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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
What are the signs of fullness?
sleeping | slowing (breast should be soft)
26
When should newborns be burped?
when alternating breasts & when done feeding
27
How should newborns be burped?
upright on shoulder
28
How do you know the newborn is receiving adequate feedings?
gaining weight voiding 6-8 times a day content
29
Begin the next feeding with which breast?
the breast you stopped on in previous feeding
30
How should you position a baby after feedings?
on their back
31
What herbal products to increase milk production?
Fenugreek & blessed thistle
32
What medication increases milk production?
metoclopramide
33
How long can breastmilk be store at room temperature?
8 hours
34
How long can breastmilk be used if refrigerated?
8 days
35
How long can breastmilk be freezed in a refrigerator
6 months
36
How long can breastmilk be deep freezed?
1 year (12 months)
37
What is the best way to thaw milk?
in refrigerator | run over warm water
38
Can you refreeze thawed milk?
no
39
What do you do with unused portions of breast milk after thawing or warming?
discard
40
What is recommended if mom's breast milk isn't used?
donor milk
41
What is needed if using donor milk?
signed consent
42
How often should parents wake up newborns to eat?
every 3 hours (day) & every 4 hours (night)
43
When can an on-demand schedule start to be followed?
after adequate weight gain
44
Nursing actions for bottle feeding
Teach formula preparation & forms of formula
45
How should bottles/accessories be cleaned?
hand or dishwasher
46
What should you do before opening a can of formula?
wash lid & shake
47
How long can you refrigerate prepared formula?
48 hours
48
How do you position a baby to feed?
semi upright (45 degree angle)
49
Where should the nipple be placed?
top of tongue
50
How do we keep baby from swallowing air?
keep nipple full
51
Why don't we ever prop the bottle for feeding?
aspiration risk
52
what should be don with unused formula?
discard, risk for bacteria
53
How do we know a baby is adequately feeding?
weight gain & bowel movement 3-4x
54
How often are weights done in the newborn nursery?
daily
55
when should follow up take place after discharge from the hospital?
3-5 days and then weeks
56
How is growth assessed?
use growth chart
57
What assessments can help assess newborn growth?
I&O length head circumference watch feeding
58
What can be done for newborns who are sleepy?
``` unwrap wipe with wet cloth change diaper talk to them rub hands & feet ```
59
What can be done for newborns who are fussy?
swaddle, rock gently, skin to skin
60
What is failure to thrive?
slow weight gain (below 5th percentile)
61
what are ways to assist in failure to thrive newborns who are breastfed?
massage the breast determine feeding pattern is mom drinking fluids & eating is baby spitting up
62
what are ways to assist in failure to thrive of newborns who are formula feeding?
how often eating spitting up dietary allergies (cow's milk)(change to soy)
63
When are mom's dischraged?
vaginal 2 days | Cesarean 72 hours
64
why do newborns cry?
hungry, overstimulated, diaper, hot/cold, tired
65
why shouldn't parents feed the newborn every time they cry?
stomach aches & diarrhea
66
what are ways to soothe a crying newborn?
``` swaddle movement stimulation skin to skin offer pacifier rhythmic sound (wave machine) ```
67
When do most newborns sleep through the night without a feeding?
4 to 5 months
68
when should a newborn be placed on their abdomen?
supervised & when awake
69
How do we swaddle?
make an upside down triangle (one side, bottom, other side)
70
Why does a newborn like to swaddled?
intrauterine position
71
how often should a baby get a complete bath?
2-3 times a week (use mild soaps no scents)
72
when can bathing by immersion start?
when cord falls off & circumcision heals
73
what are bathing techniques to teach?
clean to dirty, don't get cord wet
74
What are safety concerns associated with bathing?
never leave baby water temperature avoid drafts only expose parts being bathed
75
What can help prevent dry skin?
lotion
76
how can a diaper rash be prevented?
change when dirty & frequently.
77
What are signs of cord infection?
redness, drainage, odor, notify HCP
78
what type of fabric is best?
flame retardant
79
how should newborn clothes be washed?
mild soap, hot water, separate
80
what is the general rule when dressing a baby?
dress how you would dress
81
What are the "Nevers" when caring for a baby?
unattended pets & small children soft sleep surface lay on table & couch wrap something around their neck
82
discuss crib safety
firm back to sleep tight fitted sheets space between mattress and crib should be 2 finger breaths keep away from insulated wall (radiation)
83
where should smoke detectors be located?
every floor of the home
84
how can you eliminate potential fire hazards?
keep crib away from heaters/radiators
85
why should second hand smoke be avoided?
risk of respiratory illness & SIDS
86
what should visitors do?
wash hands & stay away if sick
87
how should a car seat be positioned?
in back seat rear-facing the back in the middle
88
how long should infants be kept in rear facing car seats?
age 2
89
list manifestations/illnesses to report
``` 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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