neonate and new parents

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neonate and new parents

• JP Slovak

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Introduction

• Apgar Score
• HR, respiratory effort, muscle tone, reflex
  irritability, color of the skin.
• 7-9 normal
• 4-6 moderately depressed
• 0-3 health problems
• 80 in US receive 7 or above

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Circumcision

• Surgical removal of the prepuce
• In some cultures female circucision
• 60 of male infants circumcised
• Hygiene
• Increases the chances of penile infection in the
  first year, decreases after
• Reduces urinary infections
• Reduces some STDs

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Adaptations

• Respiratory System
• Surfactant
• Keeps lungs from collapsing
• Respiratory distress syndrome
• ACTH prompts production of surfactant
• Epinephrine helps clear fluid from the lungs
• C-section more respiratory difficulties
• Circulatory System
• D. arteriosis, foramen ovale close a few days
  after birth(anatomically)
• Closed fuctionally soon after birth(change in
  blood pressure)
• Patent ductus arteriosus (blue baby)
• Given antiprostaglandins

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Adaptations

• Digestive Tract
• After detachment of placenta
• Glycogen broken down in a few hours
• Gluconeogenesis from fatty acids
• PKU
• Thermoregulation
• Brown fat
• Metabolized in response to epinephrine
• Nervous System
• Grasp reflex
• Plantar reflex
• Moro reflex
• Rooting reflex
• Sucking reflex
• Walking reflex
• Crying (Compare Cultures) San of S. Africa

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Disorders

• Stillbirth
• Neonate death
• PKU
• Galactosemia
• Sickle cell
• CAH
• SIDS
• Back to sleep
• Birth weight and disease

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Breast Feeding

• Prolactin
• Oxytocin
• Bottle or Breast feed

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