newborn transition
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| lungs | site of gas exchange
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| heart circulation | pressure increase in left atrium causing foreman ovale to close
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| hepatic portal | ductus venosus closes, hepatic portal circulation begins
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| thermoregulation | body temperature is maintained through flexed posture and brown fat
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| 120-180 beats per minute | heart rate first few minutes of birth; decreases to average 120 bpm
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| cord blood | natures first stem cell trasnfplant because it possess regenerative properties
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| surfactant | surface tension reducing lipoprotein -prevents alveolar collapse
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| periodic breathing | cessation of breathing that lasts 5-10 seconds without changes in color or heart rate
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| thin skin with blood vessels close to the surface, lack of shivering ability limited stores of glucose, lack of subcutaneous fat | heat loss
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| newborn temperature | may decrease 3-5 degrees within minutes 99.6
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| conduction | trasnsfer of heat from one object to another when the 2 objects are in direct contact with each other-heat fluctuations from the newborn surgace to other surfaces such as cold mattress, scale
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| convection | flow of heat from the body surface to cooler surrounding air or to air circulating over a body surface. cool breeze from an open door
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| evaporation | loss of heat when a liquid is converted to a vapor.amniotic fluid evaporating into the air causing this type of heat loss - apply hats and blankets
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| radiation | loss of body heat to cooler, solid surfaces that are in proximity but not in direct contact - placing the newbown in a isolette next to a cold window
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| overheating | isolette that is too warm or one that is left too close to a sunny window can cause this
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| non shivering thermogenesis | primary method of heat production-which brown fat (adipose tissue) is oxidized is response to cold exposure
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| jaundice | icterus-yellowing of skin , sclera, and mucous membranes due to increase bilirubin
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| meconium | newborns first stool; amniotic cluid, shed mucosal cells and intestinal secretions and blood
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| feeding | small frequent feedings
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| breast fed stool | yellow gold loose and stringy -
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| formula fed | yellow, yellow green or greenish and loose pasty or formed with an unpleasant odor
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| acquired immunity | 2 primary processes - development of circulating antibodies and formation of activated lymphocytes used to destroy foreign invaders
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| IgA | found in breast milk, causing a significant immunologic advantage
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| hearing | reponds to noice by turning to sound
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| taste | ability to distinguish between sweet and sour by 72 hours old
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| smell | knows difference between moms breast milk and others
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| touch | sensitive to pain, tactile stimuli
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| vision | incomplete at birth; close objects 8-10 inches
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| reflex | involuntary muscular reponse to a sensory stimulus
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| first period of rectivity | birth and may last from 30 min to 2 hours-alert, moving and may appear hungry- good to intiate breast feeding now
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| decreased reponsiveness | 30-120 minutes of age -good for mom and newborn to stay close and rest
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| second period of reactivity | 2-8 hours - newborn passes meconium-teaching about feeding and diaper changing techinique is reinforced now
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| neurobehavioral response | how they react to the environement - orientation, habituation, motor maturity, social behaviors and self-quieting ability
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| orientation | response to stimuli
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| habituation | process and respons to visual and auditory stimuli
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| motor maturity | control and coordinate movement
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| self-quieting ability | ability to quiet and comfort themselves
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| social behaviors | cuddling/snuggling into the arms of the parent when held-
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| neonatal period | first 28 days of life
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