1. How long does newborn passive immunity last? Which immunoglobulin is responsible for
passive immunity?
Answer
- Lasts 4 weeks
- IgG immunoglobulin crosses placenta
2. How can a newborn get active immunity? Which immunoglobulins are re- sponsible for
active immunity?
Answer
- Breastfeeding
- IgA and IgM
3. Why are preterm infants more susceptible to infection than term infants?
Answer
-
Passive acquired immunity occurs during third trimester
4. 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)
5. 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
,- Orientation
Newborn prefers human face and eyes and bright shiny objects
6. 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
7. 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
8. What are the key assessments to be completed 2 hour after birth (8)?
, Answer
- General appearance
- Resp system
- Cardiovascular System
- Neurological System
- GI System
- Eyes, Ears, Nose, Mouth
- Skin
- GU
9. 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
10. 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
11. What are the normal findings in the cardiovascular system of a newborn
(4)?
Answer
- >100bpm
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