Notes From Class Flashcards
Vag birth on labor unit 1 / 2 hrs
V/S on labor unit 2/3 hrs
How often VS on labor unit
Q15min
Ensure new mom uses bathroom ____ times before independiente
2
If a woman stops breastfeeding How long until breastmilk Dries Up?
2 days
Acrocyanosis = Normal or Abnormal
Normal
Pink trunk but blue extremities
After first infant bath 12 hrs after birth perform these activities
Skin to skin contact/ Warm baby
Check temp <1hr
Who performs circumcision
Obstetrician Not Pediatrician
SIDS = Brady or Tachycardia
Bradycardia
Describe # of Wet & Stool diapers in new borns
Day 1 = 1 wet & 1 stool
Day 2 = 2 wet & 2 stool
Continue until day 5
Day 6 = 6 -8 Wet & 6 Stools
When doing fundal assessment why do we use 2 hands?
In hand at bottom of cervix to avoid uterine prolapse from vagina
Most obvious SS of PPD
Flat affect/ Not wanting to take care of infant
Titters, blood type / Rh status are done when
1st trimester
Does Rh status affect 1st pregnancy
Nope
Pathological/ Physiological Jaundice
Which is dangerous
Pathological
Are Breastfed babies more likely to have jaundice
Yes
Petichi or Erythema Toxicum
Which is a normal finding in a newborn
Erythema Toxicum
Sacral Dimple with hair or hole is associated with which disease
Spina bifida
BUBBLE-DEP really stands for
Correct
Breast
Uterus
Bowel
Bladder
Episiotomy/ Lac / Inc
DVT
Emotions
Prenatal/Pain
Breat size that can cause latch problems
Large
Breast - WNL
Soft, filling, non-tender, elevated nipple, colostrum day 1/2 / milk after
Mastitis is caused by…
Bacteria
Staphylococcus, E coli, strep
Does a woman continue to breastfeeding with mastitis?
Yes, it will help get rid of milk
Breast Engorgement peaks 3 - 4 PP
Interventions…
Avoid stimulation/Heat
Wash with cool water only
Firm support bra
Express smallest amount needed for comfort
Cold cabbage leaves
Firm uterus will have this size / hardness?
Hard or Softball
Why is constipation a risk PP
Straining may damg3 woman
A full bladder in labor can have this negative affect
Inhibit fetal decent
Describe Lochia time frame & description
Rubra…..
Serosa….
Alba…..
Rubra Dark Red 1st 3 - 4 days
Serosa Pink Brown 4 - 10 days
Alba White / Yellow 10 - 28 days
WNL for a clot with lochia
Smaller than a quarter
Heavy lochia means saturating pad in what time period
<1hr
Heavy lochia means saturating pad in what time period
<1hr
Lochia amount for description
Scant
Light
Moderate
Heavy
Scant <1 in
Light <4 in
Moderate <6 in
Heavy whole pad in less than 1 hr
Rubins Postpartum Stages
- Taking-in
- Taking-hold
- Letting go
- Taking-in
Increase Dependent behavior (Wants to be taken care of) 1-2 days - Taking-hold
Shift from Dependent to Independent behavior: Takes on maternal role & interested in caring for infant 4-5 Weeks - Letting go
Lets go of perception of infant as extension of self and views as seperate individual
Screen for Postpartum Depression How long…
Up to 1 year
Pain is a priority in postpartum. Why can pain be intense for multips…
Loss of uterine elastic
Also contributes to quicker delivery
Pain number in which we will intervene
4 or greater
APGAR
Grimace =
Activity =
Grimace = Reflex Irritability
Activity = muscle tone (limp, min movement, flexed body)
CRYING BABE
Stands for…
C color skin/ membranes
R respiration
Y yell out temp
I intake
N neuro
G good heart rate
B bowel
A abdomen
B bladder
E emotions
Ankyloglossia ….
Aka Tongue tied.
Lingual frenulum is short and affects babies ability to feed
Thrush aka oral candidias
Normal candida albicans grows too much on tongue and mouth.
Intervention
Antifungal medication
Epstein pearls aka gingival cysts
Treatment…
None
Go away on their own
Café au lait (flat areas of darkened skin)
When will they fade away..
They do go away
Increase in size with age
Mongolian spots go away by which age?
Teenager
Plantar reflex
Sole of foot is stroked
Baby’s toes go upward (Babinski sign)
Is this a normal finding
Yes in children <2yrs
Last things to assess on a newborn
Diapers
NIPS score with every vital signs
Includes (6)
How to score/ Give a good score
Facial expression
Breathing
Legs
Arms
Cry
State of arousal
or 1 points for each category except for “crying,” which can score 0, 1, or 2 points.
The total score ranges from 0 to 7 points:
0-2: Indicates no or minimal pain.
3-4: Suggests mild to moderate pain.
>4: Indicates the newborn is likely experiencing severe pain.
