Physiologic Adaptation Of The Newborn & Nursing Assessment

Front 1

The newborn must immediately establish what upon birth?

Back 1

Pulmonary Ventilation

Front 2

Surfactant

Back 2

phospholipid reduces force in infants lungs, prevents lungs from collapsing

Front 3

phospholipid reduces force in infants lungs, prevents lungs from collapsing

Back 3

Surfactant

Front 4

What are the 4 things an infant must master?

Back 4

thermoregulation, metabolic homeostasis, conversion from fetal respiratory to independent breathing, closing of 3 fetal ducts for neonate circulation

Front 5

When does the first breath take place?

Back 5

Within a few seconds

Front 6

When will the neonate be breathing on their own?

Back 6

Within 30 seconds

Front 7

What are the 4 stimuli which send messages to the respiratory center of the neonate's brain?

Back 7

sensory
chemical
thermal
mechanical

Front 8

Examples of sensory stimuli which send messages to the respiratory center of the neonate's brain?

Back 8

external environment, cold, touch, light, sound, tactile drying, skin-to-skin contact

Front 9

Examples of chemical stimuli which send messages to the respiratory center of the neonate's brain?

Back 9

temporary hypoxia from clamping of cord causing acidosis initiating respiration

Front 10

Examples of thermal stimuli which send messages to the respiratory center of the neonate's brain?

Back 10

neonate's cold causes need for oxygen

Front 11

Examples of mechanical stimuli which send messages to the respiratory center of the neonate's brain?

Back 11

chest compression and recoil draining some fluid from lungs

Front 12

functional residual capacity (FRC)

Back 12

amount of air that remains in the lung after a normal expiration

Front 13

amount of air that remains in the lung after a normal expiration

Back 13

functional residual capacity (FRC)

Front 14

Normal Newborn respiratory rate

Back 14

30-60 breaths/ minute

Front 15

Apnea lasting longer than how long is abnormal, normal?

Back 15

Apnea longer than 20 secs is abnormal, 5-15secs is normal

Front 16

What are 3 shunts which must close in order for normal circulation to occur?

Back 16

ductus arteriosus
foramen ovale
ductus venosus

Front 17

Where is the foramen ovale?

Back 17

between the right and left atria, blood flow from right to left, shunts blood away from the lungs to the aorta

Front 18

between the right and left atria, blood flow from right to left, shunts blood away from the lungs to the aorta

Back 18

foramen ovale

Front 19

How does the foramen ovale close?

Back 19

pressure increasing on the left side greater than the right side, closing the flap,

Front 20

When does the foramen ovale close?
(functionally, anatomic, permanently)

Back 20

functionally closes - 1 min
anatomic closure - 2hrs
permanently closes - 3 months

Front 21

Where is the ductus arteriosus?

Back 21

shunts blood from the pulmonary artery to the aorta bypassing lungs

Front 22

shunts blood from the pulmonary artery to the aorta bypassing lungs

Back 22

ductus arteriosus

Front 23

How does the ductus arteriosus close?

Back 23

pulmonary arterioles dilate in response to increased aeration of the lungs causing constriction and closure

Front 24

When does the ductus arteriosus close?
(functionally, anatomic)

Back 24

functionally closes - 15-24 hrs
anatomic closure - 3-4 wks

Front 25

What does the ductus arteriosus become after closure?

Back 25

fibrosis of ductus

Front 26

What is it called if the ductus arteriosus reopens? What does it cause?

Back 26

patent ductus arteriosus
hypoxia and death

Front 27

Where is the ductus venosus?

Back 27

shunt that allows most of blood to bypass the liver and enter the inferior vena cava

Front 28

shunt that allows most of blood to bypass the liver and enter the inferior vena cava

Back 28

ductus venosus