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Phases the newborn goes through
First period of Reactivity
last up to 30 minutes
Second period of Reactivity
- 4-8hrs. after birth
- last 10mins. to several hrs.
- 160-180 Falls gradually after 30 mins. to
protein in lungs (to prevent from sticking)
Apical pulse (PMI) point of maximal impulse
4th intercostal space and to the left of midclavicular line
expands blood volume in newborn
- hyperviscosity (possible emboli)
- increased H&H and RBC's
- normal at birth (18,000 range 9,000-30,000)
- rises 23,000-24,000 first day
- stables at 11,500
- 200,000-300,000 same in baby & adults
- baby cannot synthesis Vit. K (for clotting)
helps baby maintain heat
Convection (heat loss)
is the flow of heat from the body surface to cooler ambient air.
Radiation (heat loss)
is the loss of heat from the body surface to a cooler solid surface not in direct contact but in relative proximity.
Evaporation (heat loss)
is the loss of heat that occurs when a liquid is converted to a vapor.
Conduction (heat loss)
is the loss of heat from the body surface to cooler surfaces in direct contact.
- metabolic acidosis
- 6-8 voidings per day of pale straw colored urine are indicative of adequate fluid intake after the first 3-4 days.
- infants void 15-60ml of urine/day
Jaundice doesnt usually appear until the bilirubin level reaches 5mg/dl.
easil identifiable edematous area of the scalp, most commonly found on the occiput.
- is a collection of blood between a skul bone and its periosteum; therefore a cephalhematoma does not cross a cranial suture line.
- (potential for serious complications such as jaundice)
- is bleeding into the subgaleal compartment
- (potential for serious complications such as anemia or hypovolemic shock)
the outer sole of the foot is stroked upward from the heel across the ball of the foot; this causes the big to eto dorsiflex and the other toes to hyperexten
- average 37 C (98.6 F)
- range 36.5 C (97.7 F) -37.2 C (98.96 F)
- 40 breaths/min
- vary between 30 and 60 breaths/min or may be higher than 60 if newborn is very active or crying
Heart Rate (Apical Pulse)
Birth weight of a term infant typically ranges from 2500 to 4000g
(5lbs. 8oz - 8lbs 8oz)
The term neonate's head circumference ranges from 32 to 36.8cm
In the term neonate, head to heel length ranges from 45 to 55cm
has been shown to be effective in the management of postoperative neonatal pain.
CRIES (neonatal pain scale)
clorimazole or miconazole
to help with diaper rash
nystatin or fluconazole
oral antifungal preparation to elimante any gastrointestinal source of infection