Baby&Mom Flashcards
evaporation
- air drying of skin results in cooling
- respirations and insensible loss from skin
- ex. baby comes out wet , air cools , NI: dry off, change wet towel
conduction
- movement of heat from a cooler object in direct contact
- ex. cold stethoscope, cold scale (weigh with blanket)
convection
-loss of heat into cooler air
-ex. cool mom off with fan
or baby being cooled by open door
radiation
-transfer of heat to cooler objects not in contact with infant (windows, walls)
term infant glucose day 1
40-60
term infant glucose after day 1
50-90
-< 40 is too low, feeding indicated
normal birth weight loss
- 5-10%
- more than 10% is concerning
infant RR
30-60
dyspareunia
painful intercourse
mom weight loss
- 12 lb in birth
- 9 lbs in 2 wks
- 5.5 lb in 6 months
normal blood loss c/s
-500 ml and 1000 ml
how to monitor for infection or blood loss
VS for temp, BP, P and signs such as chills, dizziness, fatigue…….
immunizations if …
indicated for rubella (live virus) and no pregnancy for at least 4 wks
D tap
diptheria and pertussis
maternal temp
- elevated r/t dehydration, milk coming in
- should not > 38 C or 100.4 F
increased reflexes
risk for preeclampsia
redness, pain in breast
mastitis
hemorrhage after delivery
blood loss > 500 ml in Vag
or > 1000 ml c/s
- most common form of perinatal death
calorie requirement - infant
- 85-100 kcal / kg/ breast
- 100-110 kcal/kg/ day if formula
- both have 20 kcal /oz
water requirement
- 60-100 ml/kg day 3-5
- 150-175 ml/kg after
LATCH assessment
(0-10 score 2 each)
- < 7 needs intervention
1. Latch (nipple and areola)
2. swallow
3. nipples
4. comfort
5. positioning
formula feeding frequency
- feed every 3-4 hrs
- 1/2 to 1 oz per feeding 1st day
- 3-4 oz within week
Normal diuresis 2-3 days postpartum
3,000 ml/day
<150 ml urine , frequent
Urinary retention
Sex is ok when ….
Lochia is white
-reactions slow 1st 3 months
Normal lochia
- rubra : dark red 1-3 days
- serosa : brownish red or pink -3-10 days
- alba- yellow white after day 10- 6 weeks
Infant BP cuff how wide
2.5 cm
APGAR
Score : 0 1 2
HR: absent slow<100 > 100 bpm
RR: absent Slow, weak cry Good cry
Muscle tone : flaccid Some flexion Well-flexed
Reflex irritability: none Grimace Cry
Color: blue , pale. Pink body , cyanotic hands and feet ( acrocyanosis ) completely pink
Expected infant weight
2500-4000 (5.5-8.8)
Length infant
45-55 cm. (18!-22inch)
Head circumference
12.6-14.5
Chest circumference
12-13 inch
Low birth weight
2500 g or less
Term
37 -42 wks
Premature
Before 37 wks
Head
Normal is 2-3 can larger than chest
Healthy temp infant
97.7-98.6
Newborn fluid need
100-140 ml /kg/hr
Newborn calorie need
- 110 kcal/kg/day 3-6 months
- 100 kcal /kg/day after
jaundice
- physiologic
- pathological
- breast fed
physiologic jaundice
- transient , normal
- 2-3 days old
- 5-6 mg/dl
pathological
- occurs in 24 hrs
- most serious
- 8 mg/dl at risk at 24 hrs
breast fed jaundice
- 1 wk of age
- > 13 mg/dl
- increase feedings 8-12 / 24 hrs
