THE NEONATE AT 1 WEEK FOLLOWING
At 1 wk of age, the newborn continues to adapt to extrauterine life, both physiologically and behaviorally. Within
this adaptation period are many normal variations. Review prior assessments for risk factors or deviations from
NEONATAL ASSESSMENT DATA BASE
May be wakeful/fussy between feedings
May sleep more or less than the customary 17 hr/day
Heart rate ranges from 110–160 bpm; is strong and regular.
Ego Integrity (Parents)
May verbalize unrealistic expectations of themselves and of neonate
May express feelings of ineptness or inadequate knowledge
Urine pale and straw-colored, with output of 6–10 wet diapers per day.
Abdomen soft with bowel sounds in all four quadrants.
Defecation pattern varies; stool formed, yellow/brown, and passed 2–3 times per day in neonate fed cow’s-milk
formula; mustard-colored, loose, and passed initially with each feeding, then possibly every few days, in
May have difficulty adjusting to breast or bottle feeding; oral intake may be inadequate or on occasion, excessive.
Weight gain averaging 1 oz/day.
Facial expression symmetrical
Reflexes associated with feeding (sucking, swallowing, gag, and rooting) present and strong
Moro, grasp, and stepping reflexes present with strong, symmetrical response
Uncoordinated motor and reflex activity present (continued development of the neurological system)
Muscle tone good; head lag present
Irritability, crying associated with colic may occur.
Respiratory rate 30–60/min with no signs of difficulty (e.g., grunting, retraction, or nasal flaring).
Normal alternation between rapid and slow rate occurs in response to stimuli.
Cry strong, lusty, demanding, and purposeful.
Lungs bilaterally clear; breath sounds equal.
Skin pink and warm to the touch, with good skin turgor; free of rashes; transitory color change or mottling may appear