Week 4- Adaptations Of The Newborn

Question 0

2nd Period of Reactivity

Answer 0

4-8 hours after birth
Increased heart rate and respirations
Increased muscle tone

Question 1

1st period of Reactivity

Answer 1

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

Question 2

Meconium

Answer 2

1st stool
Black and tarry
In 2nd period of reactivity
If before birth risk of aspiration

Question 3

Cyanosis

Answer 3

In 2nd period of reactivity
Normal on hands and feet
Central cyanosis is NOT normal

Question 4

Signs of Respiratory Distress

Answer 4

Nasal flaring
Grunting- more sigh like- making a c pap to keep alveoli open
Retractions- sinking in of the tissue
Cyanosis

Question 5

“Wet Lung”

Answer 5

May have left over fluid

Should go away in a few hours

Question 6

RBCs

Answer 6

Born with extra red blood cells
Hemoglobin can be very high
Skin is ruddy or red
Breakdown makes more bilirubin- need the light!

Question 7

High bilirubin

Answer 7

Can result in mental retardation

Question 8

4 Ways Baby’s Lose Heat

Answer 8

Evaporation
Conduction
Convention
Radiation

Question 9

Evaporation

Answer 9

Dry the babies off!
Wait 8hr to bathe
Be at least 98.0 F

Question 10

Conduction

Answer 10

Contact w/ a cold surface

Via stethoscope, weighing

Question 11

Convention

Answer 11

Cold air currents

Warm o2

Question 12

Radiation

Answer 12

Lose heat to cooler objects not in direct contact

Question 13

Heat loss

Answer 13

Little fat, big head, thin skin, big surface area 3x more than adults

Question 14

Temperature Regulation

Answer 14

Hat, skin to skin, swaddle
Can’t shiver
Flexed position

Question 15

Skin to Skin

Answer 15

Great for warming
Promotes bonding
Promotes breast feeding

Question 16

Feeding Behaviors

Answer 16

Sucking
Hands to their mouth
Turning their head

Question 17

Vernix Caseosa

Answer 17

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!

Question 18

Caput Succedaneum

Answer 18

Swelling in the head

Fluid filled

Question 19

Cephalhematoma

Answer 19

Bleedings

Confided to one side or another

Question 20

Subgaleal Hematoma

Answer 20

?

Question 21

Desquamation

Answer 21

??

Question 22

Mongolian Spots

Answer 22

Newborns of color
Looks like a bruise on peer back
Fades but might persist

Question 23

Nevi

Answer 23

A mole

Question 24

Erythema Toxicum

Answer 24

Normal newborn rash

Question 25

Stork Bite

Answer 25

Red Tend to get darker when the baby cries Lighter as the child gets older May not disappear

Question 26

Female Reproductive

Answer 26

Swollen breast tissue Swollen labia Lucaria- light discharge Withdrawal of estrogen- a mini period

Question 27

Male Reproduction

Answer 27

Swollen breast tissue Testes should be in sac Midline Urinary meadus on tip of penis

Question 28

Vitals

Answer 28

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

Question 29

Gestational Age

Answer 29

How flexed, flexible, how much breast tissue, creases in the foot Due date is +/- 2 weeks!

Question 30

Vision

Answer 30

8-10 cm away Can see the breast Maybe mom too!

Question 31

Hearing

Answer 31

Know mom and dad's voice from pregnancy

Question 32

Smell, taste, touch

Answer 32

??