neonate neo – new nate – birth first month of life. fill in bingo cards while we watch. bill...
TRANSCRIPT
NEONATENEO – new NATE – birth
First month of life.
Fill in Bingo cards while we watch.
Bill Cosby Childbirth part 2Bill Cosby childbirth part 1
http://www.babycenter.com/
PHYSICAL FEATURES
3. Facial FeaturesFacial Features– a. Eyes – grayish blue or dark, swollen, red splotches
on white of eye, may be cross eyed, no tears for about 3 mths.– b. Mouth – tiny jaw and chin, puffy cheeks, short
tongue, dry lips.– c. Nose – short, flat to make nursing easier– d. Skin – blotchy, pink, dry and peeling, vernix, lanugo,
loose and wrinkly, loose scalp, cold and blue due to poor circulation.
9. LanugoLanugo– Fuzzy hair covering the body to keep the fetus warm and
to give the vernix something to adhere to.
6. Fontanels / Soft SpotFontanels / Soft Spot Two open spaces in the baby’s skull to allow for movement during delivery and for the brain to
grow. These will close together by 2 yo.
19. Reflexes19. Reflexes– a. Rooting / Suckinga. Rooting / Sucking – when cheek is stroked, baby turns head and opens mouth. Sucking movements begin to begin eating.– b. Grasping or Darwinianb. Grasping or Darwinian
• Palmar=Palm of hand touched and baby makes fist around it.• Plantar =Bottom of toes touched and toes curl and tighten
– c. Moro (startle)c. Moro (startle) – baby’s arms and legs thrown out, head falls back, and back extends
– d. Tonic Neck/ Fencingd. Tonic Neck/ Fencing – fencer arm position, one arm back and one arm extended forwards.
– e. Babinskie. Babinski – sole of foot stroked and toes fan out– g. Walking / Stepg. Walking / Step – baby held under arms will make stepping motion.
Baby assessments
Tonic Neck / FencingPalmar Grasp
Rooting
Moro / startle
Babinski
Walking
The Big squeeze
5. Low Birth Weight5. Low Birth Weight– Born 5.5 lbs or less
8. Vernix 8. Vernix – Cheesy, waxy substance that covers body
while in womb. Sticks to the lanugo.
10. Jaundice10. Jaundice– Yellow coloring in skin and eyes due to liver
not working properly yet.
11. Marks Birth Marks, Angels Kiss, Stork Bite, Mongolian Spot – Pink spots where blood vessels broke –
usually go away
4. Premature4. Premature – Born before 37 weeks
1.1. SizeSize ( height and weight) - 7.5 lbs and 19” long– Thin, wrinkly, splotchy, little body fat
15. Swollen Genitals15. Swollen Genitals– Out of proportion in size due to the
large amounts of mother’s hormones
7. Umbilical Cord7. Umbilical Cord – Cord that connected the baby to the
mother and gave the baby food
and oxygen. Will fall off in 1-3 weeks.
16. Bones and Teeth16. Bones and Teeth– Teeth usually not seen at birth.– Bones are still rubber-like and can bend easily.
• Heal bone formed after birth, knee caps form about 2 years old, and there are 3 bones in a 1yo hand and wrist - 28 in yours.
12. Sucking Blister12. Sucking Blister– Callous in center of top lip
13. Milia13. Milia– Pimples due to oil glands beginning to work. Leave them alone (don’t pinch) or put a warm
towel on them. They will last about 3 weeks.
14. Cradle Cap14. Cradle Cap– Dry, flaky, crusty scalp. Rub the scalp with a baby brush.
22.. Head to Body Proportions Head to Body Proportions – Large head – ¼ body size, Rounded chest and protruding
stomach, short legs compared to arms, Pelvis and hips are narrow. Legs pulled up and bowed out. Short neck.
18. Physical Abilities18. Physical Abilities• a. Head and Neck Control – weak neck muscles and
big heavy head so the head fall backs. Support these.• b. Motor Development – mostly reflexes at first, but
soon gains control of their muscles.
Partner Tug of War
17. Cognitive Abilities / Senses• a. Smell – best developed sense. Knows smell
of mom and mom’s milk.– Likes sweet smells (vanilla) and makes a disgusted face if not like smell.
• b. Hearing – likes high pitched sounds and voices. Will turn towards parents voice.
• c. Taste – natural sweet tooth-avoid sugar.• d. Touch – bond, love, feels safe and secure,
communicates, improves antibodies• e. See – weak limited vision
• 20/700 @ birth. Can see 8-15” away• Sees color around 3-4mths
D. PROCEDURES• 21. Blood Test21. Blood Test
– for Anemia/PKU/Cystic Fibrosis – Done by heel prick and analyzes drops of blood
25. Feeding25. Feeding– Choose between formula and breast milk.– Pro’s and Con’s for both choices.
• 8-12x a day over 24 hours = will spend 3 hours of your day feeding. Their tiny stomachs only hold 2-3oz and they burn it off quickly so they need to eat often.
23. Circumcision23. Circumcision– Removal of foreskin around tip of penis. Optional
procedure. Done for hygiene reasons.
22. APGAR Scoring for Newborns-Tests given to test babies physical skills, ability to adapt, and chance of survival. - A score is given for each sign at one minute and five minutes after the birth. If there are problems with the baby an additional score is given at 10 minutes. - A score of 7-10 is considered normal, while 4-7 might require some resuscitative measures, and a baby with apgars of 3 and below requires immediate resuscitation.
Sign 0 Points 1 Point 2 Points
A Activity (Muscle Tone)
Absent Arms and Legs Flexed
Active Movement
P Pulse Absent Below 100 bpm Above 100 bpm
G Grimace (Reflex Irritability)
No Response Grimace Sneeze, cough, pulls away
A Appearance (Skin Color)
Blue-gray, pale all over
Normal, except for extremities
Normal over entire body
R Respiration Absent Slow, irregular Good, crying
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27. Merconium27. Merconium– First bowel movement. Black tar like substance. Dangerous if released in womb Will spend about 1 hr of your day changing diapers
24. Sleeping24. Sleeping– Place baby on their back to prevent SIDS (Sudden
Infant Death Syndrome). • Baby on a 4 mth jet lag and will spend 17-20 hours sleeping,
but not all at one time. Growing and developing is tiring.
26. Bonding26. Bonding – Forms secure attachments, feelings of trust, safety, and
strengthens the baby. Builds 5 areas of growth and development necessary for success in life.
Bonding
20.20.Silver NitrateSilver Nitrate - Antiseptic put in baby’s eyes to prevent
infections that might have passed from the mother during the vaginal delivery.
- Ie: gonococcus
28. Let Down reflex28. Let Down reflex
- Is when Oxytocin causes milk to come into the mother’s breast.
29. Who is the Pediatrician?29. Who is the Pediatrician?– The doctor that cares for the
baby / child while it is growing up.
T. Berry Brazelton, M.D.
Complete the 1st year Development section in the study guide.
Use the: • First year slideshow• attached video link,• room posters, • word document on
the blog, • various search
engines to fill it in.First year link