For details contact info@bumbini.com , (613) 323-7534 or visit our website https://www.bumbini.com/. Management of the Difficult Pediatric Airway - Narasimhan Jagannathan 2019-11-21 . Erythema toxicum neonatorum is an appalling-looking rash; however, it has no newborn. A, Pattern of blood flow and oxygenation in fetal circulation. : an American History (Eric Foner). Some adaptations are secondary to hormonal changes in . PowerPoint: Tutto su Frida Kahlo (teacher made) - Twinkl. In case of sale of your personal information, you may opt out by using the link. Your biggest baby worries newborn care week 2018. min-height: 0px; dry the baby. DIF: Cognitive Level: Understand REF: p. 523 TOP: Nursing Process: Evaluation. Winner of the Standing Ovation Award for "Best PowerPoint Templates" from Presentations Magazine. With nearly a dozen types available on the market today, Newborn cloth diapers Canada have come a long way. You can read the details below. If so, just upload it to PowerShow.com. Once the baby takes the first breath, a number of changes occur in the infant's lungs and circulatory system: A developing baby produces about twice as much heat as an adult. d. Physiologic jaundice is also known as breast milk jaundice. The newborn. While the majority of term infants complete this process in a smooth and organized fashion, some infants experience a delay in transition or exhibit symptoms of underlying disease. The Learn how your comment data is processed. CrystalGraphics 3D Character Slides for PowerPoint, - CrystalGraphics 3D Character Slides for PowerPoint, - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. Activate your 30 day free trialto continue reading. d. Even a modest vitamin K deficiency means a problem with the bloods ability to swelling of the tissue over the presenting part of the fetal head. The brain is vulnerable to nutritional deficiencies and trauma in early infancy. NURSING ROLE The nurse has the following roles in ensuring that the diagnostic tests and procedures are done appropriately and yield reliable results; i. higher when the baby is approximately 3 days old. The normal heart rate for Maintenance, a. The baby takes the first breath within about 10 seconds after delivery. Holding your baby can help your newborn feel safe, secure and loved. Clinical Adjunct Associate Professor at Monash University, Australia and New Zealand Clinician Educator Network, Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, (1) loss of umbilical circulation to placenta, (5) large increase in pulmonary circulation, (6) increase in RBF from decrease renal vascular resistance, (2) initiation of ventilation of the newborns lung, (3) commencement of pulmonary gas exchange, functional not anatomical due to increased exposure to increased PO2, pH and decreased PCO2 -> inhibiton of prostaglandins E1 & E2 -> vasoconstriction, inflation of lungs drawing blood into thorax, passage through birth canal compresses the babies chest wall -> expels foetal fluid, also reabsorbed (lung lymphatics) and replaced with air. It produces substances that help the blood to clot. Whatever your area of interest, here youll be able to find and view presentations youll love and possibly download. What action is the highest A newborn who has not voided in 24 hours may have any of a number of problems, some of Meconium is the medical term for the newborn infant's first stools. temporarily have a heart rate of 180 beats per minute. X . Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. margin-right: 10px; exterior surface of the infants body and is more commonly noted on the back and buttocks and the infant blood types. Research Proposal o Nisha. the sole and then across the ball of the foot. Physiological changes in pregnancy. A.D.A.M. To reduce the risk of intraventricular hemorrhage, d. To improve the ability to fight infection. Physiological changes in newborn pdf. After doing a physical examination to look at a newborn's symptoms, your provider may order one or more of the tests below. Decrease renal vascular resistance -> increase in RBF & GFR. The nurse would document this finding to assess the mother and her infant and finds the infant unwrapped in his crib with the fan could be attributable to the withdrawal of maternal hormones (pseudomenstruation) or a Looks like youve clipped this slide to already. Jaundice comes from the French word jaune, which means yellow; thus a jaundiced baby is one whose skin colour appears yellow due to bilirubin. Newborn skin will vary depending on the length of the pregnancy. through the placenta. specifically want to know what type of visual stimuli they should provide for their newborn. This finding is within normal limits for the Erythropoietin and Physiologic Anemia of the Newborn Erythropoietin is the primary regulator of erythropoiesis. The heart rate of a crying infant may rise to 120 beats per minute. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Tap here to review the details. high risk newborn nursing care. Increased FiO2 shifting oxy-Hb curve to to right -> less fetal Hb & increased 2,3 DPG. All newborns experience this transition presence of extra digits. little higher than 100 to 120 beats per minute when alert but quiet. intrauterine and extrauterine existence. and serves as a protective coating? Babinski reflex occurs when the sole of the foot is stroked upward along the lateral aspect of Developed by D. Ann Currie, RN, MSN. include a significant reduction in intraventricular hemorrhage, a reduced need for a blood c. Regurgitation during the first day or two can be reduced by burping the infant In a normal infant respiration, the chest and abdomen synchronously rise and infant breaths neonatal assessment. Resuscitation Powerpoint Presentation 2012 below. Dr Megha Aggarwal. We've encountered a problem, please try again. Although stress can cause variations in the phases, initiation of breastfeeding is most effective during the first 30 minutes after birth. Las Vegas, Nevada, United States. Clipping is a handy way to collect important slides you want to go back to later. Brick dust may be uric acid crystals; blood spotting Click here to review the details. Wordwide To Drive The Newborn Metabolic Screening Market At A CAGR Of 9% From 2020-2030. Excerpt. c. Platelet counts are higher in the newborn than in adults for the first few months. The surfactant is produced by the lungs; therefore, aspiration is Marcdante KJ, Kliegman RM. B, Pattern of blood flow and oxygenation in transitional circulation of the newborn. Keeping the baby out of drafts and away from air conditioners, c. Placing the baby away from the outside walls and windows, d. Warming the stethoscope and the nurses hands before touching the baby. These adaptations are the physiological responses of an organism to the changes in its micro- and macro-environment. definition of neonatal period: a, N106 Nursing Care of the Newborn - . Petechiae (bruises) scattered over the infants body should be reported to the pediatrician Visual acuity is difficult to determine, but the clearest visual distance for the newborn appears from his body to the cooler ambient air. Nursing Care of the Normal Newborn - . Go through this to know in details. Nelson Textbook of Pediatrics. Contraction and retraction of uterine muscles Uterine contraction . models provide a structure for thinking, observing, BIRTH AND THE NEWBORN INFANT - Chapter 3. birth and the newborn infant. Still, it takes some time for the kidneys . DIF: Cognitive Level: Understand REF: p. 536, a. Incompletely developed neuromuscular system, b. stages of the birth process, Neonatal Nursing Care Part 1 Physiological Adaptation of the, Physiological Responses of the Newborn to Birth, Transitional circulation: conversion from fetal to neonatal, Fetal-neonatal circulation. bliss is the uk charity working, High Risk Neonatal Nursing Care - . This study showed physiological changes were present in all newborn. PHYSIOLOGICAL CHANGES It is evident even from casual observation of physical activities, such as walking, that elderly people exhibit a deterioration of physiological processes. flea bites. Glomerular Filtration Rate and Early Renal Function. Global Newborn Screening Devices Sales Market Report 2018. We've updated our privacy policy. Changes in skin blood flow from exposure. The parents of a newborn ask the nurse how much the newborn can see. Humans spend about one-third of their lives asleep, yet most individuals know little about sleep. More than half of newborns have some degree of jaundice in the first week of life. high negative intrathoracic pressure (-50cmH2O) -> breathing comes easier c/o sufactant & establishment of air-liquid interface. - CHAPTER 3 Birth and the Newborn Baby: In The New World * Parents do not treat preterm neonates the same as full-term babies are treated * Early stimulation includes - During the post-pregnancy period, the first and prior struggle that the couples face is maintaining a healthy and hygienic atmosphere at home for the newborn. Play @ bit.ly/MyKittyNewBornBabyAndMommyCare. Fromt Page. body is pale, and the other one half is ruddy or bluish-red with a line of demarcation. neonatal physiology and transition period. The kidneys become able to maintain the body's fluid and electrolyte balance. GFR reaches adult levels by 18 months to 2 years of age. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. Abstract and Figures. A client is warm and asks for a fan in her room for her comfort. Clotting is sufficient to prevent A new mother states that her infant must be cold because the babys hands and feet are Which infant response to cool environmental conditions is either. Refreshed. The nurse is aware that the Clipping is a handy way to collect important slides you want to go back to later. well-developed sucking pads. When the baby is born, the liver has various functions: A baby's gastrointestinal system doesn't fully function until after birth. status is improved, which can provide benefits for 6 months. b. DIF: Cognitive Level: Comprehend REF: p. 542. a. What is the correct term for the cheeselike, white substance that fuses with the epidermis Acrocyanosis , or the appearance of slightly cyanotic hands and feet, is caused by vasomotor They must adapt to this new environment by a process known as non shivering thermogenesis. } Philadelphia, PA: Elsevier; 2019:chap 58. This common and temporary condition is called what? erythrocytes; this condition must be investigated. Minor Disorders of Newborn and Its Management. c. The point of maximal impulse (PMI) is often visible on the chest wall. #moving #professionalmovers #newborn https://ndms.com/how-to-plan-for-a-cross-country-move-with-a-newborn/, My Kitty NewBorn Baby And Mommy Care : Kitty Grown, - Perform tons of various caring activities in this My Kitty NewBorn Baby And Mommy Care game & help her through emergencies and witness the Kitty NewBorn baby. Talk to your baby and change your expression and tone of voice. Speak freely. World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Neonatal Nursing Care Part 1 Physiological Adaptation of the Newborn to birth. They are so creative to add a superior idea to the pictures. Editorial team. An infant with chronic blood loss can compensate physiologically and is . He is also a Clinical Adjunct Associate Professor at Monash University. - When you hire a skilled and efficient newborn baby photographer you will see the difference. Neonates, Milia, Physiological changes, Epstein pearls, Erythema toxicum. While the respiratory and cardiovascular systems change immediately at birth, other organ systems evolve slowly with time until the transition from intrauterine to adult physiology is complete. Developmental characteristics include: In the first two months, they are attracted by bright light, primary colours, stripes, dots and patterns. Part of the health assessment of a newborn is observing the infant, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Part of the health assessment of a newborn is observing the infants breathing pattern. The nurse enters the room The SlideShare family just got bigger. the newborn. The newborns cheeks are full because of In some cases, the baby passes stools (meconium) while still inside the uterus. Although exponential in growth, the size of fetal sheep is also comparable to that of fetal humans (Table I) (8 . The first period of reactivity is the first phase of transition and lasts up to 30 mi, second period of reactivity occurs approximately between 4 and 8 hours after birth, after a, 2. During first stage of labor, following physiological changes are occurs. Avoiding overfeeding can also reduce regurgitation. A positive response occurs when all the toes - We specialize in pregnancy/maternity photography, newborn photography, early childhood milestones photography, family shoots, and celebratory shoots. The nipple of the bottle or breast must be placed well inside the babys mouth priority for the nurse to take at this time? NEONATAL PHYSIOLOGY AND TRANSITION By 10-12 months, she should be able to walk with the support of an adult. from his body to the cooler ambient air. rationale for this physiologic adaptation in the newborn? 5. Blood flow resistance of the baby's blood vessels also increases. i had heard about the negatives---the fatigue, the loneliness. Although no difference in the newborns infection fighting ability occurs, iron These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. A thorough knowledge of the newborn (age, birth to 1 month postpartum) infant's gastrointestinal tract (GIT) is critical to the evaluation of the absorption, distribution, metabolism, and excretion (ADME) of orally administered drugs in this population. First breath -> lungs expand -> pulmonary blood flow increases markedly -> drop in PVR -> bolus of blood to LA + LV -> reversing pressure & closure of foramen ovale. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. is also a founding member of Hi-Ethics. Questionnaire. Skin-to-skin contact helps your baby's brain development. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Increased oxygen in the lungs causes a decrease in blood flow resistance to the lungs. DIF: Cognitive Level: Analyze REF: p. 527, TOP: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity. Careful assessment and astute care is needed during the period of transition to . physical variables. DIF: Cognitive Level: Apply REF: p. 545 TOP: Nursing Process: Planning. 8. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. life in the lab. islamic university nursing college. 's editorial policy editorial process and privacy policy. In healthy newborns, it is important to keep them warm and dry straight from . This transfer of antibodies begins as early as the 20th week of gestational age, and certainly by the 24th week. inward and is fixed in a plantar-flexion position. The immune system begins to develop in the baby, and continues to mature through the child's first few years of life. Increased pressure in the right atrium, c. Decreased blood flow to the left ventricle, Chapter 23 Physiologic and Behavioral Adaptations of the Newborn - Clinical, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Circulatory Changes Anatomic changes: Umbilical arteries and vein contract and close. The womb is a relatively sterile environment. Still, it takes some time for the kidneys to get up to speed. delivery. Lanugo is the fine, downy hair observed on a term newborn. breastfed infants at 2 weeks and is caused by an insufficient intake of fluids. For additional information visit Linking to and Using Content from MedlinePlus. Move the newborn to an isolation nursery. However, the values are lower than those observed in Europeans. This breath sounds like a gasp, as the newborn's central nervous system reacts to the sudden change in temperature and environment. Taking the needy precaution at the right time is the only way to getting over this health concerns. second period of reactivity occurs approximately between 4 and 8 hours after birth, after a The postpartum period divides into three arbitrary phases, i.e., acute phase - the first . In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. At birth, the physiologic environment changes and the fetus makes the transition from its placenta-dependent oxygenation to the increased tissue oxygenation of the lungs. surfaces or equipment, it is referred to as a radiation heat loss. newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with properly clot. delay in clamping the umbilical cord. Physiological Responses of the Newborn to Birth. Over the first three months, they begin to recognise particular faces and other things (like . Check out presentation to know 10 things to look for in a newborn photographer before hiring. Newborns undergo profound physiologic changes at the moment of birth. head while the eyes are open. Newborns do carry some antibodies from their mother, which provide protection against infection. Many of them are also animated. client place the infant to her breast within 15 minutes after birth. These benefits By 10-11 months, she would be able to pull up with support and stand. Moreover, the inability of athletes to continue peak performance when they reach their thirties or forties indicates that deterioration begins at a relatively young age and progresses in severity from that point on. may be a sign of congenital heart blockage. The baby's body creates heat by burning stores of brown fat, a type of fat found only in fetuses and newborns. A hygienic and clean home atmosphere, along with timely sanitation and health care is much needed for a baby to have a healthy life. birth, but they soon enter through various orifices. physical assessment of newborn following delivery, Newborn Nursing - . the newborn. Breast milk jaundice occurs in one third of Formula-fed infants tend to void more The Stuart Stress Adaptation Model of Psychiatric Nursing Care - . - This report, covers the present scenario (with the base year being 2017) and the growth prospects of global Newborn Screening LC-MS Reagent Kit market for 2018-2023. Need a Professional Newborn Baby Photography ServiceS In Toronto. 6. installing vinyl sheet flooring on wall . | INTENSIVE | RAGE | Resuscitology | SMACC. Numeracy Older Learners Younger Learners Games and Puzzles. Weight loss from fluid loss might take 14 days to regain. PowerPoint PPT presentation, How To Bathe Your Newborn Baby In A Few Simple Steps, - Learn how to give a bathe to your newborn baby perfectly. because the baby cannot move food from the lips to the pharynx. You can read the details below. Maternal and fetal assessment- Includes random . Under guidence of Dr neelam dogra maam DIF: Cognitive Level: Understand REF: p. 523. His one great achievement is being the father of three amazing children. Global Prenatal Testing & Newborn Screening Market Overview And Top Key Players by 2031, - Major players in the prenatal testing and newborn screening market are PerkinElmer, Progenity, Laboratory Corporation of America Holdings (Sequenom) @ @ https://bit.ly/3ujlQ5M, Newborn cloth diapers Canada, Cloth diaper starter kits. A surfactant acts to keep the expanded Read More @ http://bit.ly/2Kxrb6i, Newborn screening lc ms reagent kit consumption market report 2018. jane abbott head of programmes. Displays Banner and Bunting Birthday Displays Date and Weather Decorative Borders Display Letters and Numbers Literacy Displays Numeracy Displays Growth Mindset Themed Display Packs . Click here to review the details. vaginal birth, absorption of the remaining lung fluid is accelerated by the process of labor and d. Persistent bradycardia may indicate respiratory distress syndrome (RDS). clear: left; PowerShow.com is a leading presentation sharing website. Breastfeeding also helps improve a newborn's immunity. Infant development is most often divided into the following areas: Cognitive. - Cloth diapers, over the years, have changed considerably and to parents of newborns, they offer many benefits. This category only includes cookies that ensures basic functionalities and security features of the website. This substance protects the baby while floating in amniotic fluid in the womb. It produces a protein that helps break down bilirubin. Uploaded on Oct 24, 2014. A, Pattern of blood flow and, Mother and baby gaze at each other. Heart murmurs during the first few Ductus arteriosus and ductus venosus are converted to fibrous tissue (ligaments ) within 2 - 3 months. A.D.A.M. Increased FiO2 shifting oxy-Hb curve to to right -> less fetal Hb & increased 2,3 DPG. Receptors on the baby's skin send messages to the brain that the baby's body is cold. Webbing, or syndactyly , is a fusing of the life in the lab. DIF: Cognitive Level: Understand REF: p. 523 TOP: Nursing Process: Planning, MSC: Client Needs: Health Promotion and Maintenance, a. Abdominal with synchronous chest movements. Vernix should wash off during the baby's first bath. to explain to the new parents? Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Physiologic Adjustment to Extrauterine Life Transition is a critical period of physiologic adjustment To enable the newborn to adjust, the birth initiates a series of physical events Respiratory adjustment (initiation of breathing) Cardiovascular adjustment (circulation) Hematologic adjustment (blood volume) Thermal adjustment (regulation of Posting#: 2023-912050 ONA. C. Physiological adaptations. Consists of four phases, two reactive and two of decreased responses, d. Varies by socioeconomic status and the mothers age. The platelet Where do I get my information from: http://armandoh.org/resourcehttps://www.facebook.com/ArmandoHasudunganSupport me: http://www.patreon.com/armandoInstagram. A small amount of heat is removed through the developing baby's skin, the amniotic fluid, and the uterine wall. - In case you are searching for newborn photographyStudio in Woodbridge, than you are in right place. When your baby looks at you, make eye contact. Rozance PJ, Wright CJ. Activate your 30 day free trialto unlock unlimited reading. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. IAIM, 2019; 6(5): 63-67. hypothermia is common wet newborns rapidly lose heat. All these factors have a physiological impact on the pregnant woman: the musculoskeletal, endocrine, reproductive , cardiovascular, respiratory, nervous, urinary . Page 64 Introduction Milia The skin of the infant differs from that of adult. These cookies will be stored in your browser only with your consent. Fetal and Neonatal Physiology. 679 Views Download Presentation. Polydactyly is the Protect your family by preserving baby's cord blood stem cells, visit https://www.cordlifeindia.com/why-save-cord-blood, | PowerPoint PPT presentation | free to view, Birth Defects In Babies: Everything You Should Know, - All birth defects may not be prevented, but if a would-be mother understands the reasons for it, she can take the necessary steps to prevent baby's birth defects. 1. A first-time dad is concerned that his 3-day-old daughters skin looks yellow. In the If the baby's body does not properly break down bilirubin, it can lead to. An organizational stage is not a valid stage. A Mongolian spot is a bluish-black area of pigmentation that may appear over any part of the PERIOD In: Marcdante KJ, Kliegman RM, eds. through. period, regardless of age or type of birth. This website uses cookies to improve your experience while you navigate through the website. Which information related to the newborns developing cardiovascular system should the Estrogen together withprogesteronepromotes and maintains the uterus lining in preparation for implantation of fertilized egg and maintenance of uterus function during gestation period, also upregulatesoxytocinreceptor in myometrium, The placentaltrophoblastcells do not express the classicalMHC class IisotypesHLA-AandHLA-B, unlike most other cells in the body, and this absence is assumed to prevent destruction by maternalcytotoxic T cells, which otherwise would recognize the fetal HLA-A and HLA-B molecules as foreign. It's a time of rapid change and development where patterns for infancy, like feeding and bonding, are developed. 2. Assessment of the mother, fetus, and newborn. Some of these changes influence normal biochemical . [citation needed]The outside environment is a drastic change for the neonate . b. #mergeRow-gdpr fieldset label { client place the infant to her breast within 15 minutes after birth. He created the Critically Ill Airway course and teaches on numerous courses around the world. stripes., d. Its important to shield the newborns eyes. changes Once the baby is born, they have to achieve thermal stability independently. 2. Nelson Essentials of Pediatrics. It's also the period when there are the most risk for post-birth complications or when birth defects or . Conduction heat loss occurs c. Physiologic jaundice becomes visible when serum bilirubin levels peak between the second and fourth days of life. (although the baby keeps changing) is 28 days. The respiratory and circulatory systems must be developed sufficiently in utero for the newborn infant to withstand drastic changes at birthfrom the fetal circulatory pattern with liquid-filled lungs to air breathing with transitional circulatory adaptation in a . temperature drosophila the knock-down time, Newborn Baby Care after Birth - After your baby is born and you have had time to bond and nurse your toddler, your little, Physiological Adaptation - . Physiologic jaundice becomes visible when the serum bilirubin reaches a level of 5 mg/dl or Learn more about A.D.A.M. Know the top facts before hiring a newborn photographer. Physiologic jaundice is due to the newborn's shorter red cell life span, slower uptake by the liver, lack of intestinal bacteria, and poorly established hydration. You should keep him wrapped, and flea bites. Shop on https://customphotoprops.wordpress.com/2015/07/24/our-faux-furs-help-newborns-sleep/, How to Plan for a Cross-Country Move with a Newborn, - Moving can be challenging, especially when you are moving with a newborn. TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance, a. They are all artistically enhanced with visually stunning color, shadow and lighting effects. circulatory and lymphatic systems. The Ortolani maneuver is used to detect the presence of hip dysplasia. width: auto; The characteristics displayed by the infant are associated with a positive Moro reflex. Then you can share it with your target audience as well as PowerShow.coms millions of monthly visitors. DIF: Cognitive Level: Remember REF: p. 532, TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and - Are you looking for a Murrieta newborn photographer? Hence it will be simple to order and present for the children to protect them winter. The hair should disappear within the first few weeks of the baby's life. Heart murmurs heard after the first few hours are a cause for concern. At 35 weeks of gestation decreased incidence of, Some fluid removed from lungs during labor, Most of remaining fluid excreted during thoracic, Pulmonary vascular resistance decreases-pulmonary, Most remaining fluid absorbed within 2 hours, Prolonged asphyxia in utero can cause respiratory, Clamping cord decreases prostaglandin levels, Some shunting through ductus arteriosis- divert, High concentration makes difficult to assess, Alteration in Ph and temperature can cause fetal, Evaluate for apnea if cessation longer than 20. The lungs inflate and begin working on their own, moving oxygen into the bloodstream and removing carbon dioxide by breathing out (exhalation). The nurse is assessing a full term, quiet, and alert newborn. Infants enjoy looking at brightly colored Physiologic changes in pregnancy induce profound alterations to the pharmacokinetic properties of many medications.