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    Ob Report - Newborn

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    Christy Rose Agris
    Physiologic adjustments occur in newborns in the first 6 hours after birth. During this time, the newborn's color, temperature, heart rate, respiration, activity level, ability to respond to stimulation, and bowel sounds are assessed periodically. The newborn will experience an initial period of irregularity followed by a resting period then a period of reactivity as mucus accumulates in the lungs. Common physical appearances of newborns include skin color, head size, fontanelles, birthmarks, and development of features like eyes, ears, and mouth.

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    Ob Report - Newborn

    Uploaded by

    Christy Rose Agris
    84 views40 pages
    Physiologic adjustments occur in newborns in the first 6 hours after birth. During this time, the newborn's color, temperature, heart rate, respiration, activity level, ability to respond to stimulation, and bowel sounds are assessed periodically. The newborn will experience an initial period of irregularity followed by a resting period then a period of reactivity as mucus accumulates in the lungs. Common physical appearances of newborns include skin color, head size, fontanelles, birthmarks, and development of features like eyes, ears, and mouth.

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    OB REPORT - NEWBORN

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    Physiologic adjustments occur in newborns in the first 6 hours after birth. During this time, the newborn's color, temperature, heart rate, respiration, activity level, ability to respond to stimulation, and bowel sounds are assessed periodically. The newborn will experience an initial period of irregularity followed by a resting period then a period of reactivity as mucus accumulates in the lungs. Common physical appearances of newborns include skin color, head size, fontanelles, birthmarks, and development of features like eyes, ears, and mouth.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    84 views40 pages

    Ob Report - Newborn

    Uploaded by

    Christy Rose Agris
    Physiologic adjustments occur in newborns in the first 6 hours after birth. During this time, the newborn's color, temperature, heart rate, respiration, activity level, ability to respond to stimulation, and bowel sounds are assessed periodically. The newborn will experience an initial period of irregularity followed by a resting period then a period of reactivity as mucus accumulates in the lungs. Common physical appearances of newborns include skin color, head size, fontanelles, birthmarks, and development of features like eyes, ears, and mouth.

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    HYSIOLOGIC ADJUSTMEN

    TO EXTRAUTERINE LIFE
    of irregular adjustment in the first 6 hours of

    During this time, the baby is:


    Assessment First Period (First 15 – 30 min.)
    COLOR Acrocyanosis
    TEMPERATURE Temperature begins to fall from
    intrauterine
    Rapid, as muchtemperature
    as 180 bmp ofwhile
    HEART RATE about
    crying 100. 6 ° F ( 38. 1 ° C)
    RESPIRATIONS Irregular; 30-90 breaths per min
    while
    Alert; crying ; some nasal flaring,
    watching
    ACTIVITY occasional retraction may be
    ABILITY TO RESPOND TO Vigorous
    present . in mouth
    MUCUS
    STIMULATION Visible in mouth
    BOWEL SOUNDS Can be heard after first 15 min.
    RESTING PERIOD
    •Heart beat and respiratory rates slow.
    •Typically sleeps for 90 minutes.

    •
    Assessment First Period (First 15 – 30 min.)

    COLOR Color stabilizing

    TEMPERATURE Temperature stabilizes at about


    99°F (37.2°C).

    HEART RATE Slow to 120-140bpm.

    RESPIRATIONS Slowing to 30 – 50 breaths per


    min; barreling of chest occurs.

    ACTIVITY Sleeping

    ABILITY TO RESPOND TO Difficult to arouse


    STIMULATION
    MUCUS Small amount

    BOWEL SOUNDS Present


    D OF REACTIVITY
    6 hours of life.
    the baby wakes again
    g and choking on mucus that has accumulate i
    again alert and responsive
    surroundings.
    Assessment Second Period (2 – 6 Hours)

    COLOR Quick color changes occur with


    movement or crying.

    TEMPERATURE Temperature increases to 99.8°F


    (37.6°C).

    HEART RATE Wide swings in rate with


    activity.

    RESPIRATIONS Becoming irregular again with


    activity.

    ACTIVITY Awakening

    ABILITY TO RESPOND TO Becoming responsive again


    STIMULATION
    MUCUS Mouth full of mucus, causing
    gagging.

    BOWEL SOUNDS Often passage of first meconium


    stool.
    APPEARANCE OF A
    NEWBORN
    PHYSICAL APPEARANCE

    and legs flexed, moves actively, head moves from


    SKIN
    Thick skin, no lanugo, with vernix caseosa.
    COLOR

    Ruddy complexion
    first month. Infants with poor central nervous system
    Gray color newborns indicates INFECTION.
    CYANOSIS
    s due to the presence of > 5g/dl deoxygenated hem
    ACROCYANOSIS
    the digits, most commonly occurring in the hands although

    t 24 to 48 hours after birth.


    Types of Cyanosis
    ANOSIS – Circumoral, pallor around the mouth.
    CYANOSIS – The body is pinkish, extremities are

    HYPERBILIRUBENEMIA
    on in which there is too much bilirubin in the bl

    the 2nd or 3rd day of life in about 50% of all ne


    response to the baby's limited ability to exc

    r birth.
    CEPHALHEMATOMA
    ood vessels crossing the periosteum. Because the
    PALLOR
    ch can be caused by illness, emotional shock or st
    HARLEQUIN SIGN
    dependent side of the body and pale the upper si
    BIRTHMARKS

    HEMANGIOMAS
    kin.

    CULAR PURPLE or DARK-RED LESION.


    elevated area are formed by IMMATURE CAPILLARIES and
    lated VASCULAR SPACES.
    MONGOLIAN SPOTS

    ate-gray patches across the sacrum or buttocks and


    VERNIX CASEOSA

    ich covers and protects the skin of the fetus in


    LANUGO
    born’s shoulders, back, and upper arm. It may found

    rd
    DESQUAMATION

    become extremely dry. The dryness is particularly


    MILIA

    can be found on the cheek or across the bridge of


    Disappear by 2 – 4 weeks of age.
    ERYTHEMA TOXICUM

    rs in the 1st to 4th day of life, but may appear u


    FORCEPS MARKS

    circular or linear contusion matching the rim of


    SKIN TURGOR

    e skin is grasped between the thumb and finger


    HEAD

    out ¼ of the total body height. The forehead of a n


    FONTANELLES – are spaces or openings were the s

    Anterior fontanelle closes 12 – 18 months.


    Posterior fontanelle
    closes 2 – 3 months
    ead that engages the cervix (usually the vertex) is

    DANEUM
    e scalp at the presenting part of the head.
    ones that is probably caused by pressure of the fe
    EYES

    ssly, because their lacrimal ducts do not fully matu


    ewborns are gray or blue; the sclera may be blue d
    EARS
    completely formed as it will be eventually, so th

    alp hair.
    NOSE

    the infant grows, the rest of the face grows more t


    MOUTH

    evenly when he or she cries. Tongues appears large


    NECK

    lds. The head should rotate freely on it. The neck


    CHEST

    head is large in proportion. Until 2 years of age d


    ABDOMEN

    The contour of a newborn abdomen looks sligh

    Bowel sounds should be present within 1 hour

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