Interpret a bilirubin level reported by the laboratory.
Admit a newly delivered baby to the nursery.
Bathe and weigh a 3-hour-old baby.
Provide discharge teaching to the mother of a 4-day-old baby.
Under normal circumstances, by the 34th to 36th weeks of gestation, surfactant is produced in sufficient amounts to maintain alveolar stability.
Lung expansion after birth suppresses the release of surfactant.
Surfactant causes an increased surface tension within the alveoli, which allows for alveolar reexpansion following each exhalation.
As the fetus approaches term, there is an increase in the secretion of intrapulmonary fluid.
As the pulmonary vascular resistance increases, pulmonary blood flow increases, reaching 100% by the first 24 hours of life.
As air enters the lungs, the PO2 rises in the alveoli, which causes pulmonary artery relaxation and results in an increase in pulmonary vascular resistance.
Decreased pulmonary blood volume contributes to the conversion from fetal to newborn circulation.
Once the pulmonary circulation has been functionally established, blood is distributed throughout the lungs.
Physiologic anemia of infancy
Low glomerular filtration rate
Presence of a heart murmur
Absent bowel sounds
8 to 12 hours
12 to 24 hours
24 to 48 hours
48 to 72 hours
Closing door to room
Drying the neonate
Placing crib near a warm wall
Warming equipment used on the neonate
Low birth weight
Extremely low birth weight
Very low birth weight
Necrotizing Enterocolitis (NEC)
)Bronchopulmonary Dysplasia (BPD)
Respiratory Distress Syndrome (RDS)
Periventricular Hemorrhage (PVH)
Assess red blood cell count
Switch from breastfeeding to bottle feeding
Feeding neonate every 2 to 3 hours
“The infection was transmitted to your baby during the birthing process. Do you have a history of sexual transmitted infections?”
Approximately 10% to 30% of women are asymptomatic carries of group B streptococcus which is found in the vaginal area. What other questions do you have regarding your baby’s health?”
Newborns are more susceptible to infections due to an immature immune system. Would you like additional information on the newborn immune system?”
"I see that this is very upsetting for you. I will come back later and answer your questions.”
3-day-old, breastfeeding q 2 h, rooting
4-day-old, RR 70 rpm, dusky coloring
2-day-old, T 98.9°F, slightly jaundice
1-day-old, HR 170 bpm, crying
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