Assistência ao Recém-Nascido (Conceito e Classificação do RN) | Profª Juliana Mello

Summary

In this educational video, the presenter discusses essential concepts and classifications related to newborn care in nursing. The focus is on the classification of newborns based on factors like gestational age and birth weight. Key classifications include 'preterm,' 'term,' and 'post-term' based on gestational age, and 'low birth weight,' 'extremely low birth weight,' and 'very low birth weight' based on birth weight. The video also explains how gestational age and weight are used together to classify newborns as appropriate, small, or large for their gestational age. Practical tips for nursing professionals are also highlighted.

Takeaways

• 😀 A newborn is defined as a child born alive with up to 28 days of life outside the uterus.
• 😀 If a baby is 29 days old or more, they are no longer classified as a newborn.
• 😀 Newborns are classified based on their gestational age, birth weight, and a combination of both.
• 😀 A newborn is considered premature (preterm) if born before 37 weeks of gestation.
• 😀 A term newborn is born between 37 and 41 weeks and 6 days of gestation, which is considered ideal for birth.
• 😀 A post-term newborn is born after 42 weeks of gestation, meaning they went past the expected delivery time.
• 😀 Birth weight classifications include low birth weight (less than 2500 grams), very low birth weight (less than 1500 grams), and extremely low birth weight (less than 1000 grams).
• 😀 The classification of a newborn also considers their weight in relation to their gestational age, using percentiles.
• 😀 A newborn is classified as 'adequate for gestational age' (AGA) if their weight falls within the 10th to 90th percentiles.
• 😀 Newborns below the 10th percentile for weight are classified as 'small for gestational age' (SGA), while those above the 90th percentile are classified as 'large for gestational age' (LGA).

Q & A

What is the definition of a newborn as per the video?

A newborn is defined as any child born alive who is up to 28 days old, i.e., within the first 28 days of life outside the uterus.

How is the classification of a newborn based on gestational age explained?

A newborn can be classified based on gestational age into three categories: preterm (born before 37 weeks), term (born between 37 and 41 weeks), and postterm (born after 42 weeks).

What does it mean for a newborn to be classified as 'preterm'?

A newborn is considered preterm if they are born before completing 37 weeks of gestation, meaning they are born earlier than expected.

What is the significance of a newborn being classified as 'term'?

A term newborn is one that is born between 37 and 41 weeks of gestation, which is considered the ideal range for birth.

What defines a 'postterm' newborn?

A postterm newborn is one that is born after completing 42 weeks of gestation, meaning they were born later than the expected due date.

What are the classifications based on the weight of a newborn?

Newborns can be classified based on birth weight as follows: low birth weight (less than 2500 grams), very low birth weight (less than 1500 grams), and extremely low birth weight (less than 1000 grams).

What is meant by 'adequate for gestational age' in relation to newborns?

A newborn is classified as 'adequate for gestational age' if their weight falls between the 10th and 90th percentiles of the intrauterine growth curve, indicating normal weight for their gestational age.

How does the 'small for gestational age' classification differ from 'adequate for gestational age'?

A newborn is classified as 'small for gestational age' if their weight is below the 10th percentile for their gestational age, indicating they are smaller than expected for the number of weeks they were in the womb.

What is the classification for a newborn who is 'large for gestational age'?

A newborn is classified as 'large for gestational age' if their weight is above the 90th percentile for their gestational age, indicating they are larger than expected for their gestational age.

Why is it important to classify newborns based on both weight and gestational age?

Classifying newborns based on both weight and gestational age is important for assessing their health, identifying potential risks, and determining the appropriate care needed for their development and survival.