Notes From Class

Question 1

Vag birth on labor unit 1 / 2 hrs
V/S on labor unit 2/3 hrs

How often VS on labor unit

Answer 1

Q15min

Question 2

Ensure new mom uses bathroom ____ times before independiente

Answer 2

2

Question 3

If a woman stops breastfeeding How long until breastmilk Dries Up?

Answer 3

2 days

Question 4

Acrocyanosis = Normal or Abnormal

Answer 4

Normal

Pink trunk but blue extremities

Question 5

After first infant bath 12 hrs after birth perform these activities

Answer 5

Skin to skin contact/ Warm baby

Check temp <1hr

Question 6

Who performs circumcision

Answer 6

Obstetrician Not Pediatrician

Question 7

SIDS = Brady or Tachycardia

Answer 7

Bradycardia

Question 8

Describe # of Wet & Stool diapers in new borns

Answer 8

Day 1 = 1 wet & 1 stool
Day 2 = 2 wet & 2 stool
Continue until day 5

Day 6 = 6 -8 Wet & 6 Stools

Question 9

When doing fundal assessment why do we use 2 hands?

Answer 9

In hand at bottom of cervix to avoid uterine prolapse from vagina

Question 10

Most obvious SS of PPD

Answer 10

Flat affect/ Not wanting to take care of infant

Question 11

Titters, blood type / Rh status are done when

Answer 11

1st trimester

Question 12

Does Rh status affect 1st pregnancy

Answer 12

Nope

Question 13

Pathological/ Physiological Jaundice

Which is dangerous

Answer 13

Pathological

Question 14

Are Breastfed babies more likely to have jaundice

Answer 14

Yes

Question 15

Petichi or Erythema Toxicum

Which is a normal finding in a newborn

Answer 15

Erythema Toxicum

Question 16

Sacral Dimple with hair or hole is associated with which disease

Answer 16

Spina bifida

Question 17

BUBBLE-DEP really stands for

Correct

Answer 17

Breast
Uterus
Bowel
Bladder
Episiotomy/ Lac / Inc
DVT
Emotions
Prenatal/Pain

Question 18

Breat size that can cause latch problems

Answer 18

Large

Question 19

Breast - WNL

Answer 19

Soft, filling, non-tender, elevated nipple, colostrum day 1/2 / milk after

Question 20

Mastitis is caused by…

Answer 20

Bacteria

Staphylococcus, E coli, strep

Question 21

Does a woman continue to breastfeeding with mastitis?

Answer 21

Yes, it will help get rid of milk

Question 22

Breast Engorgement peaks 3 - 4 PP

Interventions…

Answer 22

Avoid stimulation/Heat
Wash with cool water only
Firm support bra
Express smallest amount needed for comfort
Cold cabbage leaves

Question 23

Firm uterus will have this size / hardness?

Answer 23

Hard or Softball

Question 24

Why is constipation a risk PP

Answer 24

Straining may damg3 woman

Question 25

A full bladder in labor can have this negative affect

Answer 25

Inhibit fetal decent

Question 26

Describe Lochia time frame & description

Rubra…..
Serosa….
Alba…..

Answer 26

Rubra Dark Red 1st 3 - 4 days
Serosa Pink Brown 4 - 10 days
Alba White / Yellow 10 - 28 days

Question 27

WNL for a clot with lochia

Answer 27

Smaller than a quarter

Question 28

Heavy lochia means saturating pad in what time period

Answer 28

<1hr

Question 29

Heavy lochia means saturating pad in what time period

Answer 29

<1hr

Question 30

Lochia amount for description

Scant
Light
Moderate
Heavy

Answer 30

Scant <1 in
Light <4 in
Moderate <6 in
Heavy whole pad in less than 1 hr

Question 31

Rubins Postpartum Stages

1. Taking-in
2. Taking-hold
3. Letting go

Answer 31

1. Taking-in
   Increase Dependent behavior (Wants to be taken care of) 1-2 days
2. Taking-hold
   Shift from Dependent to Independent behavior: Takes on maternal role & interested in caring for infant 4-5 Weeks
3. Letting go
   Lets go of perception of infant as extension of self and views as seperate individual

Question 32

Screen for Postpartum Depression How long…

Answer 32

Up to 1 year

Question 33

Pain is a priority in postpartum. Why can pain be intense for multips…

Answer 33

Loss of uterine elastic

Also contributes to quicker delivery

Question 34

Pain number in which we will intervene

Answer 34

4 or greater

Question 35

APGAR

Grimace =
Activity =

Answer 35

Grimace = Reflex Irritability
Activity = muscle tone (limp, min movement, flexed body)

Question 36

CRYING BABE

Stands for…

Answer 36

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

Question 37

Ankyloglossia ….

Answer 37

Aka Tongue tied.

Lingual frenulum is short and affects babies ability to feed

Question 38

Thrush aka oral candidias

Normal candida albicans grows too much on tongue and mouth.

Intervention

Answer 38

Antifungal medication

Question 39

Epstein pearls aka gingival cysts

Treatment…

Answer 39

None

Go away on their own

Question 40

Café au lait (flat areas of darkened skin)

When will they fade away..

Answer 40

They do go away

Increase in size with age

Question 41

Mongolian spots go away by which age?

Answer 41

Teenager

Question 42

Plantar reflex

Sole of foot is stroked

Baby’s toes go upward (Babinski sign)

Is this a normal finding

Answer 42

Yes in children <2yrs

Question 43

Last things to assess on a newborn

Answer 43

Diapers

Question 44

NIPS score with every vital signs

Includes (6)

How to score/ Give a good score

Answer 44

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.