NUR 401 module 4
1. Initiation of respiration: Fetal lung fluid and surfactant are produced
fluid pushed out with first breath
chemical, mechanical, thermal, and sensory factors
2. preme respiratory issue: poor cough reflex, small airway, weak muscle
side or stomach lying
3. Asphyxia: Lack of oxygen and increase in carbon dioxide
4. Transient tachypnea of the newborn: Rapid respirations after birth
5. Meconium aspiration syndrome: Meconium in the infant's lungs
6. Persistent pulmonary hypertension (PPHN): Persistent fetal circulation
7. Foramen ovale: left atria to ascending aorta to lungs and brain high pressure in right atria
connects atria
8. Ductus arteriosus: pulmonary artery and aorta
,9. Ductus venosis: Oxygenated blood from the placenta enters fetal circulation through the umbilical vein
10. Thermoregulation: child must learn to regulate heat (NST, metabolizing brown fat to produce heat) in
order to prevent cold stress
axillary (36.3-36.9)
abdominal temp (36-36.5)
11. neutral thermal environment: Important to prevent the need for increased oxygen to maintain body
temperature
Delivery room should be warm
Dry infant immediately after birth
Place on mother's abdomen or radiant warmer
Less than 29 weeks place in wrap or a bag
Incubators and warmed air if needed
Observe for overheating
12. Hematologic:
13. GI:
14. Hepatic:
, 15. Urinary:
16. Immune:
17. Psychosocial:
18. First period of reactivity:
1. Initiation of respiration: Fetal lung fluid and surfactant are produced
fluid pushed out with first breath
chemical, mechanical, thermal, and sensory factors
2. preme respiratory issue: poor cough reflex, small airway, weak muscle
side or stomach lying
3. Asphyxia: Lack of oxygen and increase in carbon dioxide
4. Transient tachypnea of the newborn: Rapid respirations after birth
5. Meconium aspiration syndrome: Meconium in the infant's lungs
6. Persistent pulmonary hypertension (PPHN): Persistent fetal circulation
7. Foramen ovale: left atria to ascending aorta to lungs and brain high pressure in right atria
connects atria
8. Ductus arteriosus: pulmonary artery and aorta
,9. Ductus venosis: Oxygenated blood from the placenta enters fetal circulation through the umbilical vein
10. Thermoregulation: child must learn to regulate heat (NST, metabolizing brown fat to produce heat) in
order to prevent cold stress
axillary (36.3-36.9)
abdominal temp (36-36.5)
11. neutral thermal environment: Important to prevent the need for increased oxygen to maintain body
temperature
Delivery room should be warm
Dry infant immediately after birth
Place on mother's abdomen or radiant warmer
Less than 29 weeks place in wrap or a bag
Incubators and warmed air if needed
Observe for overheating
12. Hematologic:
13. GI:
14. Hepatic:
, 15. Urinary:
16. Immune:
17. Psychosocial:
18. First period of reactivity:
