Breastfeeding and more Flashcards
Vitamin K 1 mg IM
Vastus lateralis
TB syringe, 5/8”, 25-gauge needle
Prevents generalized bleeding
Cord, petechiae
Silver Nitrate 1% drops
Prophylaxis against opthalmia neonatorum
Gonorrhea
Legally-mandated
Erythromycin 0.5% ointment
Delay 1 hour for bonding’
Gonorrhea + chlamydia
Legally-mandated
Surgical procedure: prepuce (foreskin) separated from glans penis and excised
Most frequently-performed surgical procedure on NB
Practiced by Jews, Muslims
Widespread cultural acceptance: 55% US males (10% European)
Circumcision
reduced heterosexual HIV transmission, HPV, genital herpes, UTI in infancy,
penile cancer
American Academy of Pediatrics - circumcision benefits
Early potential problems: bleeding, infection, difficulty in voiding, separation of wound edges, pain
Later problems: irritation of meatus that can lead to ulceration/stenosis
Parents who decide NOT to circ.: teach to clean exposed glans, check for ability of foreskin to retract (fully by ages 3-6 years)
European opinions
If decide to have baby circumcised: do when baby stable, has already voided once, not fed
within last hour
Nurse gathers equipment
Gomco clamp, Mogen clamp, Plastibell most common in US
Anesthesia: none, ELA-Max cream, penile block
General anesthesia can be used in those >1 month of age
circumcision
↓ risk breast, uterine, ovarian Ca estrogen ↓ osteoporosis Child spacing Emotional health Postpartum weight loss Saves $400/year (formula $1200/yr.)
Breastfeeding - Benefits: Mother
↑ IQ (cholesterol, fat favor nerves) ↑ visual acuity ↓ ear infections, need for tonsillectomies ↑ mouth development ↓ respiratory & GI infections ↓ allergies, eczema Immune system benefits ↓ risk T1 diabetes
Benefits: Newborn
increases & stimulates lactation
Prolactin
Radiates out from nipple, forming 15-20 lobes; spaces between filled with adipose & lobes
connected by fibrous tissue
Each lobe divided into lobules, made up of alveoli (functional unit)
Special cell in alveoli: acini - Epithelial cell, produces milk
Glandular Tissue
Baby put to breast
Stimulation sends impulses to spinal cord & brain (hypothalamus)
Oxytocin (from posterior pituitary) →anterior pituitary to release prolactin
→stimulates milk production
Mechanism of Lactation