Ch 12 The Term - The Term Newborn Chapter 12 Adjustment to Extrauterine Life Adjustment is dependent upon Genetic background Health of the recent

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Chapter 12 Chapter 12 The Term Newborn
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Adjustment to Extrauterine Life Adjustment to Extrauterine Life Adjustment is dependent upon Genetic background Health of the recent uterine environment A safe delivery Care during the first month of life Slid e 2
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Adaptation from Fetal Life  Adaptation from Fetal Life  Extrauterine Life Extrauterine Life Respirations stimulated by chilling and  by chemical changes in the blood Sensory and physical stimuli First breath opens alveoli Independent air exchange begins Slid e 3
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Adaptation from Fetal Life to  Adaptation from Fetal Life to  Extrauterine Life (continued) Extrauterine Life (continued) Initiates cardiopulmonary  interdependence Ability to metabolize food hampered by  immaturity of digestive system (deficient  in enzyme from pancreas and liver) Kidney’s ability to concentrate urine and  maintain fluid balance is limited due to  decreased rate of glomerular flow and  limited renal tubular reabsorption Neurological functions are primitive Slid e 4
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Slid e 5 Physical Characteristics Phase 3: Care of the Newborn
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Nervous System: Reflexes  Nervous System: Reflexes  Can move arms and legs vigorously, but  cannot control them Full-term infants are born with the following  reflexes (which help keep them alive): Blinking Sneezing Gagging Sucking Grasping  They can also cry, swallow, and lift their  head (slightly) when lying on their  abdomen Can also taste and smell Slid e 6
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Reflexes Reflexes Moro Rooting Tonic neck Dancing Slid e 7
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Head Head Molding from delivery process May have swelling of the soft tissues of the  scalp, called Caput succedaneum May see a Cephalhematoma—a collection  of blood beneath the periosteum of the  cranial bone Does not cross the suture line Fontanelles (soft spots) protect the head  during delivery and allow further brain  growth Slid e 8
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Visual Stimuli and Sensory  Visual Stimuli and Sensory  Overload Overload Can see and fixate on points of contrast Toys with contrasting colors or those that  make noise attract the newborn’s attention Tears are absent until 1 to 3 months of  age Sensory overload can occur if there is  too much detrimental stimulation Important for the nurse to keep  surrounding environment as calm as  possible, no bright lights or loud alarms Slid e 9
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Hearing Hearing Ears well developed,  but small Hearing ability  present at birth Sick or premature  newborns may not  respond to sounds Normal drainage and  sneezing that occur  after birth help to rid  the ear canals of  amniotic fluid
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This note was uploaded on 11/10/2010 for the course PRACTICAL KSPN 124 taught by Professor Ljnelson during the Fall '10 term at Kansas City Kansas Community College.

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Ch 12 The Term - The Term Newborn Chapter 12 Adjustment to Extrauterine Life Adjustment is dependent upon Genetic background Health of the recent

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