physio and behavior of baby

How to assess neonate based on how they present (what are priority actions based on presentation)

Difference between neonates and adults

Neonates are belly breathers, breathe more with nose, body temperature regulation, has higher hg averages, anatomy of heart is different, they can’t produce blood clots, elevated WBC

When a newborn is born what is done to the baby (where is the baby put)

Incubator, provides warmth, preheated radiant warmer

Course of action your gonna do for newborn after delivery

Count respirations per min, suction mouth and nose with bulb syringe to clear mucus, monitor respiratory effort, observe abdomen because newborn breathing involves use of diaphragm and abdominal muscles

List in order what the external stimuli that indicates neonatal breathing

1) Chest compression during birth draws air into lungs

2) Touch, sound, light, cool air

3) stimulate respiratory center

4Infant takes first breath

What happens to the heart chamber when baby takes its first breath?

Decreased pressure in the right ventricle, increased pressure in left atrium, left ventricle, and aorta

Foramen ovale closes at birth when increased pressure in left atrium and decreased pressure in right atrium occur

Constant circulation leads to permanent closure of foramen ovale within few months

What do you want to consider for direct care after birth of a term baby (expected findings)

First stool is black and sticky, temperature within 97.7F-98.9

thermoregulation

Normal parameters for newborn kidney renal function

Urine will be odorless light in color or clear, within 24hrs of birth should urinate ab 15mL , first 2 days of life daily output should be 30-60mL, volume should be 300 mL per day if taking more breast milk or formula, urine doesn’t concentrate well until baby is 6 weeks old

What does normal newborn stool look like

Black and sticky

Jaundice in newborn

Bilirubin=jaundice=yellow skin

To much RBC that breaks down so bilirubin is released as waste product.

There was lot of RBC cuz of stress of labor

Learn to C.U.S

physiological jaundice doesnt appear until 2-4 days (yellow eyes or skin)

Therapeutic communication for parents that ask about the skin color of the child (specifically if yellow)

You have Simpson baby cuz when have to much red blood cells, it break and releases special thing called bilirubin which is waste product of cell so congrats you have Asian baby

What is indirect bilirubin?

Waste product of RBC that is released, Causes jaundice

What is the baby immunity

Protect newborn from infection

Screenings visitors for illness

Hand hygiene

Encouraging parents to being immunizations at 2 months of age

Doesn’t produce own antibodies until 2 months of age

What does normal neonate behavior look like

Crying, quiet when soothed, engage in mutual gazing, focus eyes and track object or person they are interested in, if they don’t like something they will yawn, cry, or turn away