My 2 Year Old Has A Lot Of Eye Boogers Transitional Assessment – Periods of Reactivity For a Newborn

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Transitional Assessment – Periods of Reactivity For a Newborn

The newborn exhibits physiological and behavioral characteristics that may at first appear to be signs of stress. However, during the first 24 hours changes in heart rate, breathing, motor activity, color, mucus production, and bowel activity occur in an orderly and predictable sequence, which is normal and indicates a lack of stress. Distressed babies also progress through these stages, but at a slower pace.

First period

For 6 to 8 hours after birth the newborn is in the first period of reactivity. During the first 30 minutes the baby is very alert, cries loudly, can suck his fist avidly and seems very interested in his surroundings. At this time, their eyes are usually open, suggesting that this is an excellent opportunity for mother, father and child to see each other. That’s why it has a strong sucking reflex, an auspicious moment to start breastfeeding. the mother This is especially important for doctors to remember, as it is not unlikely that after these initially very active states the baby may be quite sleepy and disinterested in nursing. Physiologically, the respiratory rate can reach 80 breaths/minute, thunder can be heard, the heart rate can reach 180 beats/minute, bowel sounds are active, mucous secretions increase and the temperature can decrease.

After this initial stage of alertness and activity, the baby’s responsiveness decreases. Heart and respiratory rates decrease, temperature continues to drop, mucus production decreases, and urine and stool are usually not eliminated. The baby is in a state of sleep and relative calm. Any attempt to stimulate it usually elicits minimal response. This second stage of the first reactive period usually lasts 2 to 4 hours. Due to the continuous decrease in body temperature, it is best to avoid undressing and bathing the baby during this time.

Second period

The second period of reactivity begins when the baby wakes up from deep sleep after the first period. The baby is alert and responsive again, heart and respiratory rates increase, the gag reflex is active, gastric and respiratory secretions increase, and meconium passage usually occurs. This second reactivity period lasts between 2 and 5 hours and provides another excellent opportunity for child and parent to interact. This period usually ends when the amount of respiratory mucus has decreased. After this stage there is a period of stabilization of physiological systems and a fluctuating pattern of sleep and activity.

After a discussion of the apparently erratic behavioral patterns of the newborn, it is clear that in order to identify abnormalities or signs of distress in the respiratory, cardiovascular, or neurological system, the physician must thoroughly understand the normal characteristics. Observation, not machines, is the doctor’s greatest assessment tool, and the goal of nursing is the anticipation and prevention of neonatal stress. The timing of nursing care is based on the observation of the physiological state of the neonate. For example, the baby should be dried immediately after birth to minimize heat loss through evaporation; the initial bath should be postponed until the body temperature stabilizes; eye drops should be instilled after parents and child have made eye contact; and breastfeeding or the bottle must be started during one of the two periods of reactivity.

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