H_D 101 1nd Edition Lecture 9 Outline of Last Lecture 1. Developmental periods a. Fetal period 2. Factors in healthy prenatal development 3. Impact of teratogens 4. Teratogenic drugs a. Alcoholb. Aspirinc. Caffeined. Cocaine/heroine/meth e. Nicotine f. Marijuana5. Diseases and consequences a. HIV/AIDSb. Genital herpes c. Rubella d. Syphilis 6. Outcomes related to teratogens7. Prenatal decisions a. How important is prenatal care?b. Types of caregiversc. Choosing a caregiver Outline of Current Lecture 1. Evaluating the newborn 2. Apgar scale 3. Issues an concepts a. Age of viability b. Weight gain and diet c. Prenatal care d. Lanugo These notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.e. Fontanels f. Vernix4. Birth complications 5. Preterm and small for gestational agea. Preterm b. Small for gestational age 6. Birth complications7. Reflexes a. Babinski b. Moro c. Rooting d. Palmere. Other 8. Newborn states of activity 9. Changing states 10. Newborn sense of touch 11. Newborn sense of hearing 12. Newborn sense of vision Current Lecture1. Evaluating the newborn - Get newborn dry and warm - Suction out mouth and nose- APGAR- score received by baby depending on health of baby. Taken 1 min after conception, and again 5 min after conception highest s. Normal score: one min:2. APGAR scale - score received by baby depending on health of baby- Taken 1 min after birth, and again 5 min after birth - Score goes from 0-10- Normal score: 1 min: 8, 5 min: 9- Score below 6: intervention and repetition after 10 min- Graphic 3. Issues an concepts g. Age of viability: the age at which a fetus can survive outside of the womb. 22 weeks: minimum h. Weight gain and diet: women should gain 20-25 pounds during pregnancy. Should increase the caloric by about 10%, or 300 calories per day. i. Prenatal care j. Lanugo k. Fontanels l. Vernix4. Birth complications - Oxygen deprivation (anoxia) - Breech position- Rh factor incompatibility 5. Preterm and small for gestational agec. Preterm: - Born weeks before their due date - May be appropriate weight for length of pregnancy d. Small for gestational age- May be born at due date or preterm - Below expected weight for length of pregnancy 6. Birth complications- Sevier trauma: long term complications - Mild to moderate trauma: depends on environment - Babies re generally resilient 7. Reflexes: unlearned responses triggered by a specific stimulation f. Babinski: stroke bottom of foot- makes toes fan out g. Moro: lout noise that startles the baby- throws out arms then pulls them back in h. Rooting: cheek is stroked- baby will turn head in direction that cheek was stroked in.i. Palmer: put something in babies hand- baby will grasp it j. Other: blinking, stepping, sucking, 8. Newborn states of activity - Alert inactivity: calm, eyes open, inspecting environment - Waking activity: eyes open, seems unfocused, arms/legs move uncoordinated.- Crying- 2/3 hours a day - Sleeping- 16/18 hrs a day 9. Changing states: a. Responding to baby’s cries - Type of cry- Length of response time - Strategies for soothing - Babies cannot be spoiled. 10. Newborn sense of touch :- Spots of sensitivity: mouth, palms, soles of feet, genitals - Highly sensitive to pain11. Newborn sense of hearing - Can hear a lot - Prefers complex sounds- Learns sound patterns within days - Sensitivity to voice and biologically prepared to learn languages 12. Newborn sense of vision - Least developed sense because structures in eyes are not all the way formed yet- Limited activity - Scan environment, can track slowly moving