Week 4- Adaptations Of The Newborn Flashcards
2nd Period of Reactivity
4-8 hours after birth
Increased heart rate and respirations
Increased muscle tone
1st period of Reactivity
Up to 30 minutes after birth
Increased heart rate
Irregular respirations
Keep warm! Make sure he or she is breathing!
Wide awake and alert = time to breast feed
Meconium
1st stool
Black and tarry
In 2nd period of reactivity
If before birth risk of aspiration
Cyanosis
In 2nd period of reactivity
Normal on hands and feet
Central cyanosis is NOT normal
Signs of Respiratory Distress
Nasal flaring
Grunting- more sigh like- making a c pap to keep alveoli open
Retractions- sinking in of the tissue
Cyanosis
“Wet Lung”
May have left over fluid
Should go away in a few hours
RBCs
Born with extra red blood cells
Hemoglobin can be very high
Skin is ruddy or red
Breakdown makes more bilirubin- need the light!
High bilirubin
Can result in mental retardation
4 Ways Baby’s Lose Heat
Evaporation
Conduction
Convention
Radiation
Evaporation
Dry the babies off!
Wait 8hr to bathe
Be at least 98.0 F
Conduction
Contact w/ a cold surface
Via stethoscope, weighing
Convention
Cold air currents
Warm o2
Radiation
Lose heat to cooler objects not in direct contact
Heat loss
Little fat, big head, thin skin, big surface area 3x more than adults
Temperature Regulation
Hat, skin to skin, swaddle
Can’t shiver
Flexed position
Skin to Skin
Great for warming
Promotes bonding
Promotes breast feeding
Feeding Behaviors
Sucking
Hands to their mouth
Turning their head
Vernix Caseosa
White cheese like covering on baby’s skin
Keeps from drying out
Hard to get off in 1st bath, but don’t worry about that!
Caput Succedaneum
Swelling in the head
Fluid filled
Cephalhematoma
Bleedings
Confided to one side or another
Subgaleal Hematoma
?
Desquamation
??
Mongolian Spots
Newborns of color
Looks like a bruise on peer back
Fades but might persist
Nevi
A mole
Erythema Toxicum
Normal newborn rash
Stork Bite
Red
Tend to get darker when the baby cries
Lighter as the child gets older
May not disappear
Female Reproductive
Swollen breast tissue
Swollen labia
Lucaria- light discharge
Withdrawal of estrogen- a mini period
Male Reproduction
Swollen breast tissue
Testes should be in sac
Midline
Urinary meadus on tip of penis
Vitals
Temp should be AT LEAST 97.6
Rarely have a fever
Weight loss over three days- should be no greater than 10%
Cone shape head increases length- so may get shorter as that goes away
Gestational Age
How flexed, flexible, how much breast tissue, creases in the foot
Due date is +/- 2 weeks!
Vision
8-10 cm away
Can see the breast
Maybe mom too!
Hearing
Know mom and dad’s voice from pregnancy
Smell, taste, touch
??
