Closure of the ______ causes blood to flow to the lungs for oxygenation
Closure of the _______ directs blood from the right atrium to the left ventricle
Closure of the _______ causes blood to pass through the liver for filtrationus venfiltration
Dilation of the _______ allows blood to flow into the lungs
immunoglobulin G (IgG)
_____ from mom provides temporary immunity to some bacteria and viruses to which the mom has immunity (passive immunity). Lasts approximately 3 months
immunoglobulin M (IgM)
______produced by infant and helps to protect against gram negative organisms (active immunity).
immunoglobulin A (IgA)
_______ helps protect against GI and respiratory infections. It is present in colostrum and breast milk
The ____ is important for glucose maintenance immediately after birth
Blood glucose levels below 40mg/dl in the term infant indicates ______.
A major function of the _______ is conjugation of bilirubin.
unconjugated bilirubin (indirect bilirubin)
_________________ travels in the plasma attached to binding sites on albumin to the liver.
In the liver, unconjugated is changed to the ______ form by glucoronyl transferase and passed into the duodenum
The conjugated bilirubin is reduced to _____ by normal flora and is excreted in the stool.
which type is the good type of bilirubin?
Elevated levels of ______ bilirubin cause jaundice.
Causes of ____ includes high erythrocyte count and short RBC life span of fetal RBCs leads to an increased breakdown of RBCs which leads to an increased bilirubin load on the immature liver
Approximately 50% of full term and 80% of preterm neonates exhibit _____ on the 2nd to 3rd day after birth.
Breast milk jaundice
_____is found in the breastfed newborn beginning when physiological jaundice should be resolving.
Always abnormal. Occurs during first 24 hours, clinical significance depends on age. Major contributing factor is incompatibilities between mother & infant blood type.
Unconjugated bilirubin over ___ in the first week of life, is a sign of pathological jaundice.
_____ causes the bilirubin to become conjugated, so it can be removed.
First Period of Reactivity
Up to 30 min. after birth, Infant is awake, alert and active
Respirations rapid, irregular, may have some grunting. Heart rate is rapid and irregular. Temperature may be decreased
Second Period of Reactivity
Between fourth and eighth hours post delivery, may have a gagging episode with regurgitation of mucus, awake,
meconium passage (usually), may see color changes, irregular respirations and heart rate