NUR 4445 Postpartum Newborn Education

NUR 4445 Postpartum Newborn Education

• How long does newborn passive immunity last? Which immunoglobulin is responsible for

passive immunity?

Answer

• Lasts 4 weeks

• IgG immunoglobulin crosses placenta

• How can a newborn get active immunity? Which immunoglobulins are re- sponsible for

active immunity?

Answer

• Breastfeeding

• IgA and IgM

• Why are preterm infants more susceptible to infection than term infants?

Answer -

Passive acquired immunity occurs during third trimester

• A time mother is developing her plans for labor and birth. She asks you about when to

initiate breastfeeding and what to expect regarding the new- born's activity in the first day. What do you tell her?

Answer

• Initiate breastfeeding immediately following birth because that is when a newborn is most

alert (1st per. Of reactivity) and lasts about 30 min

• This is followed by 2-4 of inactivity, and then 4-6 (2nd per. Of reactivity)

• What are the visual capacities of a newborn? Are they alert and oriented, and what to?

Answer

• Newborn is able to be alert, follow, and fixate on complex visual stimuli for short periods of

time 1 / 3

• Orientation

Newborn prefers human face and eyes and bright shiny objects

• What are the auditory capacities of a newborn? What do they respond to and what noises do

they prefer?

Answer Auditory

Newborn able to be alert and search for appealing auditory stimulus

• Newborn can process and respond to visual and auditory stimulation
• Prefer human voice to nonhuman sound, Habituation
• Evaluate hearing before discharge

• What are the olfactory capacities of a newborn? What smells do they prefer? What does taste

and sucking look like in a newborn bottle-fed vs breastfed?

Answer

• Olfactory Capacity

Newborn able to select their mother and other people by smell

• Prefer turn toward smell of mother

• Taste & Sucking

Newborn able to respond selectively to varying tastes

• Breastfeeding newborn sucks in bursts, with frequent regular pauses
• Bottle-fed newborn tends to suck at regular rate with infrequent pauses

• What are the key assessments to be completed 2 hour after birth (8)? 2 / 3

Answer

• General appearance

• Resp system
• Cardiovascular System
• Neurological System
• GI System
• Eyes, Ears, Nose, Mouth
• Skin
• GU
• What are normal findings in the general appearance and skin of a newborn

(6)?Answer

• Color Pink

• acrocyanosis
• fixed posture
• alert, active

• Skin

no sign of birth trauma, no lesions or abrasions

• What are normal findings in the respiratory system of a newborn (5)?

Answer

• airway patent

• resp 30-60/min
• lungs clear bilat
• no flaring or retracting
• chest expansion is symmetrical
• What are the normal findings in the cardiovascular system of a newborn

(4)?Answer

• >100bpm
• / 3