The Newborn

1
The Newborn

• Chapter 6

2
Terms to Know

• Neonate
• Intensive care nursery (ICN)
• Neonatal intensive care units (NICU)
• Brazelton scale
• Pediatrician

3

• Jaundice
• Sudden infant death syndrome (SIDS)
• Reflexes
• Rooting reflex
• Well-baby checkup
• Colic

4
Medical Care Testing

• Premature Babies
• Placed in intensive care nursery
• Stay in neonatal intensive care units
  (NICUs)-heated, enclosed beds
• Neonatology-refers to the care, development,
  diseases of newborns

5
Brazelton scale

• Also called the Neonatal Behavioral Assessment
  Scale
• Helps spot problems as early as possible

6

• Test in 4 areas
• Interaction with environment-alertness
  cuddliness
• Motor processes-activity level reflexes
• Control of physical state self-quieting
  behaviors
• Response to stress

7
Pediatricians

• Doctor of infants children who runs other tests

8
Anemia

• Low level of
• oxygen-carrying substances

9
PKU

• a disease that can cause mental retardation

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10
Jaundice

• skin looks yellow-liver is immature

11
Well-baby checkup

• scheduled within first few weeks

12
Size

• 7 lbs., 20 inches long
• May lose weight right after birth

13
Body Proportion

• Look out of proportion compared to adults
• Head is very large ¼ total length
• Chest is rounded
• Stomach protrudes
• Legs very short, drawn up bowed
• Almost no neck

14
Face

• Broad, flat nose
• Tiny chin

15
Cranium

• Fontanels (soft spots) where skull is not closed
  allows brain to grow
• Closes between 1-2 years
• Head may appear egg shaped from birth
  process-disappears within weeks

16
Skin

• Thin dry
• Blotchy
• May develop rash which disappears in a week

17
Eyes

• Appear HUGE
• Color often blue-gray eye color develops around
  6 months
• No tears until 3 months

18
Reflexes

• Automatic responses some needed for survival

19
Meeting Physical Needs

• Feeding
• Nutritional needs are very important, because a
  newborn is growing so quickly
• Breast-feeding is the preferred method
• 12 months is recommended

20
Advantages

• Passes mothers immunities to baby
• Baby isnt overfed
• Saves time money
• Reduces allergies, ear infections possibly SIDS
  and diabetes

21
Some mothers need to or choose to formula-feed

• Always use commercially-prepared formula no
  cows milk until 1 year
• Always hold cuddle when feeding NEVER prop the
  bottle
• Throw away unfinished formula
• Baby needs to be burped after feeding

22
Clothing Dressing

• Clothing needs to be comfortable, easy to put on
  take off, easy to launder and suitable for the
  weather and safe
• It should be flame-retardant have secure
  fasteners trims
• Infants outgrow their clothing quickly, so they
  dont need too much

23
Diapering

• Both cloth disposable have advantages
  disadvantages
• Consider cost convenience

24
Bathing

• Give sponge baths until the navel heels (about 3
  weeks)
• Wash babys face first, or clean to dirty
• NEVER leave the baby alone- EVEN FOR A SECOND

25
Sleeping

• Babys average 17 hours a day
• Do NOT put pillows or stuffed toys in the crib
  until at least 1 year old
• Always place them on their BACK until 1 year old
  to reduce the risk of SIDS

26
Exercising

• It is important for muscle development,
  coordination relaxation
• A good opportunity for bonding with baby

27
Scheduling

• Feeding on demand is recommended
• Meeting their needs helps them develop trust
• You cant spoil them in their first 6 months

28
Meeting Intellectual Needs

• Parents are a childs first teachers
• Research shows us that babys learn through their
  SENSES (eyes, ears, mouth, fingers)
• They learn by imitation or copying others

29
Helping Babies Learn

• Watch for their quiet, alert state
• They will fuss or turn away if over stimulated or
  bored
• Cuddle, talk to, sing to, give them things to
  look at (mobiles), and things to grasp

30
Meeting Social-Emotional Needs

• All are individuals differ in their alertness
  fussiness
• Colic is a condition with intense abdominal pain

31
Meeting Parents Needs

• Need for rest
• Need to organize
• Need to be with other adults