NSG202 Unit 3: Nursing Management of the Normal Newborn PDF

UNIT 3: NURSING MANAGEMENT OF THE NORMAL NEWBORN K. McDonough MSN, RN NSG202 LEARNING OUTCOMES 1.Identifies the normal physiologic adaptations, which occur in the newborn during transition from intrauterine to extra-uterine life. 2.Perform a comprehensive neonatal nursing assessmen...

UNIT 3: NURSING MANAGEMENT OF THE NORMAL NEWBORN K. McDonough MSN, RN NSG202 LEARNING OUTCOMES 1.Identifies the normal physiologic adaptations, which occur in the newborn during transition from intrauterine to extra-uterine life. 2.Perform a comprehensive neonatal nursing assessment and analyze the data to recognize potential problems. 3.Describe the nursing interventions needed for the healthy neonate. 4.Define the important components of infant feeding and supportive nursing care. 5.Develop a teaching plan for the family with a newborn including discharge topics. PHYSIOLOGIC TRANSITIONING Intrauterine to Extrauterine Transition Most Dramatic Changes Occur In Four Areas: Circulatory Respiratory Thermoregulation Ability to stabilize blood glucose CIRCULATORY ADAPTATIONS Switch from fetal to newborn circulation Change from placental to pulmonary gas exchange Changes in fetal structures: foramen ovale, ductus arteriosus, ductus venosus, umbilical arteries and vein Heart rate Blood volume Blood components Delayed Cord Clamping CIRCULATORY ADAPTATIONS POSTNATAL (PULMONARY) PRENATAL CIRCULATION CIRCULATION CIRCULATORY ADAPTATIONS CONSIDER: FETAL CIRCULATION For each, where is it? What is it connecting? What is the purpose in utero? Ductus Venosus Foramen Ovale EASY: FETAL CIRCULATION EXPLAN Ductus Arteriosus ATION RESPIRATORY ADAPTATIONS Initiation of Respirations Surfactant Respirations: 30 to 60 breaths per minute Irregular, shallow, unlabored Short periods of apnea (