Normal Heart Rate And Respiratory Rate For 6 Month Old Transitional Assessment – Periods of Reactivity For a Newborn

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Transitional Assessment – Periods of Reactivity For a Newborn

The newborn will exhibit behavioral and physiological characteristics that may be early signs of stress. However, during the first 24 hours changes in heart rate, respiration, motor activity, color, mucous production, and bowel activity occur in an orderly, predictable sequence that is normal and indicative of deficiency. pressure. Distressed babies also progress through these stages but at a slower rate.

The first period

For 6 to 8 hours after birth, the newborn is in the first period of reactivity. In the first 30 minutes the child is very alert, cries loudly, can pull his fist greedily, and seems to be very interested in his environment. At this time his eyes are usually open, suggesting that this is a good opportunity for mother, father and child to see each other. For that reason he has a strong latching reflex, an appropriate time to start breastfeeding. The mother. This is especially important for doctors to remember, because it is unlikely that the child after these very active states will be very sleepy and uninterested in intercourse. Physiologically the respiratory rate can be as high as 80 breaths/minute, wheezes can be heard, heart rate can reach 180 beats/minute, bowel sounds are active, mucous secretions will increase and temperature can drop.

After this first level of awareness and activity the child’s responsiveness decreases. Heart and respiratory rates decrease, temperature continues to decrease, mucous production decreases, and usually no urine or stool is passed. The child is in a state of sleep and calm. Any attempt to encourage him usually gets some response. This second phase of the first reactive period usually lasts 2 to 4 hours. Due to the continuous decrease in body temperature, it is better to avoid washing the baby at this time.

The second period

The second period of reactivity begins when the child wakes up from deep sleep after the first period. The baby is again alert and responsive, heart and respiratory rates increase, the gag reflex is active, gastric and respiratory secretions are increased, and meconium passage commonly occurs. This second reactivity period lasts approximately 2 to 5 hours and provides another good opportunity for children and parents to interact, This period is usually over when the amount of respiratory mucus is go down After this stage there is a period of establishment of physiological systems and an empty pattern of sleep and activity.

After discussing the seemingly erratic behavior patterns in the newborn, it is obvious that in order to identify abnormalities or signs of distress in the respiratory, cardiovascular or brain system, the doctor must understand normal characteristics to detailed Observation, not instruments, is the physician’s greatest assessment tool, and the goal of nursing is to anticipate and prevent neonatal stress. The duration of nursing care is based on observation of the physiological status of the newborn. For example, the baby should be dried immediately after delivery to reduce heat loss from evaporation; the first bath should be postponed until after the body temperature has stabilized; eye drops should be applied after parents and child have established visual contact; and breastfeeding or bottle feeding should be started during one of the two periods of reactivity.

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