Growth and Development of a Newborn Flashcards

(43 cards)

1
Q

How long do we consider a baby to be a newborn?

A

for the first 30 days of life

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2
Q

When do we check APGAR scores?

A

initially after birth and then 5 minutes later

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3
Q

What score does the newborn have to get on the APGAR to get the “okay?”

A

> 7

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4
Q

What does APGAR stand for?

What is the highest # the newborn can get for each letter?

A
Appearance
Pulse
Grimace
Activity
Respirations
--2
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5
Q

T/F: Peripheral cyanosis is okay within the first 18 hours of birth.

A

False- it is only okay for the first 12 hours of the newborns life

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6
Q

-Periods of Reactivity-

What are the 2 time periods in the first reactivity period?

A

30-60 minutes

1-4 hours

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7
Q

-Period of Reactivity-

What is the newborn doing in the first reactivity period during the 30-60 min time after delivery?

A

the newborn is alert and interested in the environment

-full term infant may breast-feed during this time

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8
Q

-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?

A

the newborn is sleepy and relatively calm

-all systems slow down and temperature falls

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9
Q

-Periods of Reactivity-

When does the second reactivity period take place?

A

occurs when the infant wakes up from first deep sleep

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10
Q

-Period of Reactivity-

How long does the second reactivity period last, and what is the newborn doing during this time?

A

lasts 2-5 hours

the newborn is alert and responsive

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11
Q

What is the primary thing done right after birth that initiates Erikson’s Psychosocial Development of trust vs mistrust?

A

skin to skin

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12
Q

The neonate normally loses __% of birth weight by age 3 or 4 days.

A

10%

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13
Q

Tracts that develop myelin first are _____ and _____ tracts.

A

sensory and cerebral

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14
Q

All newborn senses are very acute, except for _____.

A

sight

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15
Q

T/F: Newborns can see color, so using black and white contrast is not necessary.

A

False: newborns can only see light and dark, so black and white is best

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16
Q

What position helps promote bonding?

A

enface position

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17
Q

Exclusive breastfeeding is recommended until what age; however, continued breastfeeding after foods are introduced are encouraged to at least what age?

A

6 months; 1 year

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18
Q

Newborns have deficiency of ________ lipase for fat absorption, making cow’s milk indigestible.

19
Q

T/F: If a newborn is given formula, iron fortified is best.

20
Q

Breast milk contains vitamin D, but may not have levels sufficient to prevent _____? this is very rare.

21
Q

Recommended is for breastfed infants to receive vitamin D (___ IU/day) supplementation if exclusively breastfed or receiving less than ____ mL D-fortified formula/day.

22
Q

What are the 5 most important things that promote successful breastfeeding?

A
  1. ) Frequent and early breast-feeding (within first hour of life is important!)
  2. ) Promotion of skin-to-skin contact
  3. ) Correct positioning of infant at breast
  4. ) Feeding-on-demand schedule (1st few weeks of life!)
  5. ) Baby-friendly hospital initiative
23
Q

How many times does a newborn eat in a 24 hour period?

24
Q

What two risk factors are common if bottle propping occurs?

A
  1. ) risk of aspiration r/t baby drinking to quickly

2. ) risk for tooth decay

25
How many diapers are common for each day of life until day 5 or 6?
one
26
After the first week of life how many diapers are common per day?
6-10
27
How many voids are common for the second week of life initially?
5-6
28
For bottle fed babies how many stools are common?
one stool every 2-3 days
29
How many stools are common for breastfeeding babies?
2-3/day
30
If the baby is formula fed what is a risk when it comes to the number of stools?
constipation
31
What color are breastfeeding babies' stools?
yellow
32
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
33
What are the 6 common things used to prevent sudden unexpected infant death (SUID)...r/t sleep
1. ) spine position for first year 2. ) in parents room rather than in their bed until at least six months 3. ) firm mattress 4. ) no soft or loose bedding 5. ) avoid overheating 6. ) young infants should not be put to sleep in car seats
34
Inconsolable crying that lasts 3 hours or longer per day and for which there is no physical cause?
colic
35
When does colic usually resolve?
3 months
36
What are 4 common things the typically help with colic?
1. ) frequent burping 2. ) formula modification 3. ) warmth to abdomen 4. ) cuddling and closeness
37
What are two life threatening possibilities that could occur from colic?
1. ) sudden infant death syndrome (SIDS) | 2. ) shaken baby syndrome
38
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
39
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
40
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
41
What is the normal neonate vital sign for temperature?
36.3 to 37 degrees Celsius (97.3 to 98.6 degrees Fahrenheit)
42
What is the normal heart rate for neonate?
120-160
43
What is the normal respiratory rate for a neonate?
30-60