m Helps shape their environment

m Ability to react to various stimuli

m or first 6-8 hrs after birth
m During first 30 min. baby is very alert, cries
vigorously, may suck the fist greedily, and
appears very interested in the environment
m Eyes usually open so an excellent opportunity
for mother and child to see each other
m Also to begin breastfeeding
áast 2-4 hrs after birth

m In state of sleep and relative calm

m Any attempt to stimulate usually elicit a
minimal response
m Continued decrease in temperature so avoid
bathing , undressing in this period
m ! hen newborn awakes from the deep sleep
m It lasts for 2-5 hrs
m Excellent opportunity for child and mother to
interact
m Alert and responsive
m ˜leep
m !akefulness
m Activity such as crying
m ë ëA˜ is an interactive examination that
assess the infant·s response to 28 items
m It is generally used as a research and diagnostic
tool and requires special training
HAëITUATIO
ability to respond to and then
inhibit responding to discrete stimulus(light,
bell) while asleep
ORIE TATIO
quality of alert states and
ability to attend to visual and auditory stimuli
while alert
MOTOR PERORMA CE
quality of
movement and tone
RA E O ˜TATE
measure of general arousal
level or arousability
REUáATIO O ˜TATE
how infant
responds when aroused
AUTO OMIC ˜TAëIáITY
signs of stress
(tremors, startles, skin colour) related to
homeostatic adjustment of the nervous system
REáEXE˜
assessment of the neonatal reflexes.
m ˜ystematic schedule of sleep and wakefulness
m After the initial period the infant may sleep for
next 2-3 days to recover from the exhausting
period of birthing process
m Deep sleep

m Closed eyes
m Regular breathing
m o movement except for occasional sudden
bodily twitch
m o eye movement
m Closed eyes
m Irregular breathing
m ˜light muscular twitching of body
m Rapid eye movement under closed eyelids
m May smile
m Eyes may be open
m Irregular breathing
m Active body movements variable with
occasional mild startles
m Eyes wide open and bright
m Responds to environment by active body
movements
m ˜taring at close range objects
m Minimal body activity
m Regular breathing
m ocuses attention on stimuli
m May begin with slight body movement
m Eyes open
m Irregular breathing
m Progress to strong, angry crying and
uncoordinated thrashes of extremeties
m Eyes open or tightly closed
m rimaces
m Irregular breathing
m ewborn begins extrauterine life with a strong
, lusty cry.
m Duration is highly variable
m ˜ome may cry for 5 min. some may cry for 2-3
hrs in a day
m eeding usually terminates crying if hunger is
the cause
m ëond between mother and baby
m En face position
m Touching
m Undressing
m ˜miling
m Kissing
m Talking to infant
m Holding, rocking, and craddling the child close
to the body
m Reciprocity
m Orientation
m Acceleration
m Deceleration
m Turning away
prevents the infant from
overstimulation
m ive behaviors
1. Prefeeding behaviour
crying, fussing,
demonstrates the baby·s level of arousal and
hunger
2. Approach behaviour
sucking movements and
rooting reflex
3. Attachment behavior
activities from the time
the infant grasps the nipple, and sucks
4. Consummatory behavior
coordinated sucking
and swallowing. Persistent gagging may
indicate poor consummatory behavior
5. ˜atiety behavior
when baby let the mother
know that he is satisfied usually by falling
asleep.