Respiratory System Adaptation
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, Initiation of respirations: adjusting from a fluid-filled intrauterine
environment to gaseous extrauterine environment
rr: 30 to 60 breaths/minute
breathing pattern is irregular
count rr - place hand on abdomen
warning signs
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•Temperature of 100.4°F (38°C) or higher (101°F {38.3°C})
•Forceful, persistent vomiting, not just spitting up
•Refusal to take feedings
•Two or more green, watery diarrheal stools
•Infrequent wet diapers and change in bowel movements from normal
pattern
•Lethargy or excessive sleepiness
•Inconsolable crying and extreme fussiness
•Abdominal distention
•Difficult or labored breathing
Hepatic System Function
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•Blood coagulation
•Iron storage
•Carbohydrate metabolism
Bilirubin conjugation
,Respiratory priorities
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1. airway
2. warmth
Sleep promotion
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Back every time they sleep until age 1
Physical Maturity includes
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•Skin texture
•Lanugo (fine downy hair)
•Plantar creases
•Breast tissue
•Eyes and ears
•Genitals
•Epidermis and dermis are bound ______ to each other and are very _____.
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, loosely, thin
Breast-fed newborns need to be fed every
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every 2 to 3 hours, nursing for 10 to 20 minutes on each breast
Equipment for Newborn Assessment
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•Tape measure with inch & centimeters
•Stethoscope with a pediatric head
•Rectal/axillary thermometer
•Scale with protective cover
•Bulb syringe
•Clean gloves
Newborn Physical Examination includes
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skin
head
face
nose
mouth
neck
eyes
Give this one a try later!
, Initiation of respirations: adjusting from a fluid-filled intrauterine
environment to gaseous extrauterine environment
rr: 30 to 60 breaths/minute
breathing pattern is irregular
count rr - place hand on abdomen
warning signs
Give this one a try later!
•Temperature of 100.4°F (38°C) or higher (101°F {38.3°C})
•Forceful, persistent vomiting, not just spitting up
•Refusal to take feedings
•Two or more green, watery diarrheal stools
•Infrequent wet diapers and change in bowel movements from normal
pattern
•Lethargy or excessive sleepiness
•Inconsolable crying and extreme fussiness
•Abdominal distention
•Difficult or labored breathing
Hepatic System Function
Give this one a try later!
•Blood coagulation
•Iron storage
•Carbohydrate metabolism
Bilirubin conjugation
,Respiratory priorities
Give this one a try later!
1. airway
2. warmth
Sleep promotion
Give this one a try later!
Back every time they sleep until age 1
Physical Maturity includes
Give this one a try later!
•Skin texture
•Lanugo (fine downy hair)
•Plantar creases
•Breast tissue
•Eyes and ears
•Genitals
•Epidermis and dermis are bound ______ to each other and are very _____.
Give this one a try later!
, loosely, thin
Breast-fed newborns need to be fed every
Give this one a try later!
every 2 to 3 hours, nursing for 10 to 20 minutes on each breast
Equipment for Newborn Assessment
Give this one a try later!
•Tape measure with inch & centimeters
•Stethoscope with a pediatric head
•Rectal/axillary thermometer
•Scale with protective cover
•Bulb syringe
•Clean gloves
Newborn Physical Examination includes
Give this one a try later!
skin
head
face
nose
mouth
neck
eyes
