry. This
basic care helps prevent
infection. It helps the navel
to heal more quickly.
Assessing the clients One on one 3 minutes will be Instant feed
knowledge on the specific discussion. used to assess backing
topics will help you mothers knowledge -the patient will
determine and modify the about the topic. verbalize her
misconceptions. knowledge
about the
common
practices in
cord care.
The mother should be Small group 5 minutes with Instant Feed
informed on warning signs discussion (one brochures that backing
that the cord is not healing on one contains 3 warning -The client will
well. interview). signs that the cord is be able to
a. Umbilicus navel has a With flyers and not healing well. enumerate 3
cloudy discharge or even visual aids. warning signs
some dried pus on the that tells that
surface the cord is not
b. Bleeding occurs from healing well.
cord's point of separation
c. Separation of cord is
delayed past 3 weeks.
These signs should signal the
care provider to contact the
paediatrician of the baby.
Informing about the dos One on one 3 minutes will be Instant feed
and donts help prevent discussion with used to discuss the backing.
infection and promotes flyers and visual dos regarding -The mother will
healing faster. aids. umbilical stump be able to
a. Dos cleaning. enumerate 3 do
-Keep the stump clean. 3 minutes will be s and donts

5. Within 5 minutes of client
teaching the mother will
be able to verbalize
understanding of natural
way of cord stump
healing process.
-Let the stump fall off, on used to discuss the within 7 minutes.
its own. donts regarding
-Keep the stump dry. umbilical stump
b. Donts cleaning.
-Dont clean the 1 minute will be
umbilical cord stump with given for the mother
alcohol. to enumerate these
-Dont force the umbilical 3 dos and donts.
stump to fall.
-dont put bandage on
the umbilical stump.
The umbilical cord connects One on one 3 minutes will be Instant Feed
the mother and this is the discussion with used to discuss the backing
way of oxygenation and flyers and visual mother the natural -The mother will
nutrition of the baby in aids. way of cord stump be able to
mothers womb. After birth, Question and to heal. verbalize
the cord is cut and answer 2 minutes will be understanding
clamped. Eventually allotted for question on natural
between 1-3 weeks the cord and answer portion. healing process
will become dry and and correct the
naturally falls off. During this misconceptions.
time it should be kept dry
and clean as possible.
UMBILICAL CORD CARE

Try to keep the umbilical cord area clean and dry at all times. It helps to roll down the front of the diaper so that the cord is
not covered by the diaper. It is a good idea to inspect the area after each diaper change. If it is clean and dry, you do not need to
do anything. If it becomes dirty, clean the area gently with cotton balls moistened with clean water, and then use dry cotton balls to
pat it dry. The cord will usually fall off between 7 and 14 days after birth. When the cord is beginning to detach, you may notice
some moisture at base, and a slight odor. Cleaning the area with a cotton swab dipped in rubbing alcohol will take care of this.
Please note that rubbing alcohol is only recommended when the cord is falling off and there is moisture with odor; otherwise,
cleaning with water is sufficient. It is normal to see a very narrow rim of redness (about 1/16 inch) on the skin around the base of the
cord. However, you should call your doctor immediately if you notice pus, redness, or swelling of the skin around the umbilical cord.

Taking care of the stump

Your baby's umbilical cord stump will change from bluish white to black as it dries out and eventually falls off usually within three
weeks after birth. In the meantime, treat the area gently:

Keep the stump clean. Parents were once instructed to swab the stump with rubbing alcohol after every diaper change.
Researchers now say the stump might heal faster if left alone. If the stump becomes dirty or sticky, clean it with plain water
then dry it by holding a clean, absorbent cloth around the stump or fanning it with a piece of paper.
Keep the stump dry. Expose the stump to air to help dry out the base. Keep the front of your baby's diaper folded down to avoid
covering the stump. In warm weather, dress your baby in a diaper and T-shirt to improve air circulation.
Stick with sponge baths. Sponge baths might be most practical during the healing process. When the stump falls off, you can
bathe your baby in a baby tub or sink.
Let the stump fall off on its own. Resist the temptation to pull off the stump yourself.
Signs of infection

During the healing process, it's normal to see a little blood near the stump. Much like a scab, when the cord stump falls off, a little
bleeding might occur. However, contact your baby's doctor if the umbilical area ooze pus or the surrounding skin becomes red and
swollen. If your baby has an umbilical cord infection, prompt treatment is needed to stop the infection from spreading.

Umbilical Cord Stump 5 Tips On Caring For Your Babys Cord Stump

Umbilical Cord Stump Care Tip #1 Keep It Clean Avoid cleaning the stump unless it is truly necessary. If you do need to clean the
area, use a cotton wool ball soaked in cooled, boiled water (cool it to a safe temperature before using). Carefully wipe the area
around the base of the stump. Gently pat the area dry with a soft towel after cleaning.

Umbilical Cord Stump Care Tip #2 Air It Try to expose the stump to the air for at least half an hour each day, this will speed up the
drying out process. If you are enjoying lots of skin to skin time with your newborn, the stump will be exposed to the air then.

Umbilical Cord Stump Care Tip #3 Protect It Make sure that your babys nappies and clothes do not rub the stump. Most newborn
nappies have a dip where the stump is, to prevent rubbing. If you are using one-size modern cloth nappies, simply fold them down at
the front to prevent rubbing. If you have a little boy, you should position his penis so it is pointing down in the nappy to try and
prevent the stump from getting covered in urine.

Umbilical Cord Stump Care Tip #4 Leave It Alone Dont pick it, rub it or mess with it. Dont try to encourage the stump to fall off
faster, just leave it to dry out naturally and fall of in its own time. Umbilical Cord Stump Care Tip

#5 Sponge Baths You should avoid giving your newborn proper baths. Until the stump has fallen off, you should sponge bathe your
baby to avoid wetting the stump. Remember, your newborn wont really need bathing too frequently and its best to avoid using
soaps and lotions on his delicate skin. When To Call The Doctor When it falls off, the naval area may look red, raw or appear to be
oozing fluid, this is all normal and will disappear within two weeks. If it has not healed completely within two weeks, you should
contact your healthcare provider .
Warning signs and symptoms of infection:

Umbilicus navel has a cloudy discharge or even some dried pus on the surface
Bleeding occurs from cord's point of separation
Separation of cord is delayed past 3 weeks

References:

Schmitt, B. (2009-2012). Umbilical Cord Symptoms. Retrieved from: http://www.seattlechildrens.org/medical-

conditions/symptom-index/umbilical-cord- problems/.
Mayo Foundation for Medical Education and Research. (2016). Retrieved from: http://www.mayoclinic.org/healthy-
lifestyle/infant-and-toddler-health/in-depth/umbilical-cord/art-20048250.
UCLA Health. (2015). Retrieved from: http://birthplace.uclahealth.org/workfiles/
PostpartumResources/NewbornGeneralInstructions.pdf.
Mayo Foundation for Medical Education and Research. (2016). Retrieved from: http://www.mayoclinic.org/healthy-
lifestyle/infant-and-toddler-health/in-depth/umbilical-cord/art-20048250?pg=2.
BellyBelly, (2016). Retrieved from: http://www.bellybelly.com.au/baby/umbilical-cord-stump-5-tips-on-caring-for-your-babys-
cord-stump/.
HEALTH TEACHING
ABOUT
CORD CARE
Amira Fatmah P. Quilapio
BSN II-A4