NUR 148 STUDY GUIDE WITH
SOLUTION
"First period of reactivity" or "Golden Hour" - ANSWER -Lasts 30-60 mins
-baby alert and active
-HR irregular and high as 180bpm
-RR as high as 80/min
-Fine crackles in lungs
-hypoactive bowel sounds (NOT absent)
-breastfeeding initiated
"Period of decreased responsiveness" - ANSWER -lasts from 60-100 mins
(hours 2-4 of life)
-bowel sounds more audible
-HR and RR return to baseline
-activity decreases
-acrocyanosis improving
"Second period of reactivity" - ANSWER -awake again and alert
-lasts 4-6 hours (hours4-8 of life)
-HR and RR increase
, -skin color change->overall pinkness
-pass 1st stool
-interest in feeding
Normal newborn apical HR - ANSWER 110-160 bpm
________________ is normal for the first hours to days after birth while cardiac
and respiratory systems are adjucting to extra uterine life. - ANSWER
acrocyanosis
Term neonates lungs hold about how much fluid per kg prior to birth? -
ANSWER 20cc or mL
What does clamping the cord initiate? - ANSWER breathing (crying)
Factors that initiate newborn first breaths? - ANSWER -chemical
-mechanical (passage through birth canal)
-thermal (cold air)
-sensory (senses)
Normal breath sounds in newborn? - ANSWER -abdominal breathing
-shallow and irregular->30-60 bpm
-nasal flaring
-retractions
-tachypnea
Normal respiratory rate for newborn? - ANSWER 30-60/min
SOLUTION
"First period of reactivity" or "Golden Hour" - ANSWER -Lasts 30-60 mins
-baby alert and active
-HR irregular and high as 180bpm
-RR as high as 80/min
-Fine crackles in lungs
-hypoactive bowel sounds (NOT absent)
-breastfeeding initiated
"Period of decreased responsiveness" - ANSWER -lasts from 60-100 mins
(hours 2-4 of life)
-bowel sounds more audible
-HR and RR return to baseline
-activity decreases
-acrocyanosis improving
"Second period of reactivity" - ANSWER -awake again and alert
-lasts 4-6 hours (hours4-8 of life)
-HR and RR increase
, -skin color change->overall pinkness
-pass 1st stool
-interest in feeding
Normal newborn apical HR - ANSWER 110-160 bpm
________________ is normal for the first hours to days after birth while cardiac
and respiratory systems are adjucting to extra uterine life. - ANSWER
acrocyanosis
Term neonates lungs hold about how much fluid per kg prior to birth? -
ANSWER 20cc or mL
What does clamping the cord initiate? - ANSWER breathing (crying)
Factors that initiate newborn first breaths? - ANSWER -chemical
-mechanical (passage through birth canal)
-thermal (cold air)
-sensory (senses)
Normal breath sounds in newborn? - ANSWER -abdominal breathing
-shallow and irregular->30-60 bpm
-nasal flaring
-retractions
-tachypnea
Normal respiratory rate for newborn? - ANSWER 30-60/min
