11: Neonatal Transition Flashcards

1
Q

When is the 2nd stage of neonatal transition?

A

30 minutes - 2 hours

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2
Q

1st, 2nd, or 3rd stage?

Rales, grunting, retractions, brief apnea may be present

A

1st

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3
Q

1st, 2nd, or 3rd stage?

HR falls to 100-120

A

2nd

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4
Q

1st, 2nd, or 3rd stage?

Minimal saliva production

A

1st

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5
Q

1st, 2nd, or 3rd stage?

Tachycardia (again)

A

3rd

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6
Q

When is the infant relatively stable and ready for feeding?

A

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.

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7
Q

1st, 2nd, or 3rd stage?

Oral mucus absent

A

2nd

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8
Q

1st, 2nd, or 3rd stage?

HR 160-180 (10-15 min)

A

1st

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9
Q

1st, 2nd, or 3rd stage?

HR becomes labile

A

3rd

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10
Q

1st, 2nd, or 3rd stage?

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

A

2nd

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11
Q

1st, 2nd, or 3rd stage?

Decreased temp

A

1st

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12
Q

1st, 2nd, or 3rd stage?

Responsiveness diminished

A

2nd

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13
Q

1st, 2nd, or 3rd stage?

Bowel signs absent

A

1st

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14
Q

What is the 3rd stage of neonatal transition called?

A

2nd period of reactivity

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15
Q

1st, 2nd, or 3rd stage?

RR irregular 60-80

A

1st

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16
Q

1st, 2nd, or 3rd stage?

Abrupt changes in tone, color, and BS

A

3rd

17
Q

1st, 2nd, or 3rd stage?

Sleeps or decreased motor activity

A

2nd

18
Q

What is the 2nd stage of neonatal transition called?

A

Period of decreased responsiveness

19
Q

When is the 3rd stage of neonatal transition?

A

2-8 hours

20
Q

1st, 2nd, or 3rd stage?

Alert, tremors, crying

A

1st

21
Q

1st, 2nd, or 3rd stage?

Gagging and vomiting not uncommon

A

3rd

22
Q

1st, 2nd, or 3rd stage?

Increase in barreling of chest may be present

A

2nd

23
Q

When is the 1st stage of neonatal transition?

A

0-30 minutes

24
Q

What is the 1st stage of neonatal transition called?

A

First period of reactivity

25
Q

1st, 2nd, or 3rd stage?

Spontaneous jerks and twitches, but quickly returns to rest

A

2nd

26
Q

1st, 2nd, or 3rd stage?

Brief periods of rapid respiration

A

3rd

27
Q

1st, 2nd, or 3rd stage?

BS audible

A

2nd

28
Q

1st, 2nd, or 3rd stage?

Increased motor activity

A

1st (and 3rd)

29
Q

1st, 2nd, or 3rd stage?

Oral mucus

A

3rd