Newborn (Transitional Phases)

Question 1

The neonatal period includes:

Answer 1

the time from birth through day 28 of life.

Question 2

The major adaptations associated with transition from intrauterine to extrauterine life occur during?

Answer 2

The first 6 to 8 hours after birth.

Question 3

What is the first stage of the transition period?

Answer 3

First period of reactivity

Question 4

How long does the first transition period last?

Answer 4

up to 30 mins after birth.

Question 5

During the first stage of transition what is significant about the infants heart rate?

Answer 5

HR increases rapidly to 160 to 180 but gradually falls after 30 mins or so to a baseline rate of 100 to 120.

Question 6

During the first stage of transition what is significant about the infants respirations?

Answer 6

Are irregular, with a rate between 60 and 80 breaths/min.

Question 7

During the first stage of transition what can be found when auscultation lungs?

Answer 7

Fine crackles can be present on auscultation.

Question 8

During the first stage of transition what is significant about the infants respiratory?

Answer 8

Audible grunting, nasal flaring, and retractions of the chest can be present. These should cease within the first hour of birth.

Question 9

During the first stage of transition what is significant about the infants behavior?

Answer 9

The infant is alert and may have spontaneous startles, tremors, crying, and head movement from side to side.

Question 10

During the first stage of transition what is significant about the infants bowels?

Answer 10

Bowel sounds are audible, and meconium may be passed.

Question 11

What is the second stage of the transition period?

Answer 11

The period of decreased responsiveness

Question 12

How long does the second transition period last?

Answer 12

60 to 100 mins

Question 13

What is significant about the second transition period?

Answer 13

After the first period of reactivity the newborn either sleeps or has a marked decrease in motor activity.

Question 14

During the second stage of transition what is significant about the infant’s integumentary system?

Answer 14

The infant is pink

Question 15

During the second stage of transition what is significant about the infant’s respirations?

Answer 15

Are rapid and shallow (up to 60 breaths/min) but unlabored.

Question 16

During the second stage of transition what is significant about the infant’s bowels?

Answer 16

Bowel sounds are audible, and peristaltic waves may be noted over the rounded abdomen.

Question 17

What is the third transition stage?

Answer 17

Second period of reactivity.

Question 18

How long does the third transition stage last?

Answer 18

Occurs roughly between 2 and 8 hrs after birth and lasts from 10 mins to several hours.

Question 19

During the third stage of transition what is significant about the infant’s vital signs?

Answer 19

Brief periods of tachycardia and tachypnea.

Question 20

During the third stage of transition what is significant about the infant’s integumentary and muscular system?

Answer 20

Associated with increased muscle tone and changes in skin color and mucus production.

Question 21

During the third stage of transition what is significant about the infant’s bowels?

Answer 21

Meconium is commonly passed at this time?

Question 22

Which infant’s experience the third transition phase?

Answer 22

Most healthy newborns experience this transition, regardless of gestational age or type of birth.

Question 23

What infant’s do not usually experience the third transition phase?

Answer 23

Extremely and very preterm infants do not because of physiologic immaturity.