Ta NeyProt: Crin MARCEAN 0: Vladimir-Manta MIHAILESCU Eee PEDIATRIE INDREPTAR PENTRU ASISTENT! MEDICALI Eaitiaative 1M EDITURA MEDICALASiete doe etre ans ie! rnin epuin fe ecsinteEns ‘fete Pater pote! de ep se eran Ort ‘rowenta i se rs reine ‘cra pass de pao Act ow oi a pene ae pac = ‘Stine lpr rat sl pm Inna prs land)” eRe eine Wa Mt Bove snons si Nao Roma Sein ern er lu NEAT ‘oredr Po AUD NOTA PRELIMINARA LA EDITIA A TI- La flo pina edi ler PUERICULTURA t PEDIATE~Indreptar pentru stent medical eps i anul 2004, acunls ecipe respects Romele previnie de Orgenanta Mondals > SSnitait (00S) prvind ‘fates avstensio ele s9 moselr LILO. 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Teberedes (HG Tn copii apa) 120 te taloge pepe 530 hetce wien a ‘Se Sonata “SS imino 25 roa atte ese comers twice cost 528 tei MY (D8 cpt 531 ‘oir bloge deena 52 {52 Sonate peste 383 re Pains peter 3 Sho tnt mad he bcp Ve cap 50 8 Unt geen pnts 52 ot paar 2 ota emote wt se (22 at de cep tare ws di SE Siete stereo Ss eon See Sa Sivcncn ‘Sica htm eine so Sigmar swe 2 ses nao 4. mocap 568 i eae ais eh wt $3 he sn once Spee pon be mans ‘ld sna mete peti rent Rasa 580 50. encomone eco 552 0h Cromwell eomanier 92 $n does dete jpn Tei de enincealovepntre a pode 558 Intempo cl oie 62 SIN opts pene ere 5 Ingen cp rbd toga sans 612ABREVIERI SI SIMBOLURI FOLOSITE IN LUCRARE, [AT =sloninaminotranfaraa (noni ea GO = wonsrnaza gut: ‘ulead = ening presents fa plasma, incetoare de coe a reser pate. faa) urs ruratoi uveni (nonin cy AN = ait ove = patch ‘A510 =Sniatepoling © = atearp elaborate organism la contact hele pn de stploro core posed aogncl sept. sport sinavanferam finan TGP = ranserinaagamo Pirvel=enln rear ples ndeatoare de cok Fete Freese i Rapa cut ra, 1K =ovil Roch = Myobacetum tubes (agent etotoglc a ‘bese en =eaptonl ‘ope = epsule (GD) Somat de coapuneintascuad dein ~ coaglopte tr cree fomeed tomb In ester vosul cv un cou Cesena facta de coapureycorseaity, pans de fenomene hemeragie compat Camputedtomagaply = tomografie was computes enurires crud ierefenas (9 unl reamed fy, aaa un madlearen) seeuoctcogrars secromnetlogtan ISA. = ewme Inked immunosorbent sy = test de imunoaésrie a ‘Shetmclor lputrte latin cages de aborator a SDA i STator bot infeciase. ee =e exe _Lepeutates corpora GkOA =Glomerdonette snk acu poststeptocaces18 rere pete po i ese Ho =heroglbink amatoat = pocentl de masé de hemata 100 rl sige ota HY Shuman immunedehoeny vis = vrs imunodet ert unane (agent! elope SON) HA =hipertensune aterals 1 inp furgines) eoppul 10a Sinrademoreactn IWC Ince de mash corpora (body mas inden) engl) IN. Sindee ruts! Ind, Sint pent un ament sau un cea) th Sindee ponders RA inser eal auth Inc Cinsfelen onl conic te Sintatect = inborn be Sinsoeras oe llega de great corporal DH loca dehirogenas = end preert in plasms, fost ~ pin fozae = ca pros funcional hepa. Et cree Ih apa, dar te ure bal neaplsc Defoure mane mci == 1081 mm de end) INP =n proton (drums dn treat eso Na That sd= metal aealy ee nr cormpoaii ase sb forma’ de dora e Sock precum sh compatie uno sot ile erapere tora 099% de NOC = "ser Rage Sel de Beatonat de Na ei). NN snoundscat = coil in prime 4 siptimde! de vat INPEVT nue parenteral endovenoas oa POF =brodts ae dogs» Rane ~aprinczu de inl ope ‘Sheagull de singe sola de depoimarzates Rene EV = perf endovnoss (= Insaveoes eve "peruse endovenosss contin tes dus de ea putin 12.26 de or. pa. = per oF ~ adminrae pe cal ol Phun pan doce = dental pure rota ubecillne uma arcs. FN =rezonangs magnates mice SC Ssuprtas corporal nm se Tabaaet SOA =Sindiom de desire act Anwiiinbttsetentooe 19 SF ser fille = sluje de donde Na 0 est sole ton. Se Tholue de ovens Shc Satem nero ental sel =solupe Th _Ltenaune esis Toc. Teatro 4b" =u intenafonale ‘si Zivteza de secnetare a hemi: 2 Zhagiteed mort = mars inet sou = Trak = mara fomercals = desunues comercls dat de © rma productoare hut mescarentfbieat de 08 edmis pe i (Se wo face ‘oucteen fa de derumien conund iron [DCH 8 re ‘Seamer cave ese aeent perry tote leg ate Ine brindle frmaceutce) > Neateonatal NOTA, Denumitle In tin engl sant scse ea Mere cursive (aes 3 yrten pants dept, dasa ou atu Ge tema i in ‘oman otc lee csv fas) sunt srbe ele i iba [Stn precam ten ha FancnSECTIUNEA I PUERICULTURA [HEALTH MANAGEMENT IN INFANTS AND CHILDREN]1. NOU-NASCUTUL (NN) LA TERMEN, NORMO-PONDERAL, SANATOS [FULL-TERM NORMAL NEONATE] 1.1, CARACTERE ANTROPOMETRICE (MASURATORD, [Anthropometric data) Groutates medie normal naitere este de 300-3500 9. Cel rons uo great ince 2500300 gs names AN sbpondera. Sub grutten ‘i 2500 q la nastere osteo peru st smatrt feop eu grate trick pent vrea de sre ete a alin ma fo gestational ge = SA Ith end este 4000 gla nate ve numese fe gan tnacrosom ingimes fut cu pecometr ese Ia matre nme ot 4 S52 em sub 47 de cm so stucae prema Terimatle (crcumfrinfle) Se miso’ cu un centinetpangics (ce croton tereseas pees canary permet toad # pret ‘Sore Perinatal raion normal a nstre estes mele de 34 om. ce {Pm mare deci a tore care masa 31 em Oe nota cB aceasta fete angura pod cn Wale cna dferenta dite cele dout peimete24 rev pede pens tate ait de mare nfvones cei een, lo ecu pill an acest (een se mejoear wep, sel ic la vst Ge Tam cle dou pre Imai devin egae teorperimarl torace vo cee rt ra api de Din conidertl pe cl onion Un pert nian mat nner st Gerard posiatates de Nfocetabe congenital ack acunulres_ de Tid exorahcan in exces In caves canind, ca urmare 2 una bo din peicnds Irate (pre exp txplesmozs congener ‘neta enon gree mie semfes mest simptom cate resin {hor tule newropsiiceukereare ieaaerepaometore, epee. Un erste abdominal ae depo pe clr pose nde ce de 20 Eitan meteor adoring lonae sou Ichi in cava peroneal (asexa, angina eapull este dln fngines toad corpo deus nor uit, st apert se meres estat sel pdt I vt et, (pul juga 58 repremnte doar ean lunges Yt» corp, reali (se propor amonons rer apes pero de mar plton (bn tena 1.2. CARACTERE MORFOLOGICE $I FIZIOLOGICE, [Morphologic and physiological features] {aloarea pil ee a ncapu od sau roy, Przeiaunor zone do nos (vnae) te emilee ptologle fe plore. Oups 2 ae ela nsjtos aca an woudl cares pl eas spe gabe ese tel Roll l NN, det fa 8 aba semrifcape de boa Pa pene conus a nar rife depose abe gil, Este vernix cee 0 subse gras, de nat sebcee, dept e aguante dest (Ge erent, cre nu eb inaepatta cuore pre deoaece se resurbe inguin doers de ee te. “ot pe pees cos, lls pe ume Tn regjunes dal to ‘acl fe pet i, care de fpt ru a stucura ade afl dee Se umes onoo gis detaeaz sigur uma 2k "esta calulodipossubcutanet nu ste ned ene excepie {etl ae rei ule de gn san aceasts curd este rotunjar. Upse {sul rs protector fac ca KN fe oot ser a Fi. ‘Sktemalinfate nu ste deo ye gonaion Eels a ‘mod nal papal a acess vr Pesena ganghondor ae seria paoog awnscnonateneemepenne sins 25 ta crnie so consad ctaras clot ete compet xt 9 20k rnold tar omics, cu dmersune& em, stat pe la madara, Inte ot from ese Soul cae prea escfortoela omer sa ‘rae tematic Ese nce ros norma las 9 la hota ‘Gntanea ete mt ml morn micelle mst mal rica fotze ISINn tomer snitos st de bel ncn lo ryter. Suture alle fa) ne sole alot anne sun le sesh mod normal. Unghie tren jung pan a margiessangetlor. Peviloansle recilor a uh canna ort. 3S, testi sur caborte {scot La fete, Inbile mat Teaco pe cele me. ‘cat a Ne tame ete proporona a mare deci a ate vt; marge ners dept cu 23 cm acl costal 1) ces vast nett cae cpa mle urns rs a ear cei nets patotage unt vena amar (aha le NN ne ave enum ton de sip Seo! de imriiae Mor-Freudenberg fo exci putesic, NN lsh leg baal in sbduepe ndepsate de Wane apel le aprople Intra mere cade imei ~ellnl de epucr pehansne git uu degen pod pale tachi palma tind 38 apace eget ae ech "fll de pps stat: rt de se eu) pop cu tle de masa, tnd 5) seas un pas “reflec Cup ur de plant, NN econ oan amba pcr Naber ou snes acestorceflere In pias neonatal indies posite vor lel ale sera nerves cena essa unre dre pete wrt ce lun se obs encaftopatie cron inal le ‘etter capi nee pahomatari eave une rman cu dab ap (Chaneiapat) pent tat via 1.3. PRIMELE INGRIJIRI ACORDATE NOU-NASCUTULUI LA TERMEN SANATOS IMEDIAT DUPA EXPULSIE [First care required by the normal neonate after delivery] 1. Se cepe cu deasbebusren (= define, destupaes) cor rs pitt superar: hesata sa relnears prin sipiie Fests 0 Sond326 _Penasts spent ik Naston Ge caucus co sod dn teal pas de mine seat Capit tal al sont lnroduce In eavtatesbucald 9 NN se asp “ort in oa (pt secret vaginal ptrnse h gue NH, chesgur de ogee urn sue gst equa dups care se mpingesonds Din in lange 9 se agp de acl: spal Se asp con er dul [ose onal De ta b NU se ntaduce cet tp de snd mwah. Spalia spose face we rn conecata sonal ls un aspitor dec (uf un aepitor uot de a0 ar lores cu pes mcd Ge ala: “Ge gor. acest cz lo copa unde seat treble pus comes ste nu com crt onde ajung n gurapetsoone! ‘eas Se pote interna, re aoultubur de uo o pets de sls fpoviathca sopeand 0 bu cae rene prouzte septs 2 Se peuea cordonul om cx dau pese Manse secponcaes ie sates co fared Pervare ate co Sap evar nel Remaag finsore mam fe dnspe cop dosececordorulombileslconine vase Importe cae edna tn mpl ste oud wre ombicale ‘nome, i 2h ase detayt de mar, NN ese pus pe miss de nei lenis scope cu sete starlets sub 6 mp ean, care 53 tSrane trina drs, "h Urmeasd ponaree bent embical cre se face eu 9 ded din maori plat a cea 4 cm Aan de ple nrc cen oats (lief sel, aaase ene 0 deta de slguans ness cau wel Feoragh de cordon, ced tele uth ote suplmertar. Cu fsa ‘Seconears esl Sonu de dessa pens sat tampons supra Secionath cy beac soup 10% se face aol crea tegumentlr acesten pot # acoprte cl chesgut de ainge sce eh amit. Se procedent cu bude, {Slund compre stare molt in er Rolie el, cu ae serge idea ft a roca pins fare. NU este neces 5 eIndparieze vic seas, devorece na ae inl protector 50a esrb gue fo 6 rofas ofan gonoccke fate ada putea duce oper efit avec ext aigtore foc pin Mead Crd est Teas in sla de nivat de ognt 1 ete peu In funded sc {junta cesta spun mn evden pin Wagereapleooptr sus ee ‘Seroat, in or ene Ifo). Atel NU se a plea cet pe comes, Pitot de ari char i cea ance soba, id auc 14, SCORUL APGAR ‘Apgar score} cet scr sabe saree functor mal inparane ale rg ts nope Se cet In cen mit dup expla fully eee a 5 mute, paral cv manevcle de Ine edt. Dac valle constatte ins suntsusfeions, sel = epets dl 5145 mint, pnd cind NN {3 rv te neva, Bp com lee in abel 13, sear cans dln $ ‘ter a eae se acorch ote (21 910 are de sora const Ia fecare cer Din tumares notlr ret sor care poate fi maximum 10 tate funcional fare bs) fam 0 noarte cine, fr «exude Tt fosttaple de resvectae Seon Apgar normal rule se ee ui B St aceon vale, NN neces ng specie derives repeat 3 ‘ore pn nomalares Seon ogee rei Issey [ample 7 eares, Nera ml oat da ae [Rese gown a0 [Rowen oe eraecenwa |W wee te | aro fees sine ret sme Tul maby & [fone ner ba [mes som | wa \eoance* \recidscie an Jacmrape. | cow emis” ae iene fect evn nb [et28 rene pretend 1.5. EXAMINARI, MASURATORI, INGRIJIRI IN PRIMELE 24 DE ORE, [Physical examination, measurements and ‘special care for the first 24 hours] 1.5 face un examen cnc api dar complet 3 NN penn a eis ‘eventins arma congentle forse, care, ale cavi buale oe fee cinaven surien Lingo pret, 53 Se lagi de mana nouns un crtonay de iene cu un rum coespuncind cco st mame (8 acest oct Se Kena” St ul 8 fe connate reun a RN de acl Se) “4 In unce materia se face pasamenl Bont ombles! cu omprese sere certs mst ny aloo de 7" deaupa a tage © fag cuts de sutner mj absomenu NU Se ve fees euco.as, INN avn pees Sub uj ttabia In ae materia Bort este sat esse usuce mal epede ‘Sse rd NV In esec stele finde 0 gu cas protons capal(eourece te pb pull ete du en sol de ou nc. Camera zen} unde ves cb mama i 1 Se conlezs Ge cteve on parsomntl biel <2 cunva st tie ve singer a el ig 7. se urmete OV 5 ute in citva ore de a nates Asenka ‘micnor poste Inara 9 maermapie congenital pe le urna: Spero uel sa fate Se xc snare cu deschiere in rgane in Secu de msm 2 de oreo sage wel 8 line ‘on sznun eu eaatare specie, sum meant, Aesth Se prea 20 ma58 ‘erections fete alatat an mocks, secre Ite, BE, ep ‘esevamate (NU canine reir aimentare eourec, In at inte, uti teat ese sigur pn wee aba: Absent do Imecri poate produsd de © mallormatie congenial a tubvil eget ‘enol instal avez ps format) anorectal, imperoraie a 3 Se interne foin de obser NM, cu iose dalle conte cu sconl spore Lieentonsiotomensn pokey 28 16, INGRIJIRILE ULTERIOARE, DIN PERIOADA NEONATALA [Later care of the neonate] 1. inet inp 9 af materia Nw 6 examinatcln |e sa conti tempera fees vor naa scan toat tle ed Inve in faaa de observa = gif amit occ "SZ Pnsamentl emia 8c 2 fom pars se sch all, ar ests mariner Me florets toto Fok eels "83, NN va fiat dp Secare sean I rgiunea ano perinend 3 lune cium unguent protector fu iar cule Re 9p eK) per & preven! aparijaertemull fer fond roy Ita, prods de seune ‘unmoace saci, a ale general ea fce ns abl a 24 doe Ahupa detasaea Sonu ombsc vn pine de vi ve ace occa impor hap! ate ine tip B fens ea vaca Enge. "8 lune do xterra dn matetate oe face vcciares BC (bac ‘comet Goer) Inpotva bela, 1.7, ALIMENTATIA NOU-NASCUTULUI SANATOS [Feeding of the normal neonate] Find voto de un NN probleme, sllmentna a8 ieepe prec la 24 ore update, Ett mal mute sents fancie de mars § de posta et 7) Aliment ies acest asses ces mats, a cu lapte mater, Dock mama post ap rec, NN vo pus ls {ge sing Bact ma ponte spa dec amon amb gfe de apc {eva lg cu pomp lr cond star vm ft cop cu Ing Dnt rp det se tecomanda ca NW 53 pus asin oe cite of pl wes ob so altel eee ‘urns stor va progres, ncepind ca 1-2 minute pina 2s “cei eta atl ne ipsa pts dere 15-20 mete Dementonst cd teble a sx dea intwan sigur sn care sup 58 se hime eu eas ast mato, sel Int 8 sua secre Toc a arb $8 nu se produc rai weurla neonate de feare ‘pt mam fv splat co apf sipun ol aplva cl sterge Bn130 rues spaie nse mt ‘n cand ete ru poste pe NN ash su vf ment catgut, Contatn de late mater adn ve ete progres ds SUNS: Gout une formu ails peoeu prise 8-10 ale de vis len = 1)x7030080 com (2 cot dete me ox eons pot co a sma i 8250 BSL SMES Lie ice ea ase 9255 Conttte toad sel aft pa a7 mas te 3 ner Dok mame nae doe pte pera NN, poste ns aliments arias ad ea ct prt e pt afr eal te, Pee sarees sconmels sun ndesie formule aust de late re apt Percemiadept Humana; Ness Nan: wlups AMuri., Miupe Arar Bebane a! “Rate acete poduse eu cate 9 mensurd de plastic In embll 50 recone ee art et i un alt dacs, confor instruc eptucte homarl de mess ete de 67 in 2 de rr aan ic (eee 150.200 miagror tape Fula pep eal als ep 9 concen a slab sume ics Un aos de SW za Del pene POSES Ste ve tse 100 opt fas cts 2 Hogue cs vat be pet de lt fea 18 #2 Hage se rah 10 : Ite devs nuestendeat aceasta Dac Ins ext ak po- stu sev via ape dows bine fort at Yu al ain 5, ‘scat dou ume sul, uma de mest este do 67 n 28 de re lor canate mines de apt it ete de 150-10 mi/Agep 1.8, INCIDENTELE FIZIOLOGICE DIN PERIOADA. DE ACOMODARE A NOU-NASCUTULUL [Physiological events during the adaptation period of the newborn] tn acest pvoedé de tect eI vga Inoue a ata extra eins gu low se do moat adaptative ale rg Be bebo tient oWeemer rome piel 3 unoscute pet 3 nu f Interpret ca fomene paolo, afore fells, fra veo impate noc’ pen cpt 2) INVOLUTIA BONTULLI OMBLICAL [The umbic!cord involution! cote to usc replat cet (murine rector aseptic] cerarece fu est vascleaat Bol devine neg, ds Incepe sb sa spare de le Sint se detgesd sins 7-0 de a nutre. Nu ele pare oso ‘Stree lun fd vac asp ul doses sa destin sng. Plas [Besrindee vf pant anc eu compre trl loo de 70 ch ne ‘sa poceseul cl pansoment Dupe cere bon a 24 Ge cid ‘aoa Ineput ss epee, umes pina be goer b) SCADEREA FIZIOLOGICA IN GREUTATE (The physiological loss of ecg se pocace dn cau sin macniu aaa itesin 2 {poral alimentar edu dn prime ale NN sade Ingest pains Sita Sade lo mater, pena 5-108 dn greta il (ec daca ‘ayes ut 3.000 9 ajunge 28502700 pO sedoud greats rdmie ‘onsanaplincepe s eae in una 8-9 10 f grattna ‘Selo often. Delo acest ath cele le In mod constant, cigond Ta prin lan 7503 0) ICTERUL FIZIOLOGIC [Physiologie unde of neonate) apare Ie 2 2 ale dele nape, manfetinduse pen cloae glbend 2 pel, ‘a muconele sb eee Ete un fear cu hperlibremie ees reconlgetddatrtdhemele (Sstugere hematin) falgie cn Primate eda nt ale ur ech tar enzines hepa, sum Sleweniansrad Aces enznd ae rol de» cogs blir ret nse, censor o nnd cect (conjgl), Abus el epoa Impeie set proces ler faogie HU exe nso de bua digest, Ua sauna sun nal clr. Feat sling srt nite nema Ne neces instinct tment Darts mac ste de 9 sap, dupa care ease pont. Duta macs 258 pet un ee ale tte ce le Pest ace omen, ter este const psig nec inves lognoste eller eatarent 1 CRIZA GENITALA A NN [The genta ris of neonate) ese prods ie harmon ate care a ane i cruised In ulna pea 2 ‘ei inveutene: Leb! se muntets pin tuner festeullr 91 mic aca (artate de Beh Seres In vagal eer Ia ee pt-o {cree agra rrtsncontate mk La onbele soe lao tumelacie Seite Paap io pur ae set So WU ete yn el 9) ERMEMIUL ALERGIC AL Nt [The allergic erythema ofthe neonate) eect wate defienele fancies reat,|: efi neon ae apert eepator 2 eee eee oar pen orl xr mle oti eo crams ong deerocehs eer se “ip de nto» erp taboo cee fe ace soa aca eres de peed « fehlde soar sobsor cre cote pat abel 5 sg fons sls ssl psn spaseing rs red ieSisennsricartat sek amore se ot ost, 9 Sicha roveneumas ncecnoe poral nde ot re Irae cette Mn hal ete ceca Kile # corp ain spn cate pin hn oa fei cave opt ss si 0 "Det nconl se art crovasclr ‘Cone rh uted ele ae op ot conser fede pc pos peta fice urbane npc cee werngeae Seen finale le apereta igest 2 tic set ica pete go he srt ee Se Seite becuse a pete mete car abs apace opted reds (hr pet veal erp mie a sronatan sau pide ut Seebeck) 1 Sebo d emoreau Seeks espe meet Ho civ mina 9 re courdl dob mae pene pot de Wie fe pe Beat icone an "in wero» ar maaine de tol care de car hen sr peste “Sips coe» cri in Mola # fae sal cater Ge nrg manta (= ‘eon inet ee ci ssa ese / Sic anon pn espe LET eepheema ee rn aco oe pri it ce snunrtcp ot doe ttl sn pone ave fuera eb» ete re aninecyon fe pe prematur 36, INGRIJIRILE SPECIALE NECESARE PREMATURILOR [Special cares required by the preterm neonate] te fara iso ng cesar ect dup nates, valle pantry vost catagorle de nonscu cae a fort enone in cap. NOU- IASCUTUL LA TERME, NORMOPONDERAL, SANATOS, etd o see de Into specle de ini care se acd pratt in spel aor pv Feeste isu nd 5) supleze mare cefenje funcional cae pet puns ‘pra! viagsprenatur “rebueen prem Sab un salon spect al oy, personal star cleevt de ates Vor ete haat separate pent ace In on lar port une! mit pea ere oilanois pnts tote pears oe wn “gee cores aun prematr gr fe pin nstnea ll trun Incubator cone I eens lec la © Sua de Oger. cbs 2siqud ate (> Fp 2: "lr a de mot enbiant 9 dee as de cet bactrand fare poate exits Th Icipee. Manpulsfea prematutdl se post face fi ies capaci ineabator, desrece ext dou feenve mi, roto fen hsoune in peat ber al capot Deicide or peri 'g.2— mattr I cogs oe sn de cance ana de also Si gen eh ang ee pr et2 Ponerinae 2, Observes permanent a remands deowece aces poste seat cones seat histor I emperor de 387. Se pl ina asta mine eto cae tepuerr, eta ar tc ae reno 3 Tenpectue dort neces prin Aes poms 6 eth de un comuttt ayer to de butane fee cnt r= {ntermonets fat Pte nabetoniFnefonind sues pene Somnus mated ee manu cost tmp vou de be comutnr nck tu sue eo etc te finer meta "Une nd ctor exe rea pn alt coms de abl de coma Toc ae atts es tu tbe pennant unplt donee © vd ahem open eire de Serb tne vse Ge 2pd cece pn ator enti se evs unas rte ad -) se sensoper sc Ih espine pr ccna mucosa ""Pouerme se eet nebo oss exe bit tn pr ut ge ofe de Gest acre ie ogee! LE indicat de un debimsts mont ina seo 8 he Shuma coneestue i twa! nab elf e250 0 fort este cals de tn tab mont resto fete ah pete Fane de one deot ce concep sot. pre erp un teot det hve eas cncsoape defo otgen nebo De tomonetc NU ee pao concrete ra nate sO inp ‘Ra a eet i pene bal ceo op eal TRenopet pencil cs pone de lee eae © Ginionn onda de cxbon ross pn expe prerat 4 cen ie ofl mic state bra capa reo se ShfolW tele ded ch, ds eb! NU wba sat lon ameter ptr id shngh aig un tpt sox SE"Gact ae catton (0, fd al gis Seat acl be ou pe a inst nde 8 eet prema 7 tae estan compen nde, pn emedl vor sera fap foe premstr 4 aitss permanent pe on moniter ‘Crpuaure conor #epaur Nua ncbtl coe fe temome Ie"zopt, ceri pares sure vnc, Soe Ee Sng n ongen nel son 3.7, ALIMENTATIA PREMATURILOR [Feeding of the premature infants) ‘Webue5bse ya seama de marie dint fnconle ae apart oes, as cum a fos el eons ma sun, ae we premetut are au ete de supt dest de puter (prematu de ‘raat iment Se posts Yalta pi pare I san su spt a blero “a prema core nu eel de up uf de format dl pt ‘2b premade gr sleet amenaic ingu 2c pet wi prenatun cre nu au el putre 53 593, le ex de gh, imental sce pin ave cu son .a dere care rire pe). Senn de paleo, sna un epic! pet nc a parte sper Sevnodue pins, ind uments pra cu se floc 2 tabu 5 alunece pe pee postenio al fang pentru ca nu coma sie Inange peel Se sf inci se pruners 9 ond, pore ange Instone tebe st he eas cu sara dela labels rus te oa al au rota pnd pene oats estrrtatn eras 2 Strut pls nea 4 cm, Sonda se fueah de oar co Te de ucox Piast ante de ate caelth pent 0 mast se noduce cu sega, {rept pi Sond. La ss se inuoduce au soll de gaz 5% pert 3h dre pte pe peel sone ve pune capac ca 8 ru rogueze Sin pt napalm fr a 26-8 oe sess sana maa pe cae 2 fost invods,c8 Se produc Ura ale mucoeselnazale ‘iments premstarlorInepe Io 612 ore de bayer cu adi ‘vara desl e lucas 98 eu gu cu pet sau pe snd a pre= ‘matt av. Dups ae 6:12 oe, se voce [a simertaia ropruasa cu [Gp apt al vrei cl maton. Nara pst or wan fe prepa inte core menpontm cs Aind Incest a seem Nase Prion, Peopami, Presta Mpa Aparl Prema [Numa de mese af peru un preratur de edo sau de 7-8 In 24 de orf cite 3 ore interval. Un premature gral sau 1 primey 10 mene 24 ceo Ie ete 2 or Interv ‘Cantatas tote lpte neces pentu o 2! la un prenatur se ‘leat dupa urouea fora, vasbl In prime TOS ale de via ora xvx6 Theme Create oe pm apne ome rai in 20 Ve i Se aa *rotate bape ma crn ane hl coment mama? ape ‘un prematur nlseut cu 2.000 g, cu reflex de supt insuficlent, fersaticed meade kawaii tno sue peta. 3.8. COMPLICATULE PREMATURITATIL [nvolvements of prematurity] § ROLUL ASISTENTEI MEDICALE IN INGRIJIREA SPECIALA A PREMATURILOR [Nurse's role in special care of premature infants} tn aul premetutor atu tent meal sunt ma comes # un prone ect aul ANT een drow 9 sect es i 1 tin dome eee! cpr gene se de prenatir e supeeghen fecunren dente cuenta » erly, pavimeni el mobile ca SSiept sau Suraios Gre erent ceectonp cae 0 Sab vant TOM raven sate ural cu bt see cite separa Rott mg pe fh ee bigs car cite peoae 5+ mons pilerea mdinlor cu ap # sipun inante de mandpulares prematisor, ~ ogres eubeorll duo iecare eupant fase co und Ste detergents meron. Serio tse ne ne nero! neubator pn terre stir ru comva am parle de detergent eave sun forte lane ent pie mucoaie: ‘are bul pero decnectate ‘Noslts srerturll Irreglnes pores ese und = an caura uno sesune sumerease~ poste apiea eer! fe, neo? roe. ups Spares cu blader, rune se vo unge cu sali loss de tania A {ued ests un etm feser de format= nguente eu heroes Fluscnolon,Neoprea, iat de Mumtaz, SNbecanss, tet, Unguntele, ppste, casters nazoosete, jel tote matress aimertaipematortebule perfec stat we nrc acces wat 9 peseanlr sine sees de prema 2: Rebutl In omental monitorzi (sypravegherll contin) a pre: matron wa um 8 apart pera mictne pine eliinare 2 msconuu sti al erlr ae apne x cance clr a ma sub, re imaturin spec co gro bude urs (montane) puranent. Apa {ecbacat In eubator a pot Bne observa Se va acorda atari clr {gumentnoy feevenje # armpit! mic respatort, ever rig anorale ale erry, vrstuior (du de vu poste {pt provocind ae men snes misrarea tempera corporal, contol regi presi esl pen a supine un etm esi nf nce: ‘Semistes mol se hnejorae 9 Ineatonllreslre pare mete de uncinae la eae Inst in face grantee ‘ati: temperatura din intr, nates, debi concent exgen [Ut unitaen civecl a eigerssinbuvbot coeplcties ape tae ain barter pn Is val marat pe clinrul babetorlu, aurea oneti perfects» bulb ineabetorll (tens, deconetnle oc ete ale urer tb tscomnd Tancjanaree ga” 2 anor doa, Inchere core compet a capo sublets tnd ae aces metineres prmesbilai esar pe unde se ecard fe carbon ta incubator cali de alora, aceasta bul 5 fe I pers eit rig pr ae deer tne Une nari valt a temperate iterate 5. atbuile prvi almentatla prematulor sunt dose de n= ora eres ert al ner penatior ™ acolo unde ete nei, spr 8 refx dest dase th va invoice pe 6 nad Sond de pltins pat gava adnan rmarons3 mn pargifa prvnd alerts prematutor grav. Tebue 58 ‘ite erties ch ronda ae apo n ome ch mda pStne Comfo cle eprttn care car epve tee sad, cane sen de ese, Pers sunece co puna onda ve 8 uments cl ser ig Eo va Fiat de oboe cv a band Inst de fucopast st indatsonde de Ch ols sibs in 2 deo nd nous son se ode pe ‘lat rr “testa va eve mama #4 mul sil manual sau cv pope le ncepet vo aint ep peter cu sefnga cant de ip nce a Utero pote iat ams fk aceas operate, Indesndse {i'fecae Cotten de apt peta care mas 9 maniules Th conait ‘Sestts cena» tuturormserallon vrei om, alg mse noduees pe son une! ml cai (02 mi 9 soe used 38 petty cures sone precum near caput et extern ca cde cre Impedled epuratres Ieee ns pret limes cuppa su ung dup sabi ick «cart oe lpte pnt Race mas, assanta ve adminis penal Sines} ngput aol ve nsructa mama cm s procedeze tro, “Oy prea cre pot falta ect asin (rata wos) sv wagrevegon doch mama respects regule de gens» lite 9 eta 1 rss (15 rit eee noue sein co alent nlempetnn graS 0 eu pe, encanta nadee te admniseatlao teres necorespurasoe Fett rovocsInecente su ch accident co doin vrs Ge (epee # cana. 4 but in legit ce pregitran natete 1 gst ln ta turn mater insrumentlr neces in mortal fert > ep ~NOUNASCUTUL LATERMEN, HORMOPONDERAL siaaTos: wr veficares buns funn 2 Incubator staal de agen 4, CRESTEREA §1 DEZVOLTAREA IN CURSUL COPILARIEI [GROWTH AND DEVELOPMENT IN CHILDHOOD] 4.1, FACTORIT CU INFLUENTA DETERMINANTA, ASUPRA CRESTERI $1 DEZVOLTARI Betermining factors of growth and development} Se par ne 1) Factor exogent (care tin de mesial neonjrtor a op =" Glnatugeograte (racerliatl tn alrite sane. geograca ale pian eetares dears sunt cites.(58 Pentta spielen astm Loci nico poate nena in od poo ou negate tees cop pin confor, non, luminostat, oe ets Hpaocstoe sal en Sige a sai prin ods de 9 de ena, in es seca mn ele ph ee Pm “Sicrsegntunte tare snd nd ee co Tepe pd ints cop oa art tet, up vista copia te tbe pects cree apt acig mpI setledetajieecscfom,pursloge propo rc mercy Ere ‘rere sows oat mil cro dependent emard se tn on see ie Zi sentra pi amet natal Hosa scsi pn epi dpesece Ls ental de mest SSUGE Seca’ stnenage unl crew le come = he Sneath, un se Gul 67 mes apt Seneh 26 re ‘st eyeliner eat # pen pocsdor dep per (ai eon gene rok cera pin aac pres core seasclr ingen pos or echo, “Shee cea pt xe cel dememe nsx cat goin de 23 spn ev al sal ce Oo Se spain, nce fe oxen ematon cnantesincienne 71 ~ nal de comune, care In acasta port este resins con ‘acu es mama seu peseane dim esata arepee| rela de conta rt de sidtat rofl 9 bbl ian pn ate a domi le aie en cabinet meal fle Medel de Fare. Ae ese menjontsoblgatats pmsl vcs, cities, rmutrres esaminaen pero ser 2Pentrssugoral mare, carincepe chien nee act autnome, la railed mat us cterimin val, se aust eve de mga enced a ta fet $2 tap se va ican icone face epg sehen deli xn caret Aceon neve webu incept feats pn aerate inane une Incepe ee ‘iil apo. supraveghes iva st mest pin comer, a cept ut 2 un acts "paola de comunicare se pet. 58 vor pe eer sags ‘chor sores unease "hele de ree ae cerns mal mate rcomad ri pave de sina, mse, sesterea Ih mod progeny la ba do er de Seared in lus as de ble ne “pore novia de ose ce: jee tebe 8 pu presi percal de ne sou de desmerbiee a buch ml mi cate pth epitte e e ‘atl Su ng. el in Jur Uabule de Jace cu eur 3: Petr cop mic anteprecelay, pan pls ewan men art bog, cae so stmuleze apt piceres reset ~ neva de ase sngur unde amen, Hogs eas unr depend fence nk Foleo ite spares pe ein 1m ete impr “hls de oth in spa eich. a acess ebule espat sh ecste suproveghere uote nepund st inguin cat Pulp (ecidentae mufettot de ein, inoduceres uno siete Mutare {nu pein in gu ett “neva de prteeye impotva acidetlor case: cere de la ‘name rns ca obec ascue,preducres de est suocare cu obece Ic Ingerarea de substanfetoxice cu producees unr intone rave th ‘pocal buze castes mediamentay 4: a prejcolar unio nit mal mule dep nls, fecvenrea eins aug neve gl mule ipotcta fase recknet casice mine vlad x ade 4 prota mpotiveaccenelor rors ator everimente sae Ve 8 Inuit ete rap snp de mers pe sash de pnvarn tn! ts72m pt-pt in el “de animale ecuoscte, de evtare a gutor de coal gop anc « Serie pape fa to noel wo abu 3. ot ca eae spe dese Nu Ya ne sing op 382 enare pe surf ng un 9; rade poke coma cna de prac nee acing de Sreeacs tegat sau ot (prime Ted 2 precinares ‘chin, pia eh “ate ds ese gtr nal prt deer 2 prog de iat peo, pet Inepees vl sc sree deen eine a complex Acai detquats pe gure Se ‘Thal gargs peegtese pet vitesse clr. Preorar Sr gangs wf comaltat pe at post an, cue Seance ince des, eco pom pve eto manu wed ood tebe near sgt, eases cola cn co aca fn ore prespune eps nec. In sor de Spon tateat deve, nr re! 20021 rid cn 910 oe ete ae cam de Tea of dupkeriaa brace Se ewe Esporte reba haere cu ca aden Pon's eae ptr dnc sunt eat ran regen de itera Wel fs sama de ums evo j "burr umpult neces pen efecuare temaor # peney proses yas To Gomi, Eventual ve 260 tpl nee UR reste ra eaues wor av supine reese sau ae lo opie tas wane acd ropa ed arr duc supreeares WO eam US tetment rue ale pace ut oor de pefermans = tingle sre ce 9 8 dn. 24 tebe apie Ate can acoder ne spre yan sean ta acl vats mal putin pn sapere cat ere ee es do Tena at pm ves ures cop, condogince despre (evetars unr mas de preven de suai “te adolescent ese prover not S Shea confi dex a acer de ves cre interast sepa cl nal ns god aret vrst “Ndr re precede site apt #8 endamen Bie insral ee pvzlle pe cree resin urat consumal de ac nares cule in gil ear praccaren lee Nears de dogo sensten Pete pe aes SDS ‘see infront de at ce al Te Cpe bogs depen duran cot intotyee_T8 pace orl de at; eon dr de ud epee sis pa sea cep 0 conabe mors pen dart Bn it a vaca sport dea cu pion de tara peoae (bec, eto neces sen arn, pe cbs Stoke se rae, seen tee sant ce epee Sat numa: oni fe pec tc date tc Seenotor ne pesoanelatcu epee done ld ir Sebi I ee i br er 8 me aa pc ess ipo ol mee oscar ecngamer de pte ce eb est pura th eran tie es Te eect swe ra ses hcapu sop be eat is en et int ee 0 on nie tn cen pte in sete» anol 9 suger in mel urls se ference aprosieren de retour sau de animale Sts pmcome snot _8Y = 58 evte apropire de tail care vers ne In cue cu 530 vor si citige bunds cu ree chi “Joaca pe ang Su hap i supravegheat ~ ese intra Joss pe im le Ingham ent mnt de scat in aml care marge pe Bilt roe spe pt ee nrc he Pent gol mal ma se cute ule meio’ despre seats perl pe cae 02 e poate genes se sate pres pe care repent fumatul btu akotce st crogurte in avotursme 3 floss centre de quan Ck nu nein op loca peresose sou arb nu i 8 ost ee ters ones care or su cu price gis pe cp 3: alte (ereeningut periods ol tl de sindtate anual rfsuraren grt a nen nee en cop ‘Mere ial de obese, need car deo sa me anal masurea fru ate: i ete oe vecmand Sa! uct ce determinara canta & brent DR Ta PPD 2 v este inat aval a cep cu He cet conta ‘ac, bol anarcare ce ot schde rexitenge gel La eal 56 ‘feces ual n peda de sur peje 4 tm adlece ws colar ma ma convo prt evita aaj else bent ut nena ee su peda ao» lane § ROLUL ASISTENTEL MEDICALE $COLARE [The assignment of the school nurse] Lect a eatnetl medal nel so, usu fed mele permanent sents medica yal we su poBacsngate 1) Rut poflacices ete eral dec ens mors ee or(82 rung ria iene capo «elon contol penta pedir, sable, ct ale pet conosco bus petri sa afeciun dearest ~‘Canboteree fat fn scl, 2 const de baute loa, lepine ele cae anspor Su folosesedrogure nto grupo ontre,defeciao eurant ere persona 2 sero wT canada et urd a8 chet peta spre sito nee ein! pina mecela perv fear cop “bites donee leva contac de bo contagious: “resizes vacnilr in porcodle de apart: free evcudtefarinlene, xprocatat sealze de singe 1 tectaraIOfiona PPO: asoen anal et intl feeb ec nse date loro fea mesial “IE Insta ing conducere yo pen hares de ms de re veri a acidntelr: mena de place na a balsa clo ntl (etice sigue, nares cil pe este sau pe balenane ste by Atri corte Xt oven um peu ininum de instrument mesa de gerd eoxseatsecmnindumdtorela matele sng de taste mire 28 Er uni felony temometr, parse. Bt, apastosre ce rm, te tensune setorop fo, comrese ere, at ‘Co ameetcs sol de 70, Bet, lee de devarnd, event Sige tu Hand sou ponte dexnetates int a mekcarvnt: aractael abate say slo, ges compranate fife ad serait apna ser Flog, sp data, Adreostan Fol ams fl, oti sl, Clea co Fle areal sole ‘en fl hirocortzanRemusent fi Exe neceses un gr per ps accu s proeuslrbo- 10. INGRIJIREA CAVITATIL BUCALE $I A DINTILOR LA COPIL [CARE OF THE MOUTH AND DENTURE IN CHILDREN]Pn ypaaut-Inepr py ae Froblems igen dena wabule pus inch def deni de pen of opin cf ar est near find ode targa Peers ‘teats como dente tibuefcunt cs ene gi acest sa Eesorce prven pesdeveme aun te trmpotr cess compl (Gol eat cae end pin apa une! macs producers cngvte Maurie de profi a aor datas constay in: Mtr faa prods sahaonse car s posits fom do astonage sou comprimat die, Ciera retro ehnetare dn npn pea ups care mash tn spel dps cn de snr uliain 9 pera adecvath co aime © past de Gn agian got pers cop othe covspuraatar, Perl ‘vei vt atl nest pile ierertare 3 fi ine puns de vile Perro prin anette perl In sexs otzntl§vrtol tn facare Porte & stad deta "Syplmertares ral smears cv for. Fleel,cigoeement cre ined in comportia denne ete ecorandatb ule i (UA) de vst tle 2 Spm contiu pln vsta de 18 an ub forma ape potae ‘uote Insts nce apa poll no itu aceass cone se bostesoiista su fone ntl splint mediarertos xcs de Mot ‘Seine a apa unl sa enter marmot. pest, te parodies In cabinet storage Pra sine le ete reco rmandebis dps apo caret a cate de lot. dep ivi de Ton Ml tzu eves sco, contol pede stomatlagie poste 6 ‘esa rin cabinet 6 spect repartaat wore ne 40 ‘nat espect pene detrei vere purtre cota» apratlor cnodontee alo unde la fox ieee Instat. Este cau noc Pach aberate de crepes, ave neces tatament prin procedee de ‘Stedoni, Acete poem rere sd) un rue cresct de aac @ slr dente! U1, COPILUL iN SITUATH DE STRES [THE CHILD UNDER STRESS] Stras = totais tulburinlor & eetior adaptative apste anim ea suns leo arene fs (nla apes ce mses ‘30 neroreaa chill allege norma. 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