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Newborn -28 dayss

Neonate The newborn infant 0-28 days of life

Neonatal stage 30 days old

Newborn can adjust to changes in the extra uterine life

After suctioning, makakahinga ng ayos at mag uumpisa umiyak

Every child is born individual physical and and personality that make them unique

2inch away from vagina

Thumb size in babies cord 1 inch

Scoring A
P
G
A
R

VITAL-STATISTIC Anthropometric measurement

WEIGHT- depending on the racial, nutritional, intra uterine and genetic

- Suction and punas ng secretion in its body

(2.5 -3.4kg ) NORMAL NEWBORN WEIGHT

Weight > Sga small for gestational age prematured

Weight < diabetes milletus, lga large for gestational age

Nababawasan ng ONCE 6-10 during few days after birth weight loss 10%

Increase after 1 week when had breast feeding

Doubles at 5-6 month of age

Triples 1 year of age

Four times 2 years of age


>less than 100 grams extremely low birth age

>1500 low birth

Term infants; (age in days-10)x 20+ 3000 grams

Pre term infants; ( age in days -14 day)x 15

LENGTH- Ulo to heal 45 to 55 or 18 to 22 inch

Fame infants shorter ½ 20 inch or 50 cm

Male

HEAD CIRCUFERENCE 34-35cm ( 13.5-14 inc)

CHEST CIRCUMFERENCE 30.5-33

Less than 33 prematured

Greater than

ABDOMINAL 30.55 34 cm

CORD AT THE LEVEL OF AMBILLICUS

VITAL SIGN

TEMPERATURE- 37.2c Because dun sya naka tira kay mother

Mechanism of hheat loss

Convection- depends on the womb where the baby leave

Convection transfer

Radiation-

Evaporation- pinagpapawisan

Brown fat- special tissue too conserve heat

Kangaroo lacing the newborn to its mother skin


PULSE – 120-160 bpm

- Nataas pag umiiyak kaya hnd pwede kuhanan

-kukuhanan habang tulog to get the accurate measurement 90-110 during sleeping

RESPIRATION- 30-60 per min. nakapahinga na si baby

PERIODIC respirations- irregular respiratory

Coughing and sneezing- to clear their lungs nose breathe

BLOOD PRESSURE- 80/46 mmhg

Rises after 10 days about 100/50 mmhg

2/3 length

Vitamin K- vactus lateralis location of injection ( 0.5- 1) milligrams

Mataas ang white blood cell for

Walaa kasing bacteria sa loob ni mother sterile womb.

Prevent hemorrhage

RESPIRATORY SYSTEM-

GASTROINTESTINAL SYSTEM-

MECONIUM - first stool of a newborn

 Then give the newborn an antibiotic

TRANSITIONAL STOOL- diarrhea to untrained eye

URINARY SYTEM-

15 ml first pee

Dusky uric acid crust


IMMUNE SYSTEM- immunoglobins came from the mother

Prone to infections in first 2 months of age

NEUROMUSCULAR RESPONSE

NEWBORN REFLEXES
1. Blink protect the eyes from any object coming near in eyelid

2. Rooting reflex

3. sucking reflex gusto na mag suck ni baby

4. Collostrom serve as anti bodys of baby to prevent infetions

Swallowing

5.Extrusion reflex tounge

6. palmar grasp reflex closing their finger

7. step walk in

8. placing reflex

9. plantar grasp reflex- touching the toes

10. Tonic neck reflex-

11. Moro reflex finger assumes a typical C

12. babinnski reflex J Curve from the heel

13. Manet reflex

14. crossed extension reflex

15. Trun incurvation reflex

16. Landau reflex

17 deep tendon Reflex


The senses

Hearing Nakakadinig na sila kahit nasa womb ni mother

Vision- seeing light and dark

Touch- well develop by birth

Taste- discriminate taste, it developed already before birth

Smell rooting reflex

Appearance of the new born

Skin; color

Gray color means infection

Cyanosis of the trunks- mababa ang oxygen,

Maybe not suctioning after the delivery

HYPERBILIRUBINEMIA- jaundice) lead to hemorrhage

If light- can be cure by sun

CEPHALOHEMATOMA
KERNICTERUS

PALLOR- it may leads to anemia

Ecessive blood loss when cord was cut

Fetal maternal transfusion

Mababa ang take ng iron

Birthmarks – hemangiomas vascular tumors

Vernix caseosa cream cheese. It washed

Erythema toxicum- rash gone in 2 weeks of age


Forcep mark-

Skin turgor-

HEAD

Fontanelles bungad

Soft fontanelle hydrated.

Molding- change in shape of the fetal skull.

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