BubbleDep & Crying Babe Video Flashcards
Assess 1 breast at a time
True or False
True
Dignity
Nippel tip will tickle this part of the babies mouth to produce suck reflex
Roof of mouth
Engorgement,pulled, shiny, rock hard, Peaks 72 - 96 hrs postpartum.
Apply heat or cold
Cold.
Heat will produce more milk
Post C section
What is the most important bowel question?
Have you passes gas
If C section patient hasn’t passed gas in 12 hrs
What is the first nursing intervention?
Listen to bowel sounds
Stool softeners will be given to all postpartum patients
Correct
Not Laxatives, but give Stool Softeners
Gas pain might present in the part of your body
Pain in right shoulder
Ausculate or Palpate abdomen first
Ausculation first
With laceration in perineal area is stinging normal
Yeppers
____ caths for epidural patients
____ caths for C/S patients
Risk
Straight caths for epidural patients
Foley for C/S patients
Risk UTI
Rubra
Serosa
Alba
Describe
Dark Red & 3-4 days
Pinkish Brown 4 -10 days
Whitish yellow 10 - 28 days
Nursing action for a bleeding first bandage after C/S
Outline blood soaked area and date it with time
Dermoplast is used for. .
Numbing periarea after lacerations
Ice when…
Only first 24 hrs.
Decreases perfusion to area
What is the point of Rho-gam?
Who does it protect?
Future Pregnancies: The primary goal of RhoGAM is to protect future Rh-positive babies
Give mom Rubella MMR vaccine as soon as you find out she is not immune
T or F
F
Yes give it to her but CONTRADICTED WHEN PREGGERS. (It’s a live vaccine)
Give it postpartum
HIV moms are still encouraged to breast feeding
T or F
F
CRYING BABE
C color
R respiration
Y Yell out temp
I intake
N neuro
G good heart rate
B bowel
A abdomen
B bladder
E emotions
Best place to check oxy status in baby
Inside mouth
Phototherapy for bilirubin
What is the feeding schedule?
Increase feedings
Which Fontaine closes first
Posterior, early
About how long to breast feeding a newborn?
Size of a 1 day old and 2 day old stomach
20 mins
Cherry , walnut
How to elicit the following reflex
Suck Reflex
Suck Reflex
How to elicit: Gently place a gloved finger, pacifier, or nipple into the newborn’s mouth.
Expected response: The baby will begin sucking rhythmically, a sign of readiness for feeding.
How to elicit the following reflex
Rooting Reflex
Rooting Reflex
How to elicit: Stroke the baby’s cheek or corner of the mouth lightly with your finger or nipple.
Expected response: The baby will turn their head towards the stimulus and open their mouth, preparing to suck.
How to elicit the following reflex
Moro (Startle) Reflex
Moro (Startle) Reflex
How to elicit: Hold the baby in a semi-upright position, then simulate a slight drop by gently lowering them backward, or make a sudden loud noise.
Expected response: The baby will first extend their arms and legs, open their hands, then bring their arms back to the center of their body, often followed by crying.
How to elicit the following reflex
Grasp Reflex
Grasp Reflex
How to elicit:
Palmar grasp: Place your finger in the newborn’s palm.
Plantar grasp: Place your finger at the base of the newborn’s toes.
Expected response: The baby will close their hand (palmar) or curl their toes (plantar) around your finger.
How to elicit the following reflex
Plantar Reflex (Babinski Sign)
Plantar Reflex (Babinski Sign)
How to elicit: Stroke the sole of the baby’s foot, from the heel upward along the outer edge towards the toes.
Expected response: The toes should fan out and the big toe may extend upward. This is normal in newborns but is considered abnormal in older children and adults.
Scale for baby pain
Nips
Facial expression
Breathing patte4n
Legs
Arms
Cry
State of arousal
