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OB - Chapter 19 - 20

AB
Thermoregulationmaintain body temp
cold stress can causemany body changes
newborns progress thru 6 stagesquiet sleep, active sleep, drowsy, quiet alert, active alert, crying
neonate uses glucose rapidly and is athigh risk for hypoglycemia
Assess R bothanterior and posterior
Moist sounds heard ___ hrs after birth2
signs of R distresstachypnea, retractions, flaring, grunt, moan, cyanosis
most common sign of R distress60 breaths per minute
retractionssoft tissue around bones of chest are drawn in
flarring of nasalinfant not get enough ox - may happen 1 hr after birth
cyanotic area will blanch, bruisedwill remain blue
acrocyanosispurplish blue extremities - normal 1st day
Ruddy colorindicates excessive RBC
moldingchanges n shape head to allow 2 pass thru birth canal
craniosynostosishard ridged area not result from molding
fontanels _____ head to assesselevate
anterior fontaneldiamond shape closes 18 mo
posterior fontaneltriangle shape - closes 2-4 months
cord should have2 arteries, 1 vein



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