Newborn
Gross Motor:
Fine Motor:
Sensory: Alerts to sound (bell or voice),
Fixates on face or object, Follows briefly, responds to visual threat by
blinking. Visual fixation with focal length (the distance at which objects are
most clear) of 8-12 in is present in the newborn. Normal vision is 20:400
Language:
Social:
Reflexes:
Nutrition:
Feeding spurts: occurs 8-12 days
of age.
Elim:
Sleep:
Immunizations:
Health:
Safety: Crib Safety/Changing Tables, back to sleep, through first year of life, especially in first 6 mos
Screening Labs: Vision-Screening
Next visit in When discharged 48 hrs after delivery, all
breastfeeding mothers and their infants should be seen by their pediatrician or
other knowledgeable health care provider when the newborn is 2-4 days of age.
Expect:
Breast milk can be kept (a) at room temperature for 4 hours; (b) in the fridge for 3 days (ideal) to 8 days (acceptable); (c) in the freezer for 3 months (d) in deep freeze for 6 months (ideal) to 12 months (acceptable). If transporting breast milk in a ‘cooler’ with ice packs, use within 24 hours. Infant formula can be kept at room temperature for 2 hours. If formula is partly used, finish the rest within one hour from the start of the feeding. Formula should not be refrozen. Prepare only as much as you will need. Formula prepared from powder can be stored in the fridge for up to 24 hours. Liquid formula (ready-to-feed or prepared from concentrate) can be stored in the fridge for up to 48 hours. Finish powdered formula within one month after opening the can; store the can of powder in a cool dry place, not in the refrigerator or freezer.
In the hospital:
Newborn exam should be performed no later than 12 to 18 hours after birth.
Usual prenatal screenings: maternal blood type and Rh, antibody screen, serology testing, rubella status, PPD, hep screening, AFP, US.
Naegle's Rule: LMP + 7 days - 3 months. Assumes 28 day cycle, ovulating on day 14 or 15. If cycle is longer, ovulation occurs later, so EDC is shorter.
Average Pregnancy is 280 days, or 40 weeks.
Lanugo development peaks at 28-30 weeks gestation then declines
Foot creases appear between 28-30 weeks gestation and should cover entire
plantar surface at or near term.
Low birth weight infant: < 2500 g
Very low birth weight infant: < 1500 g.
Incredibly low birth weight < 750 grams
Symmetrical growth retardation: <10%ile on all 3 growth parameters (early
gestational insults i.e. congenital viral, single-gene defects, chromosomal d/o)
Assymetrical growth retardation: <10%ile on 1 growth parameter. Usually the
weight is low. Assoc with poor uteroplacental function, or nutritional
deficiencies in 3rd trimester i.e maternal preeclampsia, poor caloric intake
during pregnancy, chronic fetal distress.
The newborn PE