International Childbirth Education Association. Postpartum Doula Program

Transcription

1 International Childbirth Education Association Postpartum Doula Program

2 Part 5: Newborn Appearance

3 Objectives: Describe general newborn appearance. Identify possible newborn skin conditions. Summarize warning signs for newborns.

4 The Amazing Newborn

5 The Amazing Newborn Characteristics / Appearance Vernix Molded Head Puffy face Swollen scrotum/labia, breasts Lanugo Hair Cyanotic Hands/Feet Dry or Peeling Skin Cradle Cap Sucking Blister Newborn Stork Bites Mongolian Spots Caput Succedaneum Cephalhematoma Bruising

6 Diapering

7 Baths

8 Cord care

9 Circumcision

10 Sleep patterns

11 Feeding baby the first six months

12 Safety issues ~ SIDS, car seats, home safety

13 Well-baby vs. sick baby

14 Newborn Reflexes Rooting Reflex - when a finger or nipple is placed into the baby's mouth, the baby begins to suck. Also, if you lightly stroke the cheek, the newborn will turn towards the stroking and open her mouth to accept the nipple. This reflex usually lasts for up to seven months

15 Palmar and Plantar Grasp Reflexes - the baby will grasp an object placed in his hands or curl his toes around fingers placed near his toes. The palmar reflex usually lasts three to four months and the plantar can last up to a year

16 Moro's Reflex - this startle reflex appears with a sudden loud noise or any intense stimulation. The arms and legs extend and the fingers fan outward, with the thumb and forefinger forming a C-shape. This reflex usually disappears within three to four months

17 Tonic Neck Reflex - the baby appears like a "fencer" when lying flat on her back and facing to the side. Whichever direction her face is turned, that arm will extend and the other will be flexed. Babies may sleep in this position for a couple of years; however, an awake baby should not display this reflex beyond four months of age. Prolonged display of this reflex in an awake state could be an indication of cerebral palsy

18 Doll's Eye Reflex - as with a doll's eyes, when a baby is lying on her back, if you turn her head from side to side, her eyes remain fixed. This reflex lasts up to two months of age

19 Babinski's Reflex - the baby's toes will hyperextend when the bottom of his foot is stroked upward from the sole to the ball of his foot. This reflex disappears within a year

20 Stepping Reflex - when the newborn is held upright with the feet on a flat surface, the baby will make stepping motions. This reflex diminishes by the fourth month and does not return until the baby begins to stand and walk

21 Bauer's Reflex - when pressure is applied to the soles of the feet of a newborn lying face-down, the baby will making crawling movements. This disappears by six weeks of age and returns when the baby is learning to crawl

22 Traction Reflex - when a newborn is pulled up by the wrists to a sitting position, her head will first fall back, then lift upright and hold steady before it falls forward onto the chest. This is a sign of maturity and muscle tone

23 Arm Recoil - the baby's arms will flex rapidly after extending them

24 Galant's Reflex - with the newborn in a face-down position, when his back is stroked about two inches from the spine the baby will tuck his pelvis, curve his body and turn in that direction

25 Crossed Extension Reflex - when the bottom of her foot is held and flicked, the baby will flex and then straighten her opposite leg and appear to try to push the object away

26 Newborn Senses Sight: 8-10 visual range Hearing: Preference of female voice Smell: Highly developed Taste: Recognizes subtle differences Touch: First important area of communication between parent & child

27 Erikson s Developmental Stages Eight universal normative developmental stages Time of critical decision between continued emotional growth or non growth

28 Human Development Types of Development Motor Sensory Cognitive Emotional & Social Communication & Language Moral Behavioral