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Postnatal Period

Postnatal Period. Apgare Scale -A method of evaluating a newborn’s physical condition. A. Pulse/Heart Rate B. Breathing C. Muscle tone D. Reflex/Response to stimulation (rooting, grasp, startle) E. Skin color Can score 0-2 in each area

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Postnatal Period

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  1. Postnatal Period • Apgare Scale -A method of evaluating a newborn’s physical condition. • A. Pulse/Heart Rate • B. Breathing • C. Muscle tone • D. Reflex/Response to stimulation (rooting, grasp, startle) • E. Skin color • Can score 0-2 in each area • Normal 6-10 (any lower and may need medical assistance

  2. Postnatal Period Cont… • Silver nitrate (eye drops)/antiseptic ointment / Vitamin K injection (aids in clotting of blood) • Baby weighed, measured, cleaned • Blood taken from umbilical cord to check blood type. • Foot printed • Baby and mother are banded with same number

  3. How does a newborn look? • Head ¼ the baby’s body • Head is molded- may appear pointed or lopsided • 2 fontanels- located on head where bones are not yet joined. • Eyes are nearly adult size

  4. Cradle Cap • Dryness and peeling of the scalp. • Apply baby oil, gently wipe out, shampoo • Last 6-12 months • May be caused by hormones

  5. Puffy Face -Due to pressure of the cervix and the birth canal. -Diminishes in the first day

  6. VernixWhite cheesy coating from shed skin cells and seacreations of glands.

  7. Molded Head

  8. Cephalohematoma(Bruising) -Pooling of blood between the skull and the periosteum. -Result of pressure on the pelvis, vacuum extraction, or forceps.

  9. “Stork Bites” Birth Mark-Pink spots found on the neck, nose upper eyelids, or upper lip.-Disappear within a year or two.

  10. Lanugo Hair-Fine, soft hair found on the face, shoulders, back or upper arm.-Hair will rub off.

  11. Dry, Peeling Skin-Due to being exposed to water.

  12. Milia aka "Baby Acne"-Tiny white, pimple-lime spots found on baby’s face. -Clogged glands or hair follicles.-Leave alone, disappears in weeks.

  13. General Rash-Occurring in 30-70% of newborns.-No treatment, last for days.

  14. Skin color - Jaundice • Common- caused by buildup of red blood cells. The baby’s liver is not mature enough to get rid of it. • Takes time for his liver to develop and • take over the task. • Phototherapy (ultraviolet light) sometimes given to help liver remove the jaundice causing bilirubin.

  15. Swollen Scrotum/Labia- Babies received build up of hormones from mom.-Female babies may have vaginal discharge , with blood.-Resolves within a week.

  16. Circumcision • Removing of foreskin • Usually done within the first 24 hours after being born up to the first week. • Personal decision. • (talk to spouse, family, Dr.) • Reasons- cosmetic, health reasons

  17. Reflexes • Startle – good sign for hearing. Ex: running vacuum, phone ringing, loud crowds.

  18. Plamer Grasp- stroking the palm of the hand causes baby to grasp. Close fingers around yours or object. • Plantar Grasp -(Babinski reflex) - When sole of foot is stroked baby will spread toes and turn inward. (like clutching something with toes)

  19. Rooting- baby will turn toward touching of cheek. This helps baby find breast or bottle for feeding. Tonic/ Neck- When baby’s head is turned to its side the arm on that side extends. (fencing position)

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