1. The Newborn
Chap 6.2

2. Lungs During delivery, the lungs fill with amniotic fluid
Most is squeezed out during delivery
The remainder is suctioned out by a nurse
For the first few month
Breathing is irregular maybe even pause a little while they are sleeping, very normal
Becomes more regular by about 2 or 3 months

3. Umbilical cord Heart Must pump harder to get more blood to the lungs
Two small openings begin to close
Umbilical cord
Once provided all baby’s oxygen and nourishment
Now it is no longer needed, it is clamped off and cut, sometimes by the father
It leaves a black stump that will fall off within the first few weeks
That area should be kept clean and dry, while it is healing

4. Appearance Head – is wobbly and too large for its body
Skull may appear pointed (cone shaped)
Will go back to normal
Skull has not fused together resulting in Fontanel or soft spots
They will fused together as the baby grows
Face – may be swollen and puffy and a little blueish in color

5. Appearance Cont.
Skin-
covered in vernix, pasty substance to protect from the amniotic fluid
Washes off
May be covered in milia or baby acne
Bumps on the nose and cheeks
Goes away in a week or so
May still have some lanugo (fine hair)
Goes away soon
Keep warm
Newborns loose a lot of body heat, so they must be wrapped up and their heads covered.
Put under heating lamps right after birth

6. Exams Apgar scale Antibiotics to baby’s eyes to prevent infection
System of rating they physical condition of the baby
Five factors are checked to make sure the baby is healthy
Heart rate, breathing, muscle tone, response to stimulation, and skin color.
Normal score is 6-10, lower score means the baby may need medical attention
Antibiotics to baby’s eyes to prevent infection

7. Later Test Other tests are given to the newborn Hearing test
Blood test (from umbilical chord) to determine blood type and to screen for diseases
Blood heal test
Later the baby’s blood will be taken from the heal for further testing of diseases and disorders

8. Safety and Security Birth certificate Wrist bands
Shortly after birth the baby’s foot prints will be taken and the birth certificate will be filled out
Wrist bands
A wrist band will be placed on you and your baby
With either matching numbers or something
To identify your baby

9. Post Natal Period
Chap 6.3

10. After the birth
Involves major and significant, adjustment s for mother and baby
Both of you need rest
usually stay in the hospital for 1 to 2 days
Some things that may cause concern
Jaundice
Causes baby’s skin to turn yellow
Problem with the liver
Baby is put under ultraviolet light to get rid of it.

11. Bonding Is forming emotional ties between parents and child
Immediately after birth, nurses place the baby on the mother’s stomach
To feel the warmth of the mothers skin and hear her voice and heartbeat
Fathers and touch the baby too
Soon after the baby is taken to be washed and checked then brought back all cleaned and wrapped up

12. Bonding Cont. Bonding helps baby’s brain development
Through simple interactions such as holding, talking and singing helps baby’s development
Skin to skin contact is very important

14. Breast feeding Advantages
Bonding with baby
Infection fighting
Colostrum, is a high calorie protein that is in early milk production, helps to prevent illness
Nutrition and digestion
Changes with baby’s needs
Its Free
Its warm and ready to go
Beneficial to mom – changes breast tissue
 Lactation Consultant- will assist you in the hospital

15. Breast feeding Cont. Challenges Personal Comfort Demanding Schedule
Can be challenging and painful for some women
Demanding Schedule
Must either be available when baby needs to eat or pump a bottle in advance
Milk comes even when baby is not there.
Mother is the sole provider
Unless you pump, then anyone can feed the baby
Diet considerations
Stay away from alcohol
Some foods may effects baby’s digestion

16. Bottle Feeding Advantages Challenges Anyone can feed the baby
Less feedings – takes longer to digest
No diet considerations for mother
Convenience for public places
Challenges
Organization and preparation
Nutrition minuses, not a good as breast milk
Can cause gas, or other digestion problems
Expensive, especially for dietary considerations

17. Mother’s Postnatal Care
Physical needs
Sleep, rest – exhausted from birth, up with baby all night feeding
Try to rest when baby does
Have relatives or friends help with meals
Exercise
Stretching and walking at first then more as you heal
Good nutrition
Need to replace lost nutrients, eat healthy
Breastfeeding mothers need more calories
Plenty of fluids

18. Mother care Cont. Medical check-ups Emotional needs
Four to six weeks after birth
Emotional needs
Slight depression –
Exhaustion, hormone changes, and major responsibility
Postpartum depression – condition in which mother feels sad and depressed after giving birth
More serious, talk to your doctor
Can get treatment