Goal for the Care of the neonate
Establish and maintain airway and respiratory status
Provide warmth and prevent hypothermia
Provide safety from injury or infection
Identify actual or potential problems that require immediate intervention.
Lack of pre-natal care
Maternal weight gain 30 pounds
Pre-term labors < 37 weeks
Post-term dates > 42 weeks
Duration of labor, precipitous or prolonged labors
PROM >>24 hours
Indicators of fetal distress
Method of delivery
Risks Assessment—Gestational Age
Testicles / scrotum
Physical assessment—Central Nervous System
Head circumference (FOC)
Normal between 13.2—14.8 cm
About ¼ the length of the newborn
Shape—noting any “molding”
Fontanels—shape, size, character
Taste and smell are present.
Vision—can see and fixate.
Hearing—is present at birth, prefers high-pitched female voice.
Outer ear has very little cartilage.
Important to teach care of the ears
Sleep patterns—16-20 hours/day
Awakens only for feedings
Normal newborn reflexes should be noted:
Tonic neck reflex/”fencing”
Physical Assessment (cont’d)
Signs of possible infection involving the CNS:
Lethargy or irritability
Jitteriness, or hypo-reflexia, hypotonia
Tremors or seizures
Full, bulging fontanels
Physical Assessment—Respiratory System
First hour of life is most critical.
Physician will assist by suctioning nose & mouth.
Important nursing priority is to dry infant & provide warmth.
Monitor for normal respiratory rates.
Watch for signs of respiratory distress.
Physical Assessment—Circulatory System
Fetal shunts... [continues]
Cite This Essay
(2010, 12). Gaza City. StudyMode.com. Retrieved 12, 2010, from http://www.studymode.com/essays/Gaza-City-529321.html
"Gaza City" StudyMode.com. 12 2010. 12 2010 <http://www.studymode.com/essays/Gaza-City-529321.html>.
"Gaza City." StudyMode.com. 12, 2010. Accessed 12, 2010. http://www.studymode.com/essays/Gaza-City-529321.html.