11: Neonatal Transition

Question 1

When is the 2nd stage of neonatal transition?

Answer 1

30 minutes - 2 hours

Question 2

1st, 2nd, or 3rd stage?

Rales, grunting, retractions, brief apnea may be present

Answer 2

1st

Question 3

1st, 2nd, or 3rd stage?

HR falls to 100-120

Answer 3

2nd

Question 4

1st, 2nd, or 3rd stage?

Minimal saliva production

Answer 4

1st

Question 5

1st, 2nd, or 3rd stage?

Tachycardia (again)

Answer 5

3rd

Question 6

When is the infant relatively stable and ready for feeding?

Answer 6

As the 2nd period of reactivity (3rd stage) diminishes. Later in the chapter mentions this: Most infants are ready to be fed upon completion of the adaptation period; however, an infant can begin feeding at any stage of transition if evaluation is within normal limits.

Question 7

1st, 2nd, or 3rd stage?

Oral mucus absent

Answer 7

2nd

Question 8

1st, 2nd, or 3rd stage?

HR 160-180 (10-15 min)

Answer 8

1st

Question 9

1st, 2nd, or 3rd stage?

HR becomes labile

Answer 9

3rd

Question 10

1st, 2nd, or 3rd stage?

Fast, shallow, synchronous breathing (up to 60 RR) without dyspnea

Answer 10

2nd

Question 11

1st, 2nd, or 3rd stage?

Decreased temp

Answer 11

1st

Question 12

1st, 2nd, or 3rd stage?

Responsiveness diminished

Answer 12

2nd

Question 13

1st, 2nd, or 3rd stage?

Bowel signs absent

Answer 13

1st

Question 14

What is the 3rd stage of neonatal transition called?

Answer 14

2nd period of reactivity

Question 15

1st, 2nd, or 3rd stage?

RR irregular 60-80

Answer 15

1st

Question 16

1st, 2nd, or 3rd stage?

Abrupt changes in tone, color, and BS

Answer 16

3rd

Question 17

1st, 2nd, or 3rd stage?

Sleeps or decreased motor activity

Answer 17

2nd

Question 18

What is the 2nd stage of neonatal transition called?

Answer 18

Period of decreased responsiveness

Question 19

When is the 3rd stage of neonatal transition?

Answer 19

2-8 hours

Question 20

1st, 2nd, or 3rd stage?

Alert, tremors, crying

Answer 20

1st

Question 21

1st, 2nd, or 3rd stage?

Gagging and vomiting not uncommon

Answer 21

3rd

Question 22

1st, 2nd, or 3rd stage?

Increase in barreling of chest may be present

Answer 22

2nd

Question 23

When is the 1st stage of neonatal transition?

Answer 23

0-30 minutes

Question 24

What is the 1st stage of neonatal transition called?

Answer 24

First period of reactivity

Question 25

1st, 2nd, or 3rd stage?

Spontaneous jerks and twitches, but quickly returns to rest

Answer 25

2nd

Question 26

1st, 2nd, or 3rd stage?

Brief periods of rapid respiration

Answer 26

3rd

Question 27

1st, 2nd, or 3rd stage?

BS audible

Answer 27

2nd

Question 28

1st, 2nd, or 3rd stage?

Increased motor activity

Answer 28

1st (and 3rd)

Question 29

1st, 2nd, or 3rd stage?

Oral mucus

Answer 29

3rd