Summary NURSING HEALTH ASS - Pediatrics Assessment Exam 3 Study Guide.

NURSING HEALTH ASS - Pediatrics Assessment Exam 3 Study Guide/NURSING HEALTH ASS - Pediatrics Assessment Exam 3 Study Guide. Chapter 24, 25 Newborn respiratory adaptation-fetal factors, initiation of breathing, normal and abnormal newborn respiratory assessment o Surfactant—lipoprotein coats inner surfaces of alveoli Surfactant made up of Lecithin and Sphingomyelin Lecithin production corresponds with decrease in RDS for babies born after 35 weeks Sphingomyelin remains constatnt during gestation L/S ratio different from 2/1 for newborn indicates they will have respiratory distress o Fetal Breathing Movements Intrauterine practice begins from around 17th to 20th week gestation Breathing movements develop chest wall muscles o Initiation of Breathing Pulmonary ventilation must be establshed through lung expansion following birth