Pregnancy Flashcards - All
Until when is a newborn’s head unstable?
4 months
What should you keep in mind when putting a baby down?
Body down first, then head and neck
Do you need to support baby’s head when they are over your shoulder?
No. Gravity keeps it from falling back
How long before you can use product on the baby’s skin (soap, shampoo)?
1 month
Water wipes until then
You should use a sponge and not do submerging bath with the baby until when?
until umbilical site fully healed
How often to clean?
once a day or every other day tidy up
once a week or more if needed a full bath, until end of newborn period
What should you focus on for tidy up?
Chin folds, armpits, genitals (for anything missed during diaper change)
What should you use for tidy up?
Baby wash cloth
What temperature should the wash cloth be?
98-99 degrees
Where should baby face for tidy up?
Can be facing you or sideways so if they poop doesn’t get on you
What extra thing should you do for tidy up with poop diaper?
Look inside and open labia to make sure no bowel movement.
What’s good to do for weekly wash?
Put baby on wash cloth, more comfy, but baby might not want to do that
What should you avoid scrubbing?
Any acne or anything that doesn’t come off easily, let it be, it’s normal
What will happen if you swipe on their hands?
Their hands will close
How do you clean the baby’s back in the weekly wash?
Hand on head and neck, roll them, get back, or can tilt them a little and go under them carefully
How do you clean baby’s butt?
Can lift legs, one hand, finger between ankle
Where is easiest for submerge bath once umbilical stump heals?
Kitchen counter
What’s a way to help baby when washing in submerge weekly?
Put wash cloth on their body
What do you have to be careful about when getting baby out of bath?
They’re really slippery
What should you keep in mind when drying baby?
Dont rub too hard, can hurt skin
What is the newborn diaper size?
Size N
What is the size diaper that baby transitions into?
1
What are ways to know if a diaper is wet?
Line turns blue
Or, feels wet
What do you keep in mind regarding diapers while umbilical cord stump is healing?
Dont put diaper on the stump, have it below, fold it under
What should you keep in mind regarding tight/loose diapers?
Go tight, there will still be room, otherwise might fall off
Should you wipe if diaper is a pee diaper?
No, unless see pee. Diaper should absorb. Studies show otherwise you can get diaper rash if wipe unnecessarily.
Should you wipe if poo diaper?
Yes, similar to the tidy process
What’s the first step for diaper change?
Lift baby up, put diaper below
What shouldn’t you do with putting on a onesie?
Putting over face, they will freak out, instead create a hole and put it over head smoothly
What are the reasons for swaddling?
Simulates womb and keeps from startle reflex
Until when to swaddle?
First month a lot
Until about 3 months
When to swaddle?
Tired, falling asleep, putting them away
No need when holding them, you’re serving the purpose
When not to swaddle?
When awake and active
When is the newborn period until?
through 3 months, (at 4 months)
What to do if baby has a lot of hair?
If in first month gets funky, maybe wash once in first month, maybe twice with shampoo, but no soap on rest of body or more often
How can you tell when umbilical stump is healed?
Gooey, then shrivels and dries, then lifts, off somewhat but not all the way, no nerve endings so not hurting, then falls off, not always healed after falling off, after falling off look at belly button, sometimes can tell, if gooey then still healing, some babies have deep belly button so have to open and use flashlight, anytime gooey then still healing, might be another week, if more like scab then healed, if see nothing then healed, can take photo and send to pediatrician
What kind of wipe for first month?
Water wipes for everything
What is the exception to product in first month?
Diaper rash cream
Doesnt prevent, just heals, if have red/white/yellow bumps or red raised area
How much diaper rash cream to use?
Be generous, even if rash only in one spot, cover bottom, not genitals, layer so skin won’t touch poop or pee
How long does diaper rash take to heal with diaper rash cream?
3 days
When to use diaper balm?
After 1 month to prevent rashes, up to you, if prone to diaper rash then yes after every diaper change, if not and poop during day but not night, then can not put on at night
When to use pacifier?
Not routine, but if baby is fed and doesnt want more and yet giving signs still hungry, like smacking lips and trying to find something to suck on
When do they usually stop using pacifier?
2 months. talk to pediatrian. might need to ween off.
Should you swaddle for naps?
Yes naps as well as at night
Where is blue or grey a bad sign?
Mouth or nose, call 911. Other places fine
Is there a way to prevent blowout from getting out of diaper?
No. Other than making sure right size of diaper and putting it on tight.
How do you know when to get larger diaper?
When starting to touch genitals or not enough room with the tab. Should be baggy. Pinching only half an inch of room isn’t enough. And if see skin on side because not wrapping all the way then size up, want more covered.
Should look like diaper is too big. Avoids blowouts and diaper rash.
When to burp a baby?
Often during feeding
If fussy and moving around
How to burp a baby?
Sit then on your knee, slump them forward, then tap back and rub, can use burp cloth
Can also lean them back and hold their neck with both hands and roll them around
Can also do over the shoulder, really far over, rub and pat, dont prefer because spit up goes where cant control, also cant see how much
What happens if baby doesn’t burp?
Keep trying until 4 mins
How to know when baby is too cold/hot?
Baby cold to the touch, hot to the touch or sweaty
Baby needs what you’d want but maybe one fewer layer, very dangerous for baby to get overheated
What does baby have on when sleeping?
Footed pj and swaddle on top of that
Can also get sleep sack (both in 1)
Can vary based on temperature (might need extra layer if cooler or less if warmer)
What to keep in mind when going between temperatures?
Change how bundled baby is if going between temperatures.
Do we clean inside mouth?
No
Do we clean nose?
No, unless difficulty breathing, struggling to eat, they cant blow nose, so use bulb syringe, tapered and can clean it, also maybe nasal aspirator
How to clean nose?
Bulb syringe, can put breast milk to loosen
Nasal aspirator works too, has filter so nothing gets in your mouth
How many wash clothes per bath?
usually:
2 for tidy up
4 for full bath
Do you need to wash your hands before diaper change?
No typically. Dont overwash your hands or will be dried and cracked. Want the baby’s immune system to get some exposure.
Do you trim newborn nails?
Ya. Baby nail scissors. 1.5-2 weeks.
If use file will do it every 3-4 days.
Toenails won’t need until 1-2 months.
Should you ever cover baby’s hands?
No typically, no mittens etc, so can explore their bodies and hands
How to make trimming baby nails a bit easier?
Ideally when sleeping or at least drowsy or otherwise use changing table and little by little, usually takes two swipes
What is the top of the uterus called?
Fundus
What is the bottom part of the uterus called?
Cervix
What needs to happen to cervix in order for baby to get out?
- Effacement: Soften, thin out and shorten (prostaglandin)
- Dilate (open up), to approx 10 cm (4 in) to get out
When does effacement happen?
Some happens before labor, majority happens in early part of labor
When does dilation start?
Can happen before labor, but majority will happen during labor.
What hormone does mom’s body release to fuel contractions?
Oxytocin
What is the goal of a contraction?
To dilate the cervix
What is oxytocin also called?
Love hormone, cuddle hormone
What is the primary job of the partner during labor?
Relaxation, safety, love. To fuel oxytocin and thus contractions.
What is labor?
Contractions that get stronger, longer, closer together in order to dilate cervix
What are the three phases of the first stage?
Early, active and transition
What happens in early labor?
Mild contractions, far apart
What should partners do when labor starts?
Use app to track contractions
How are contractions timed?
Beginning of one contraction to beginning of next
When is it usually advisable to go to the hospital for labor?
when contractions are 4 or 5 minutes apart, and 1 min start to finish, and this scenario has been happening for 1 hour
What determines how far dilated mom is?
Cervical check
Where are contractions often felt initially?
Initially down below, also in back
How is mom emotionally in early labor?
Chatty, feeling well
How long are breaks between contractions to duration of contractions?
Breaks are always longer than contraction duration
When does active labor start (what dilation)?
6 cm
What is early labor known for?
Long and easy
What is active contractions known for?
3-4 mins apart, 1 min long, all contractions
When does transition begin (what dilation)?
8 cm
What is transition known for?
short, intense. 1 min break between contractions.
Does transition get harder?
No. 8cm is hardest. 9-10cm aren’t harder.
When does self doubt become apparent?
Transition
Where do you feel contractions during transition?
Uterus, pelvis, glutes, thighs
What is the end of the first stage of labor?
When dilation is complete (10 cm)
What is the second stage of labor?
Pushing/birthing
What is the first thing that happens in the second stage of labor?
Uterus takes a bit of a break
What is the second thing that happens in the second stage of labor?
Muscles at top push down, 45-60 seconds per contraction
How long is the second stage of labor?
1-3 hours, can be longer for first-time mom
What’s important in the early part of labor?
Conserve energy so that have energy when get to 10 cm
When does the second stage of labor end?
When baby is out
How long is delayed cord clamping?
A few mins
Do contractions end after baby comes out?
No, they continue to loosen placenta
How long does it take to loosen placenta?
up to half an hour
Does OB pull the placenta out?
No. They let it come out on its own
Why does birthing the placenta matter?
Important for health of the mom
What will OB ask mom to do during third phase?
Push once more to get placenta out
When does third stage of labor end?
When placenta comes out
When do babies go to head-down position?
32-34 weeks
What position is important for first or second stage of labor?
Upright (weight of baby’s head pushes on cervix, which helps contractions open it) and resting
What are obvious upright positions? What are the downsides?
Stand and walk. But can’t do it for hours and hours. So find restful upright positions
What are examples of upright and restful positions?
Sitting on chair or yoga ball, kneeling