(4) Record the color and amount of aspirate on SF 510, Nursing Notes and
on the delivery record sheet.
g. Evaluate the infant's physical condition.
(1) Note the infant's cry, color, and activity for signs of respiratory distress
throughout the assessment.
(2) Do a complete head-to-toe assessment, looking for any gross
abnormalities on his hands, feet, palate, spine, and so forth.
Document if the infant voids or passes meconium.
(4) Document presence of reflexes (dealt with more extensively in the
Count the number of vessels in the cord and document.
(6) Assess head for molding, caput succedaneum, or cephalhematoma and
document in appropriate records.
Observe and record any birthmarks.
h. Place the infant on his side (see figure 8-8) to promote drainage of mucus.
Note that he is supported by a pillow to his backside.
Figure 8-8. Infant placed on his side.