Module 7 (Exam 1) ****3**** Flashcards
Bonding
- Initial, unidirectional attraction of parents to infant
Attachment
- Enduring, reciprocal bond between parent and child
- Each benefits
En Face
Position in which one looks at another face to face
Taking-In
- Delivery-PP Day 1-2
- Passivity, dependence, focus on physical needs, reviewing the birth
- Provide direct physical care, encourage discussion of birth
Taking-Hold
- Several days following Day 1-2
- Increasing independence, autonomy
- Support autonomy, focus on teaching, validate caregiving abilities
Letting-Go
- Variable time frame
- Reliquishment of previous roles, realization of new family unit
- Generally happens after dischage, support integration
Maternal Role Attainment: Anticipatory
- Prenatal
- Planning for birth and parenthood
- Seeking out role models
- Attending classes
Maternal Role Attainment: Formal to Informal
- Birth-4-6weeks
- Becoming aquainted with babe
- Responding to cues
- Personalizing parenting style
Maternal Role Attainment: Personal
- Variable time frame
- Harmony
- Integration of the maternal role
Sequential Touching Behaviors characteristic of a mother in becoming acquainted with her newborn
- Fingertip touch: mother touches baby with only fingertips to explore baby’s characteristics
- Palmar contact: mother uses whole palm to touch baby
- Enfolding/Holding: mother holds baby close to her
Baby Blues
- 60-70% incidence
- Onset is early puerperium
- Transient and self limiting
- Sadness, tears, mood swings
- Resolution within two weeks PP
- May progress to PP depression
Postpartum Depression
- 10-15% incidence
- Persistent blues
- Difficulty in caring for self and/or infant
Postpartum Psychosis
- Major depressive disorder
- Incidence 1-2 women per 1000
Warning Signs: Maternal
- Temp Elevation: greater than or equal to 38 degrees C
- Excessive uterine bleeding
- Localized breast pain, redness
- Localized pain or redness in legs
- Dysuria, frequency, urgency
- Persistent baby blues
Warning Signs: Neonatal
- Temp Elevation: greater than or equal to 38 degrees C
- Poor Feeding: BF less than 8-12 X a day or Formula feeding less than 6-8 X a day
- Jaundice below umbilicus
- Inadequate Output: less than 6 voids and/or less than 1-2 stoolsper day
- Excessive fussiness or sleepiness
Contraceptive Counsel
- Consider cultural and religious convictions
- Recommend barrier methods during puerperium (oral contraception can interefere with milk production)
- Breastfeeding is not considered effective contraception
- Progestin-only preparations during lactation - estrogen correlates with decreased milk production
Sleep Habits to Encourage
- Room sharing
- Breastfeeding
- Back-to-sleep
- Firm sleep surface
- Consistent AP care
- Pacifier during sleep
- Infant immunizations
- Supervised tummy time
Sleep Habits to Avoid
- Bedsharing
- Overheating
- Home Monitors
- Smoke Exposure
- ETOH/illicit drugs
- Commerical devices
- Loose bedding/soft toys
Witch hazel compress, analgesic spray, dibucaine hydrochloride
Used for comfort measures with pain, lacerations, and hemorroids in perineal area.
Docusate Sodium
Colace. Given to mother after birth as a stool softener. Pain prevention.
Ocycodone hydrochloride/Acetaminophen (Percocet)
Administered for pain. Fine with breastfeeding.
Codeine/Acetaminophen (Tylenol with codeine)
Given for pain. Fine with breastfeeding.
