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1- Newborn stage
Newborn stage is the first 4 weeks or
first month of life. It is a transitional
period from intrauterine life to extra
uterine environment.
Normal Newborn Infant
Physical growth
- Weight = 2.700 – 4 kg
- Wt loss 5% -10% by 3-4 days after birth
- Wt gain by 10th days of life
- Gain ¾ kg by the end of the 1st month
Weight:
They loose 5 % to 10 % of weight by 3-4 days
after birth as result of :
Withdrawal of hormones from mother.
Loss of excessive extra cellular fluid.
Passage of meconium (feces) and urine.
Limited food intake.
Height
• Boys average Ht = 50 cm
• Girls average Ht = 49 cm
• Normal range for both (47.5- 53.75 cm)
Head circumference
33-35 cm
Head is ¼ total body length
Skull has 2 fontanels (anterior & posterior)
Anterior fontanel
• Diamond in shape
• The junction of the sagittal, corneal and
frontal sutures forms it
• Between 2 frontal & 2 parietal bones
• 3-4 cm in length and 2-3 cm width
• It closes at 12-18 months of age
Posterior fontanel
• Triangular
• Located between occipital & 2 parietal bones
• Closes by the end of the 1st month of age
Chest circumference
It is 30.5 to 33cm (usually 2–3cm less than
head circumference).
Physiological growth
•Vital signs
- Temperature (36.3 to37.2C ).
- Pulse ( 120 to 160 b/min ).
- Respiration ( 35 to 50C/min) .
Simulation for vital signs
APGAR scoring chart
Newborn Senses
•Senses
- Touch
- Vision
- Hearing
- Taste
- Smell
Touch
• It is the most highly developed sense.
• It is mostly at lips, tongue, ears, and forehead.
• The newborn is usually comfortable with touch.
Vision
• Pupils react to light
• Bright lights appear to be unpleasant to
newborn infant.
• Follow objects in line of vision
Hearing
• The newborn infant usually makes some
response to sound from birth.
• Ordinary sounds are heard well before 10 days
of life.
• The newborn infant responds to sounds with
either cry or eye movement, cessation of
activity and / or startle reaction.
Taste
Well developed as bitter and sour fluids are
resisted while sweet fluids are accepted.
Smell
Only evidence in newborn infant’s search for the
nipple, as he smell breast milk.
Normal Newborn Infant
Gross Motor Development
Motor development:
The newborn's movement are random,
diffuse and uncoordinated. Reflexes carry
out bodily functions and responses to
external stimuli.
Fine motor development
• Holds hand in fist
• When crying, he draws arms and legs to body
Reflexes
• Swallowing
• Gagging
• Sucking
• Grasp
• Tonic-neck
One month-Reflexes
Cognitive development
The cognitive development of
newborn infant is difficult to
understand or observe it.
Emotional development
The newborn infant expresses his
emotion just through cry for hunger,
pain or discomfort sensation
Social development

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