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maternal child > Module 3 Day 3 > Flashcards

Module 3 Day 3 Flashcards

1
Q

What is the normal amount of weight loss for a newborn after birth?

A

5 to 10%

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2
Q

How much weight do newborns gain per week in the first 3 months?

A

110 to 200 grams

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3
Q

Why is calorie intake essential for newborn health?

A

growth & development

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4
Q

How many calories per oz is in breast/bottle milk?

A

20 oz

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5
Q

How much protein should a newborn receive?

A

9 g/day

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6
Q

What is recommended for mom’s who are breastfeeding but do not consume meat, fish, dairy?

A

Vitamin B12 supplement

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7
Q

When should iron be given?

A

At 4 months until they can eat solid foods

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8
Q

When is fluoride given

A

At 6 months

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9
Q

When should solids be added to a baby’s diet?

A

At 6 months one food at a time pureed to see if allergic

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10
Q

How many times should a newborn eat/nurse in 24 hours?

A

12 times

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11
Q

What is colostrum?

A

1st milk, rich in IgA and passive immunity

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12
Q

What are some nursing interventions to encourage breastfeeding?

A

warm compress
adequate nutrition
drink lots of water
rooming in

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13
Q

When should the nurse present information on breastfeeding

A

with the baby in the room

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14
Q

when should breastfeeding be intiated?

A

immediately after birth (first period of reactivity)

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15
Q

parents should wash their hands, get comfortable, and have what avaliable?

A

fluids

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16
Q

What is the let down reflex?

A

nipple stimulation releases oxytocin causing milk to be released

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17
Q

Why should mom spread milk over the nipple?

A

Lubricate & entice baby

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18
Q

How much of the areola should be covered by the newborns mouth?

A

all of it

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19
Q

How should the baby be removed from the breast?

A

put finger in mouth

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20
Q

What are other resources for breastfeeding?

A

lactation consult & support group

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21
Q

Is cramping normal while breastfeeding?

A

yes because of oxytocin

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22
Q

What should be touching the breast if the newborn is latched correctly?

A

nose, cheek, chin

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23
Q

what are some feeding-readiness or hunger cues?

A

mouth to hand
sucking
rooting

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24
Q

How long should a newborn typically nurse on each breast?

A

15 to 20 minutes

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25
Q

What are the signs of fullness?

A

sleeping

slowing (breast should be soft)

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26
Q

When should newborns be burped?

A

when alternating breasts & when done feeding

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27
Q

How should newborns be burped?

A

upright on shoulder

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28
Q

How do you know the newborn is receiving adequate feedings?

A

gaining weight
voiding 6-8 times a day
content

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29
Q

Begin the next feeding with which breast?

A

the breast you stopped on in previous feeding

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30
Q

How should you position a baby after feedings?

A

on their back

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31
Q

What herbal products to increase milk production?

A

Fenugreek & blessed thistle

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32
Q

What medication increases milk production?

A

metoclopramide

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33
Q

How long can breastmilk be store at room temperature?

A

8 hours

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34
Q

How long can breastmilk be used if refrigerated?

A

8 days

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35
Q

How long can breastmilk be freezed in a refrigerator

A

6 months

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36
Q

How long can breastmilk be deep freezed?

A

1 year (12 months)

37
Q

What is the best way to thaw milk?

A

in refrigerator

run over warm water

38
Q

Can you refreeze thawed milk?

A

no

39
Q

What do you do with unused portions of breast milk after thawing or warming?

A

discard

40
Q

What is recommended if mom’s breast milk isn’t used?

A

donor milk

41
Q

What is needed if using donor milk?

A

signed consent

42
Q

How often should parents wake up newborns to eat?

A

every 3 hours (day) & every 4 hours (night)

43
Q

When can an on-demand schedule start to be followed?

A

after adequate weight gain

44
Q

Nursing actions for bottle feeding

A

Teach formula preparation & forms of formula

45
Q

How should bottles/accessories be cleaned?

A

hand or dishwasher

46
Q

What should you do before opening a can of formula?

A

wash lid & shake

47
Q

How long can you refrigerate prepared formula?

A

48 hours

48
Q

How do you position a baby to feed?

A

semi upright (45 degree angle)

49
Q

Where should the nipple be placed?

A

top of tongue

50
Q

How do we keep baby from swallowing air?

A

keep nipple full

51
Q

Why don’t we ever prop the bottle for feeding?

A

aspiration risk

52
Q

what should be don with unused formula?

A

discard, risk for bacteria

53
Q

How do we know a baby is adequately feeding?

A

weight gain & bowel movement 3-4x

54
Q

How often are weights done in the newborn nursery?

A

daily

55
Q

when should follow up take place after discharge from the hospital?

A

3-5 days and then weeks

56
Q

How is growth assessed?

A

use growth chart

57
Q

What assessments can help assess newborn growth?

A

I&O
length
head circumference
watch feeding

58
Q

What can be done for newborns who are sleepy?

A 
unwrap
wipe with wet cloth
change diaper
talk to them
rub hands & feet
59
Q

What can be done for newborns who are fussy?

A

swaddle, rock gently, skin to skin

60
Q

What is failure to thrive?

A

slow weight gain (below 5th percentile)

61
Q

what are ways to assist in failure to thrive newborns who are breastfed?

A

massage the breast
determine feeding pattern
is mom drinking fluids & eating
is baby spitting up

62
Q

what are ways to assist in failure to thrive of newborns who are formula feeding?

A

how often eating
spitting up
dietary allergies (cow’s milk)(change to soy)

63
Q

When are mom’s dischraged?

A

vaginal 2 days

Cesarean 72 hours

64
Q

why do newborns cry?

A

hungry, overstimulated, diaper, hot/cold, tired

65
Q

why shouldn’t parents feed the newborn every time they cry?

A

stomach aches & diarrhea

66
Q

what are ways to soothe a crying newborn?

A 
swaddle
movement stimulation
skin to skin 
offer pacifier
rhythmic sound (wave machine)
67
Q

When do most newborns sleep through the night without a feeding?

A

4 to 5 months

68
Q

when should a newborn be placed on their abdomen?

A

supervised & when awake

69
Q

How do we swaddle?

A

make an upside down triangle (one side, bottom, other side)

70
Q

Why does a newborn like to swaddled?

A

intrauterine position

71
Q

how often should a baby get a complete bath?

A

2-3 times a week (use mild soaps no scents)

72
Q

when can bathing by immersion start?

A

when cord falls off & circumcision heals

73
Q

what are bathing techniques to teach?

A

clean to dirty, don’t get cord wet

74
Q

What are safety concerns associated with bathing?

A

never leave baby
water temperature
avoid drafts
only expose parts being bathed

75
Q

What can help prevent dry skin?

A

lotion

76
Q

how can a diaper rash be prevented?

A

change when dirty & frequently.

77
Q

What are signs of cord infection?

A

redness, drainage, odor, notify HCP

78
Q

what type of fabric is best?

A

flame retardant

79
Q

how should newborn clothes be washed?

A

mild soap, hot water, separate

80
Q

what is the general rule when dressing a baby?

A

dress how you would dress

81
Q

What are the “Nevers” when caring for a baby?

A

unattended pets & small children
soft sleep surface
lay on table & couch
wrap something around their neck

82
Q

discuss crib safety

A

firm back to sleep
tight fitted sheets
space between mattress and crib should be 2 finger breaths
keep away from insulated wall (radiation)

83
Q

where should smoke detectors be located?

A

every floor of the home

84
Q

how can you eliminate potential fire hazards?

A

keep crib away from heaters/radiators

85
Q

why should second hand smoke be avoided?

A

risk of respiratory illness & SIDS

86
Q

what should visitors do?

A

wash hands & stay away if sick

87
Q

how should a car seat be positioned?

A

in back seat rear-facing the back in the middle

88
Q

how long should infants be kept in rear facing car seats?

A

age 2

89
Q

list manifestations/illnesses to report

A 
Increased temperture
poor eating 
forceful/frequent vomiting 
decreased urination (sunken frontal)
diarrhea/constipation 
jaundice/cyanosis
lethargic
bleeding
inconsolable cry
bleeding 
drainage in eye 
labored breathing/flared nostrils/apnea

maternal child (3 decks)

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