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Manifestations: When the newborn cries, there is a reversal of blood flow through the foramen ovale which causes the newborn to appear mildly cyanotic in the first few days of life. The heart rate of the newborn should be between 110 and 160 beats per minute and it is common for the heart rate to be irregular in the first few hours following birth.
For example, with a 35-week gestational age delivery, a weight of 2,250 g (4 lb 15 oz) is appropriate for gestational age but is still low birth weight. One third of low-birth-weight neonates – infants weighing less than 2,500 g (5 lb 8 oz) – are small for gestational age. [citation needed]
Intrauterine growth restriction (IUGR), or fetal growth restriction, is the poor growth of a fetus while in the womb during pregnancy.IUGR is defined by clinical features of malnutrition and evidence of reduced growth regardless of an infant's birth weight percentile. [5]
[2] Today, the categories developed by Apgar used to assess the health of a newborn remain largely the same as in 1952, though the way they are implemented and used has evolved over the years. [3] The score is determined through the evaluation of the newborn in five criteria: activity (tone), pulse, grimace, appearance, and respiration.
Advances in Neonatal Care is a bimonthly peer-reviewed healthcare journal of neonatal nursing. It is the official journal of the National Association of Neonatal Nurses.
It is the most common cause of respiratory distress in term neonates. [2] [3] It consists of a period of tachypnea (rapid breathing, higher than the normal range of 30–60 times per minute). Usually, this condition resolves over 24–72 hours.
Guidelines in the UK, however, recommend pre-feed screening of at-risk infants at 2–4 hours of age (to avoid false positives when blood glucose is, ordinarily, at its lowest at 2–3 hours of age) and at the subsequent feed until a blood glucose level of >2.0 mmol/L (36 mg/dL) on at least two consecutive occasions and is feeding well.
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