Anxiety in Neonates

  1. Hi. Im doing a post grad course on fundamentals of Neonatal Nursing and I am trying to find out how to identify if your baby is anxious?! Its probably a silly question but I just cannot think. Please help!
    Thanks!!
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    About Krinky

    Joined: Dec '06; Posts: 3
    PN in NICU and Maternity
    Specialty: 4 year(s) of experience in Neonatal ICU

    3 Comments

  3. by   prmenrs
    I think it would look like a hyperalert baby. I used to call it the Pop-eyed premie look. If the baby is overstimulated a lot over a period of time, they get this wide-eyed OMG look. Might happen if parents (and others) ignore avoidance cues (finger splays, salutes, gaze avoidance, etc.) when interacting w/baby. Sometimes when parents come in, they want to "play" whether the baby does or not, and insisting on direct eye contact.

    Look @ info on developmental nursing care. This site has a good summary: http://www.rwh.org.au/nets/handbook/...cfm?doc_id=719

    Here is a quote: "...protect from over-stimulation
    handling can effect physiological stability and cause hypoxaemia, especially in the extremely premature, unstable or ill neonate
    provide 'time out'/ recovery time when the infant demonstrates avoidance or 'stress' behaviour. Signs of stress behaviour include
    colour changes: mottled, dusky, cyanosed
    apnoea, bradycardia, desaturation
    hiccoughing, sneezing, yawning, gagging, regurgitating feeds
    tremors, twitches, frantic activity, arching, frowning, gaze averting
    completely flaccid trunk, extremities & face
    easy fatiguability..."
    Last edit by prmenrs on Mar 9, '07
  4. by   dawngloves
    Do you mean preemie stress signals?
  5. by   ElvishDNP
    Quote from prmenrs

    Here is a quote: "...protect from over-stimulation
    handling can effect physiological stability and cause hypoxaemia, especially in the extremely premature, unstable or ill neonate
    provide 'time out'/ recovery time when the infant demonstrates avoidance or 'stress' behaviour. Signs of stress behaviour include
    colour changes: mottled, dusky, cyanosed
    apnoea, bradycardia, desaturation
    hiccoughing, sneezing, yawning, gagging, regurgitating feeds
    tremors, twitches, frantic activity, arching, frowning, gaze averting
    completely flaccid trunk, extremities & face
    easy fatiguability..."
    This sounds exactly like the methadone baby we have in our NBN right now. Parents sometimes don't understand that if she's acting like what prmenrs mentioned above, then passing her around, trying to play with her, & generally making a lot of noise is NOT going to help matters. It bothers me a great deal to see what these babies have to go through....and being in the loud bright nursery doesn't help. (Can you believe there are people at our hosp that have a problem c lowering the lights at night??)

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