Positions For Breastfeeding

Physiologic & Behavioral Transition to Extrauterine Life The Normal Newborn

Assessments @ 1 min. and 5 min.

 A = appearance  P = pulse  G = grimace  A = activity  R = respirations APGAR Scores

Physiologic Transitions of Major Systems     

Pulmonary system transition Cardiac system transition Thermoregulation Metabolic transition Gastrointestinal system transition

Assessing for Congenital Anomalies:  Observe general appearance. 

Gross external anomalies.

 Observe breathing pattern & auscultate chest. 

Cardiorespiratory problems, diaphragmatic hernia.

 Observe breathing with infant’s mouth closed. 

Choanal atresia.

Congenital Anomalies (cont.)  Pass gastric tube or aspirate stomach contents. 

Esophageal atresia.

 Observe appearance of abdomen. 

Intestinal atresia (distended), diaphragmatic hernia (scaphoid), omphalocele, gastroschisis.

 Confirm passage of meconium & observe appearance of anus including wink reflex; perform rectal temperature. 

Imperforate anus.

 Count umbilical vessels. 