Growth and Development of a Newborn Flashcards
How long do we consider a baby to be a newborn?
for the first 30 days of life
When do we check APGAR scores?
initially after birth and then 5 minutes later
What score does the newborn have to get on the APGAR to get the “okay?”
> 7
What does APGAR stand for?
What is the highest # the newborn can get for each letter?
Appearance Pulse Grimace Activity Respirations --2
T/F: Peripheral cyanosis is okay within the first 18 hours of birth.
False- it is only okay for the first 12 hours of the newborns life
-Periods of Reactivity-
What are the 2 time periods in the first reactivity period?
30-60 minutes
1-4 hours
-Period of Reactivity-
What is the newborn doing in the first reactivity period during the 30-60 min time after delivery?
the newborn is alert and interested in the environment
-full term infant may breast-feed during this time
-Period of Reactivity-
What is the newborn doing in the first reactivity period during the 1-4 hour time after delivery?
-Why should vitals be closely monitored?
the newborn is sleepy and relatively calm
-all systems slow down and temperature falls
-Periods of Reactivity-
When does the second reactivity period take place?
occurs when the infant wakes up from first deep sleep
-Period of Reactivity-
How long does the second reactivity period last, and what is the newborn doing during this time?
lasts 2-5 hours
the newborn is alert and responsive
What is the primary thing done right after birth that initiates Erikson’s Psychosocial Development of trust vs mistrust?
skin to skin
The neonate normally loses __% of birth weight by age 3 or 4 days.
10%
Tracts that develop myelin first are _____ and _____ tracts.
sensory and cerebral
All newborn senses are very acute, except for _____.
sight
T/F: Newborns can see color, so using black and white contrast is not necessary.
False: newborns can only see light and dark, so black and white is best
What position helps promote bonding?
enface position
Exclusive breastfeeding is recommended until what age; however, continued breastfeeding after foods are introduced are encouraged to at least what age?
6 months; 1 year
Newborns have deficiency of ________ lipase for fat absorption, making cow’s milk indigestible.
pancreatic
T/F: If a newborn is given formula, iron fortified is best.
True
Breast milk contains vitamin D, but may not have levels sufficient to prevent _____? this is very rare.
Rickets
Recommended is for breastfed infants to receive vitamin D (___ IU/day) supplementation if exclusively breastfed or receiving less than ____ mL D-fortified formula/day.
400; 1000
What are the 5 most important things that promote successful breastfeeding?
- ) Frequent and early breast-feeding (within first hour of life is important!)
- ) Promotion of skin-to-skin contact
- ) Correct positioning of infant at breast
- ) Feeding-on-demand schedule (1st few weeks of life!)
- ) Baby-friendly hospital initiative
How many times does a newborn eat in a 24 hour period?
8-12 times
What two risk factors are common if bottle propping occurs?
- ) risk of aspiration r/t baby drinking to quickly
2. ) risk for tooth decay
How many diapers are common for each day of life until day 5 or 6?
one
After the first week of life how many diapers are common per day?
6-10
How many voids are common for the second week of life initially?
5-6
For bottle fed babies how many stools are common?
one stool every 2-3 days
How many stools are common for breastfeeding babies?
2-3/day
If the baby is formula fed what is a risk when it comes to the number of stools?
constipation
What color are breastfeeding babies’ stools?
yellow
What is the acronym used for how a baby should sleep and what does it stand for?
ABC; Alone on my Back in a Crib
What are the 6 common things used to prevent sudden unexpected infant death (SUID)…r/t sleep
- ) spine position for first year
- ) in parents room rather than in their bed until at least six months
- ) firm mattress
- ) no soft or loose bedding
- ) avoid overheating
- ) young infants should not be put to sleep in car seats
Inconsolable crying that lasts 3 hours or longer per day and for which there is no physical cause?
colic
When does colic usually resolve?
3 months
What are 4 common things the typically help with colic?
- ) frequent burping
- ) formula modification
- ) warmth to abdomen
- ) cuddling and closeness
What are two life threatening possibilities that could occur from colic?
- ) sudden infant death syndrome (SIDS)
2. ) shaken baby syndrome
What occurs during the 1/2week visit?
4
- weight (may have some weight loss, but need to see weight gain at next visit)
- feeding, voiding, stooling
- discuss how the parents are feeling and how things are going in the home (postpartum depression , shaken baby syndrome)
- assess attachment assess for any colic symptoms
What education should occur during the 1/2 week visit?
4
- never leave infant alone with pet or sibling
- warm formula/ EBM in Cup of water or bottle warmer, never in a microwave
- water below 120degrees
- car seats in the back, rear facing
What are some causes for weight loss after the 1/2 week visit?
(5)
- could be a latching problem
- tongue tied
- attachment issues
- postpartum depression
- common need of further formula teaching or a change in formula
What is the normal neonate vital sign for temperature?
36.3 to 37 degrees Celsius (97.3 to 98.6 degrees Fahrenheit)
What is the normal heart rate for neonate?
120-160
What is the normal respiratory rate for a neonate?
30-60
