Self and Baby Care Flashcards
1
Q
Expectations for right after birth
A
- Shaking in mother (can be severe)
- Blood loss from placental site (may require fundal massage or other measures)
- Repair of perineum
- Hold and bond with baby (skin to skin)
- Initiate breastfeeding
- Walk, drink, eat when ready
2
Q
First hours and days
A
- Transfer to PP room
- Continued bleeding
- Continued contractions/cramping that lessen after 1-2 days
- Feeling weak or unsteady
- Sore muscles esp. if you labored or pushed for a long time
- Exhaustion and excitement
- Swelling and tenderness in perineum
3
Q
BUBBLE-HEE
A
Breasts Uterus Bladder Bowels Lochia Episiotomy/Perineum Homans' sign Extremity edema Emotional status
4
Q
Homans’ Sign
A
- Support patient’s thigh with one hand and foot with other
- Bend leg slightly at knee then dorsiflex ankle
- Deep calf pain = Homans’ sign
5
Q
Lochia Rubra
A
- Dark red
- Lasts 3-4 days
- Contains blood, cervical discharge, part of placenta, fetal membrane, vernix, meconium
6
Q
Lochia Serosa
A
- Pinkish brown
- Lasts 4-10 days
- Thin, watery, tinged
- Contains cervical mucus, exudate, fetal membrane, microorganisms, WBCs
7
Q
Lochia Alba
A
- Whitish yellow
- Lasts 10-28 days
- Purulent discharge
- Contains cholesterol, epithelial cells, fat, microorganisms
8
Q
Documenting Lochia
A
- Scant: 1 inch stain
- Light: 1-4 inch stain
- Moderate: 4-6 inch stain
- Heavy: saturate pad in 1 hour
9
Q
Tips to speed body’s recovery
A
- Replenish fluids/electrolytes/energy by drinking and eating ASAP
- Continue to eat well-balanced meals at frequent, regular intervals
- Continue taking prenatal vitamins and minerals (magesium and iron)
- Sleep as much as possible
10
Q
Following days and weeks
A
- Breast tenderness or nipple soreness
- Possible profuse sweating
- Continued tenderness in perineum
- Continued lochia
- Possible hair loss
- Continued exhaustion
- Gas, bloating, constipation
- Paunchy belly as muscles return to pre-pregnancy size over time
- Possible leaking urine due to stretching of pelvic floor muscles
11
Q
Newborn Care Practices at birth
A
- Suctioning: baby’s nose and mouth suctioned with bulb syringe
- Cord clamping and cutting: immediate or 3-5 minute delay
- Skin to skin
12
Q
APGAR - Activity
A
0: absent
1: arms and legs flexed
2: active movement
13
Q
APGAR - Pulse
A
0: absent
1: below 100 bpm
2: over 100 bpm
14
Q
APGAR - Grimace
A
0: flaccid
1: some flexion of extremeties
2: active motion
15
Q
APGAR - Appearance
A
0: blue/pale
1: body pink/extremities blue
2: completely pink
