Always keep in mind when considering the newborn or to provide care that loses heat and this loss can occur in four ways:
Convection: is the flow of heat from the body surface to the ambient air is colder. This is why we must stay warm.
Radiation: is the loss of heat from the body surface to a cooler area that is not in direct contact but in a close relative.
Evaporation: Is the heat loss that occurs when a liquid becomes vapor newborn heat loss by evaporation occurs as a result of vaporacion moisture from the skin. This process is invisible and is known as insensible water loss (PIA). This loss may be intensified but dried in the RN after delivery or take long to dry after bathing.
Driving: It is the loss of heat from the body surface to cooler surfaces in direct contact, when he entered the newborn unit, the RN will lie on a heated cradle to minimize heat loss, which must be controlled to protect.
Newborn Neurologic Examination
General attitude and tone: You must assess whether the symmetry of movement, posture and muscle tone are asymmetric, they can indicate nerve damage. Premature infants are hypotonic with respect to the babies. Also evaluate the crying.
Moro reflex: is triggered in response to a sudden stimulus or a sudden deflection of the head, has several phases: first the RN then abducts the arms to embrace advanced in attitude accompanied by bending the body and then crying.
Palmar and plantar Prehesion: applying pressure on the palms and soles, the RN flexes his fingers clutching the hand or toes flexed.
Search: RN turns his head toward the side that applies a stimulus or perioral cheek, seeking the mother’s nipple.
Suction: rhythmic and coordinated movement of the tongue and lips by placing an object (pacifier-finger), within it. e) automatically started: to support the RN from the trunk and leaning slightly forward, he steps automatically.