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2. Health Promotion > Baby&Mom > Flashcards

Baby&Mom Flashcards

1
Q

evaporation

A
  • 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
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2
Q

conduction

A
  • movement of heat from a cooler object in direct contact

- ex. cold stethoscope, cold scale (weigh with blanket)

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3
Q

convection

A

-loss of heat into cooler air
-ex. cool mom off with fan
or baby being cooled by open door

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4
Q

radiation

A

-transfer of heat to cooler objects not in contact with infant (windows, walls)

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5
Q

term infant glucose day 1

A

40-60

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6
Q

term infant glucose after day 1

A

50-90

-< 40 is too low, feeding indicated

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7
Q

normal birth weight loss

A
  • 5-10%

- more than 10% is concerning

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8
Q

infant RR

A

30-60

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9
Q

dyspareunia

A

painful intercourse

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10
Q

mom weight loss

A
  • 12 lb in birth
  • 9 lbs in 2 wks
  • 5.5 lb in 6 months
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11
Q

normal blood loss c/s

A

-500 ml and 1000 ml

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12
Q

how to monitor for infection or blood loss

A

VS for temp, BP, P and signs such as chills, dizziness, fatigue…….

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13
Q

immunizations if …

A

indicated for rubella (live virus) and no pregnancy for at least 4 wks

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14
Q

D tap

A

diptheria and pertussis

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15
Q

maternal temp

A
  • elevated r/t dehydration, milk coming in

- should not > 38 C or 100.4 F

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16
Q

increased reflexes

A

risk for preeclampsia

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17
Q

redness, pain in breast

A

mastitis

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18
Q

hemorrhage after delivery

A

blood loss > 500 ml in Vag
or > 1000 ml c/s
- most common form of perinatal death

19
Q

calorie requirement - infant

A
  • 85-100 kcal / kg/ breast
  • 100-110 kcal/kg/ day if formula
  • both have 20 kcal /oz
20
Q

water requirement

A
  • 60-100 ml/kg day 3-5

- 150-175 ml/kg after

21
Q

LATCH assessment

A

(0-10 score 2 each)

  • < 7 needs intervention
    1. Latch (nipple and areola)
    2. swallow
    3. nipples
    4. comfort
    5. positioning
22
Q

formula feeding frequency

A
  • feed every 3-4 hrs
  • 1/2 to 1 oz per feeding 1st day
  • 3-4 oz within week
23
Q

Normal diuresis 2-3 days postpartum

A

3,000 ml/day

24
Q

<150 ml urine , frequent

A

Urinary retention

25
Q

Sex is ok when ….

A

Lochia is white

-reactions slow 1st 3 months

26
Q

Normal lochia

A
  • rubra : dark red 1-3 days
  • serosa : brownish red or pink -3-10 days
  • alba- yellow white after day 10- 6 weeks
27
Q

Infant BP cuff how wide

A

2.5 cm

28
Q

APGAR

A

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

29
Q

Expected infant weight

A

2500-4000 (5.5-8.8)

30
Q

Length infant

A

45-55 cm. (18!-22inch)

31
Q

Head circumference

A

12.6-14.5

32
Q

Chest circumference

A

12-13 inch

33
Q

Low birth weight

A

2500 g or less

34
Q

Term

A

37 -42 wks

35
Q

Premature

A

Before 37 wks

36
Q

Head

A

Normal is 2-3 can larger than chest

37
Q

Healthy temp infant

A

97.7-98.6

38
Q

Newborn fluid need

A

100-140 ml /kg/hr

39
Q

Newborn calorie need

A
  • 110 kcal/kg/day 3-6 months

- 100 kcal /kg/day after

40
Q

jaundice

A
  1. physiologic
  2. pathological
  3. breast fed
41
Q

physiologic jaundice

A
  • transient , normal
  • 2-3 days old
  • 5-6 mg/dl
42
Q

pathological

A
  • occurs in 24 hrs
  • most serious
  • 8 mg/dl at risk at 24 hrs
43
Q

breast fed jaundice

A
  • 1 wk of age
  • > 13 mg/dl
  • increase feedings 8-12 / 24 hrs

2. Health Promotion (4 decks)

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