orientation Flashcards
the 4 P’s
pain, potty, position, physical environment
breast fed infants should have how many stools per day
4 stools
formula fed infants should have how many stools per day
1-3
When using the bulb syringe which should be suctioned first, the mouth or the nose?
the mouth
respirations and pulses should be counted for
a full minute
normal heart rate is
120-160 bpm at rest
normal respiratory rate
30 - 60 breaths per minute
IM injection
use 1 mL syringe in 5/8 in and a 25 gauge needle; best site is the vastus lateralis muscle. divide area between th greater trochanter of the femur and the knee into thirds. give injection in the middle third of the muscle. insert angle at 90 degrees. withdraw needle and massage area
bulb syringe procedure
position infants head to the side. insert syringe in the mouth between the gums and the cheek. dont insert it straight back into the throat
position for sleep
infant should be placed on their back, firm mattress, no loose objects in the bed.
prone position puts baby at risk for
SIDS
identification
id bands, electronic devices, footprints; moms fingerprints and birthmarks on the baby
How do nurses in the hospital prevent infant abduction?
They should wear picture identification. Teach parents to only allow staff to transport the baby. Transport baby in their crib. Alert hospital security of anything suspicious.
How do nurses prevent infection in nurseries with many babies
hand washing, good hygiene, every infant has their own supplies.
How do nurses care for an infant boy who was circumcised by a Gomco clamp?
squeeze petroleum jelly on the circumcision site to prevent the diaper from sticking to it and also a small piece of gauze may be placed over the site.
Which method of circumcision does not require petroleum jelly in care while healing?
plastibell
normal axillary temp
97..7-99.5
Where is the Doppler ultrasound transducer placed?
On the fetal back: monitoring the fetal heart rate.
Why is it important to palpate contractions?
Are they really even labor?
to determine the uterine tone. Also to measure frequency, duration, relaxation time, and resting tone
Explain how to determine frequency and duration of contractions.
Frequency: The average time that is the beginning of one contraction to the beginning of the other contraction.
Duration: From the beginning of the contraction to the end of the same contraction.
Mild contractions feel similar to the tip of the
nose
Moderate contractions feel similar to the
chin
Strong contractions feel similar to the
forehead
Describe the three types of lochia and what day post-partum they occur.
Lochia Rubra, Lochia Serosa, Lochia Albia
normal is bloody small cloths, earthy odor, fleshly, dark red or red brown
-Abnormal:really large clots, foul odor
Lochia Rubra
day 3-10 Decreased amount of blood- pink or brown tinged
-Abnormal: excessive amount, foul smell, dark deep red color
lochia serosa
day 10-14 white creamy light yellow color
Abnormal: red foul odor, discharge is continuous
lochia albia
If a woman has a full bladder what will happen to the placement of the uterus?
The uterus will come up and move to the side.
With a full bladder the uterus is displaced upward and laterally.
What position should the woman be in to assess the fundus?
The supine position with the knees flexed.
What position should she be in to assess the perineum?
The sims position and flex her upper leg.
What does REEDA mean?
REEDA for someone who has had an episiotomy (cut) or a laceration. Redness Edema Ecchymosis Discharge Approximation
How do we do a bubblehe assessment on a postpartum mother?
Breast - check nipples, wearing supportive bra
Uterus - palpate fundus
Bladder - pain or burning with urination
Bowel - passing gas, bowel movement, listen to bowel sounds
Lochia - how much they have been bleeding, color
Edema - check stitches for REEDA, education on peri bottle
Hommen’s sign/hemorrhoids - hommen’s sign is patient has history of DVT
Education/emotion - overall mood and bonding with infant, signs of baby blues
LMP and due dates
from last menstrual period you subtract 3 months then add 7 days and thats the due date
