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NU 330 > Chapter 16 > Flashcards

Chapter 16 Flashcards

1
Q

5 rights of teaching

A
  1. time
  2. context
  3. goal
  4. content
  5. method
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2
Q

discharge planning includes

A
  • standards written instructions
  • tailored discharge plans
  • may also include follow-up appointments
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3
Q

when should you discuss follow-up appointments?

A

during discharge teaching

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4
Q

what are the benefits to breastfeeding for baby?

A

decreased risk of
- gastroenteritis
- otitis media
- SIDS
- necrotizing enterocolitis
- UTI

reduced hospitalization

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5
Q

what are the long-term benefits to breastfeeding?

A

decreased risk of
- asthma
- atopic dermatitis (eczema)
- cardiovascular disease
- celiac disease
- childhood IBS
- obesity
- sleep disorders

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6
Q

contraindications for breastfeeding

A
  • disease: TB, HIV, infants with galactosemia
  • treatments: radioactive isotopes, chemotherapy
  • street drugs
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7
Q

3 stages of milk development

A
  1. colostrum
  2. transitional milk
  3. mature milk
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8
Q

mature milk is broken up into

A
  1. foremilk
  2. hindmilk
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9
Q

foremilk

A
  • comes out first
  • very watery
  • purpose: to hydrate baby
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10
Q

hindmilk

A
  • end of feeding
  • rich in fat
  • keeps baby satiated longer
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11
Q

colostrum

A
  • thick, clear
  • high in protein
  • good carbohydrates
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12
Q

transitional milk

A
  • colostrum going towards milk
  • increased levels of fat and protein
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13
Q

breastfeeding cues

A
  • hunger
  • satiation
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14
Q

what is included in the breastfeeding process

A
  • latching on
  • positioning
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15
Q

what should you do during and after breastfeeding?

A

burp the baby

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16
Q

what is a proper latch?

A
  • mouth around the areola
  • nipple in the back of the mouth
  • lips with firm seal around the areola
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17
Q

storage guidelines of breastmilk: freshly pumped/expressed

A
  • countertop/room temp: up to 4 hours
  • fridge: up to 4 days
  • freezer: up to 6 months best, up to 12 months ok
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18
Q

storage guidelines of breastmilk: thawed/previously frozen

A
  • countertop/room temp: 1-2 hours
  • fridge: up to 1 day
  • freezer: never refreeze human milk after it has been thawed
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19
Q

storage guidelines of breastmilk: leftover from a feeding (baby didn’t finish the bottle)

A

use within 2 hours after the baby is finished feeding

*storage condition does not matter

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20
Q

formula feedings: pros and cons

A
  • nutritious alternative
  • special formulas
  • proper intake
21
Q

teaching topics for formula/bottle feeding

A
  • BPA free bottles
  • clean bottles and nipples with warm soapy water
22
Q

normal activities of newborn care

A
  • bathing
  • clothing
  • diapering
  • more awake at night
  • more tired during the day
  • let normal noises happen so baby gets used to it
23
Q

newborn care: cord care

A
  • leave it alone and let it fall off on its own
  • don’t want diaper covering the cord
  • want to keep it dry
  • should fall off within a few days
24
Q

newborn care: bulb syringe

A
  • don’t use too much, can cause swelling and trauma in mouth and nose
  • only use when necessary
25
Q

follow-up care appointments: timing of 1st appointment

A

2-4 days after discharge
- first time parents: 48 hours

26
Q

follow-up care appointments: timing of well-baby visit appointments

A

done at 1, 2, 4, 6, 9, and 12 months of age

27
Q

preventative actions: P A H T

A

Pediatric Abusive Head Trauma
- aka shaken baby syndrome

  • counsel patient to reach out to support system when feeling overwhelmed
28
Q

5 S’s to soothe the baby

A
  • swaddle
  • side position (not to sleep, just to soothe)
  • shushing
  • swinging (rocking)
  • sucking (pacifier- wait 2 weeks for good breastfeeding initiation, bottle)
29
Q

safe sleep: do’s

A
  • on back
  • swaddle
  • ASTM certified crib
  • firm crib mattress
  • mattress encasement
  • fitted mattress pad and sheets
30
Q

safety teaching

A
  • infant car seats
  • fall prevention
  • accident prevention, safety at home
  • poison prevention
  • take baby out in public, but not an overly crowded/invasive place
  • vaccines
31
Q

when to call MD

A
  • rectal temp above 100.4 or axillary above 99
  • loss of appetite
  • not interested in eating q3h
  • lethargic
  • sleepy or not active per norm
  • doesn’t cry or has weak cry
  • skin rash
  • sunken or bulging fontanels
  • bleeding from circumcision or cord site
  • foul odor from circumcision or cord site
32
Q

how long does the WHO recommended women breastfeed?

A

breastfeed exclusively for 6 months

33
Q

why do most moms stop breastfeeding?

A
  • painful
  • lack of support from providers, nurses
  • have to go back to work (only 6-8 weeks of maternity leave)
34
Q

what are the benefits to breastfeeding for mom?

A
  • decreased risk of breast and ovarian cancer
35
Q

what happens to the hormones: progesterone, estrogen, prolactin after delivery?

A
  • progesterone estrogen fall after
  • prolactin increases- allows for production secretion of milk
36
Q

how does the milk let down response work?

A

oxytocin is secreted when baby stimulates the nipple
- causes the myoepithelial cells of alveoli in breast to contract, which pushes milk into the duct system
- milk travels into ducts, baby does let down suck, which allows milk to come down and eject into further ducts

37
Q

what can trigger a milk let down response?

A
  • baby cries
  • if she’s too full (of milk)
38
Q

hunger cues of newborn

A
  • licking lips
  • smacking lips
  • sticking tongue out
  • hand in mouth
  • suck on fingers
  • turn head towards mom’s voice
  • rooting reflex
  • quiet alert stage
39
Q

is crying an early or late sign of hunger?

A

late sign

40
Q

rule of 3s for breastmilk

A
  • 3 hr on counter
  • 3 days in fridge
  • 3 month in freezer
41
Q

s/sx of umbilical cord infection

A
  • swelling
  • tenderness
  • bleeding
42
Q

safe sleep: don’ts

A
  • crib bumpers
  • toys
  • pillows
  • blankets
  • overheating house
  • hat
  • overdress
  • cords near crib
  • sleep positioners or wedges
43
Q

how can parent reduce risk of SIDS

A
  • sleep on back
  • breastfeeding
44
Q

how often should the newborn be bathed?

A

sponge bath 2-3x/week

45
Q

how should the newborn be clothed? (layers)

A

what you are comfortable in +1 layer

46
Q

how often should the diaper be changed?

A

change every 2-4 hrs, use diaper cream

47
Q

is the baby more awake during the day or at night?

A
  • more awake at night
48
Q

is the baby quieter/sleepier during the day or at night?

A
  • sleepier during the day
49
Q

why shouldn’t the type of formula be changed?

A

will upset baby’s GI system

NU 330 (18 decks)

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