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Community College of Rhode Island
Resp. Rate
Absent (0)
Slow, irregular (1)
Good, crying (2)
Muscle Tone
Flaccid (0)
Some flexion (1)
Active motion (2)
Reflex
Irritability No
response (0)
Weak cry or grimace (1)
Vigorous cry (2)
Color
Blue, pale (0) Extremities blue (1) Completely pink (2)
,transition to extrauterine life: neurobehavioral
• First period of reactivity : First hour of life
• Period of decreased responsiveness : 1-2 hours
• Second period of reactivity- 10 minutes to several hours
Acrocyanosis
Temporary cyanotic condition, usually in newborns resulting in a bluish color
around the lips, hands and fingernails, feet and toenails. May last for a few hours
and disappear with warming.
Delayed cord clamping benefits
increase in blood volume by 25-40%
continued bolus of oxygenated blood during transition
volume expansion that promotes pulmonary capillary perfusion
more rapid achievement of adequate oxygenation
,WHEN WOULD BE A GOOD TIME TO INITIATE BREASTFEEDING?
A After the 2nd Apgar Score, at 5 minutes post delivery
B Immediately after delivery, before the cord is cut
C After the mother has recovered, at 3 hours post delivery
D After the neonate has received Vitamin K, at 2 hours post delivery
D- baby is in deep sleep
C- baby is in deep sleep or not sure how alert/awake they will be
B- too soon, is baby breathing? adjusting well?
A- YES
, ADJUSTMENT TO EXTRAUTERINE LIFE
Biological Tasks
Establish and Maintain Respirations (30-60)
Adjust to Circulatory Changes
Thermoregulation
-produce and save enough heat
-skin to skin is best
Feeding/Elimination
Regulate Weight
Behavioral Tasks
Establish awake sleep cycles
Processing, Storing, and Organizing Multiple Stimuli
Establishing relationships
glucose levels in newborn
Neonatal hypoglycemia, defined as a plasma glucose level of less than 30
mg/dL (1.65 mmol/L) in the first 24 hours of life and less than 45 mg/dL (2.5
mmol/L) thereafter, is the most common metabolic problem in newborns.
normal heart rate in newborn
110-160
normal respiratory rate in newborn
30-60