NUR 629 PAEDIATRICS CH. 5 STUDY
GUIDE – ESSENTIAL NOTES & END
TERM QUESTIONS
Leading causes of infant mortality - Birth defects, low birthweight, prematurity, SIDS,
newborn complications of pregnancy, unintentional injuries
Newborn assessment begins with.... - gestational age scale
Initial birthweight loss - up 5-8%
How long does it take for the infant to regain initial birthweight loss? - Should regain
weight within 10-14 days
Weight loss of a newborn of concern? - 10% or more
Average weight gain after initial loss - 0.5-1 oz per day or about 2 pounds per month
What are the nutritional needs that promote growth (up to 1 mos)? - 110 kcal/kg/cal
What measures the stability of infants autonomic nervous system (up to 1 mos) ? -
heart rate, respiratory rate, temperature control, color changes
How much does the newborn sleep? - 16 hours of 24 hour period
How often should a newborn breastfeed? - every 2-3 hours, one longer period of 4
hours during the night.
Why is it important to assess for a normal pitch cry? - hypothyroidism and genetic
disorders (cri du chat syndrome) can cause voice alterations
Fine motor Movement for newborn? - Flexion, enables for self console, hands reach
face and month.
What is the oral movement of a newborn? - Suckling tongue movements, extension-
retraction of the tongue, up-and-down jaw movements, low approximation of lips
What are the motor movements of a newborn? - momentary head control when held
sitting
What primary reflexes should be present and symmetric - newborn? - Sucking,
rooting, asymmetric tonic neck, Moro, grasp
What is scarf sign? - The infant's arm is pulled laterally across the chest; in the
hypotonic infant, the elbow will cross the midline; in a term infant with normal tone,
the elbow will not reach the midline
, What is popliteal angle? - This maneuver assesses maturation of passive flexor tone
about the knee joint by testing for resistance to extension of the lower extremity.
What provides information about newborns active movements? - Arm and leg recoil,
particularly symmetry and coordination
What is the social and emotional development of the newborn closely related to? -
Linked to the mothers emotional state.
When does postpartum psychosis occur? - Generally occurs within the first few
weeks after birth
Postpartum depression can occur up to how long after birth? - Up to 1 year
What is the vision of the newborn? - limited, can focus briefly on an object, about 8-
12 inches from the infants face
What is the head circumference growth at 1-3 mos? - 0.8 in (2 cm) per month
What is the growth in the 1-3 mos old length? - 1.4 in (3.5 cm) per month
Weight gain of the 1-3 mos. old? - 0.5-1 oz. per day
What is the feedings for the 1-3 mos. old? - 8-10 feedings in 24 hours, lasting 20-30
minutes
Feeding >30 minutes - Need to be evaluated
Elimination pattern of the 1-3 mos. old? - Breastfed 1-2 per day, bottle fed daily or
every other day. Wet diapers occur after each feeding
Sleep cycle of the 1-3 mos. old? - 15-16 hours per day, more regular, defined
sleeping patterns
Fine motor movement of 1-3 mos. old? - Extension, non directed swipes, infant
attempt to grasp rattles, fingers, clothing, lift head off bed 45 degrees prone, head
droop in suspension
Oral Movement of 1-3 mos. old - Rooting
Motor Movement of 1-3 mos. old - Turns head when prone
Receptive language of 0-3 mos. old - Attends to voice, turns head or eyes, startles to
loud sounds, quiets in response to voice, smiles, coos, gurgles to voice
Expressive language of 0-3 mod old - undifferentiated but strong cry, coos and
gurgles, single syllable repetition, g, k, h, and ng appear
What is the primary form of communication in 1-3 mos. old? - Body movements,
snuggling, turning head, arching the body
GUIDE – ESSENTIAL NOTES & END
TERM QUESTIONS
Leading causes of infant mortality - Birth defects, low birthweight, prematurity, SIDS,
newborn complications of pregnancy, unintentional injuries
Newborn assessment begins with.... - gestational age scale
Initial birthweight loss - up 5-8%
How long does it take for the infant to regain initial birthweight loss? - Should regain
weight within 10-14 days
Weight loss of a newborn of concern? - 10% or more
Average weight gain after initial loss - 0.5-1 oz per day or about 2 pounds per month
What are the nutritional needs that promote growth (up to 1 mos)? - 110 kcal/kg/cal
What measures the stability of infants autonomic nervous system (up to 1 mos) ? -
heart rate, respiratory rate, temperature control, color changes
How much does the newborn sleep? - 16 hours of 24 hour period
How often should a newborn breastfeed? - every 2-3 hours, one longer period of 4
hours during the night.
Why is it important to assess for a normal pitch cry? - hypothyroidism and genetic
disorders (cri du chat syndrome) can cause voice alterations
Fine motor Movement for newborn? - Flexion, enables for self console, hands reach
face and month.
What is the oral movement of a newborn? - Suckling tongue movements, extension-
retraction of the tongue, up-and-down jaw movements, low approximation of lips
What are the motor movements of a newborn? - momentary head control when held
sitting
What primary reflexes should be present and symmetric - newborn? - Sucking,
rooting, asymmetric tonic neck, Moro, grasp
What is scarf sign? - The infant's arm is pulled laterally across the chest; in the
hypotonic infant, the elbow will cross the midline; in a term infant with normal tone,
the elbow will not reach the midline
, What is popliteal angle? - This maneuver assesses maturation of passive flexor tone
about the knee joint by testing for resistance to extension of the lower extremity.
What provides information about newborns active movements? - Arm and leg recoil,
particularly symmetry and coordination
What is the social and emotional development of the newborn closely related to? -
Linked to the mothers emotional state.
When does postpartum psychosis occur? - Generally occurs within the first few
weeks after birth
Postpartum depression can occur up to how long after birth? - Up to 1 year
What is the vision of the newborn? - limited, can focus briefly on an object, about 8-
12 inches from the infants face
What is the head circumference growth at 1-3 mos? - 0.8 in (2 cm) per month
What is the growth in the 1-3 mos old length? - 1.4 in (3.5 cm) per month
Weight gain of the 1-3 mos. old? - 0.5-1 oz. per day
What is the feedings for the 1-3 mos. old? - 8-10 feedings in 24 hours, lasting 20-30
minutes
Feeding >30 minutes - Need to be evaluated
Elimination pattern of the 1-3 mos. old? - Breastfed 1-2 per day, bottle fed daily or
every other day. Wet diapers occur after each feeding
Sleep cycle of the 1-3 mos. old? - 15-16 hours per day, more regular, defined
sleeping patterns
Fine motor movement of 1-3 mos. old? - Extension, non directed swipes, infant
attempt to grasp rattles, fingers, clothing, lift head off bed 45 degrees prone, head
droop in suspension
Oral Movement of 1-3 mos. old - Rooting
Motor Movement of 1-3 mos. old - Turns head when prone
Receptive language of 0-3 mos. old - Attends to voice, turns head or eyes, startles to
loud sounds, quiets in response to voice, smiles, coos, gurgles to voice
Expressive language of 0-3 mod old - undifferentiated but strong cry, coos and
gurgles, single syllable repetition, g, k, h, and ng appear
What is the primary form of communication in 1-3 mos. old? - Body movements,
snuggling, turning head, arching the body
