1. bonding processing starts at birth
o skin to skin contact
o engaging with child, smiling at child
2. definition of lochia and what it should look
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o rubra- red
o serosanguinous- pink
o alba- white
3. right after 1st couple days after the baby is born mom is going to have a normal looking period (rubra)
• palpating fundus
o support lower segment, if you dont you can invert it
3. encourage parents to room in - helps with the bonding process and prevents security issue
4. when we’re at a 6-week postpartum appointment - what are the baby blues?
o hormones are dropping back to normal - risk for PPD
o need to be familiar with sx of PPD - feel tired, trouble staying/falling asleep, forgetful, not connected to baby, trouble staying/falling asleep - at week 6
5. discharge instructions to give families after having baby
o when she needs to call HCP - bleeding remains heavy
o s/s of infection
o teach her to take care of herself - adequate time off from work until cleared @ 6 weeks
o avoid anything in the vagina - no sex until cleared at 6 weeks
6. a nurse is concerned that a new mother…..
o as postpartum nurse and we notice they are not going through normal bonding
o we recommend follow up home visit from a nurse
7. 4th degree laceration and episiotomy care
o use icepack 1st 24 hours
o sitz bath
o peri bottle
o witch hazel
o avoid anything in the vagina or rectum - no enemas, no suppositories
o use stool softeners and high fiber diet.
8. why are postpartum women prone to urinary retention (natural birth)
o 2/2 amount of swelling in perineal area
9. most common site for postpartum infection
o reproductive tract, (inside the uterus)
10. postpartum prescribed abx for endometritis and her breastfed newborn should be assessed for?
o abx passes through milk, baby can get ORAL THRUSH
o easy bruising
11. breastfeeding - painful, inflamed hot red area on the breast.
o mastitis
o how do we treat? - abx
12. is it possible to have post-partum pre-eclampsia
o yes, treat it:
o bed rest
o strict I+O
o daily weight
o mag sulfate
o antihypertensive meds
13. How do you know the difference between mastitis and blocked milk duct?
o high fevers, redness, swelling and hot to touch (mastitis)
o blocked milk duct won't be painful - you can feel fullness and a lump.
▪ heaviness in one area of the breast
▪ use massage and warm compresses.
14. how quickly does the fundus decrease
-1 cm every 24 hours
15. neonatal alcohol syndrome
o incessant crying, hyperirritable, startle easily, difficult to console
▪ ridgid extremities
▪ wont cry down with swaddling, don't sleep
16. if we are assessing APGAR scoring
o no heartbeat, movement, color = 0
o 2 = hr > 100, extremities flexed, breathing, grimacing, pink from head to toe
17. know vs for infant
18. new ballard scale:
o sole creases - more mature they are the more creases they have on their sole.
o ¼ preterm
o ¼ early
o 2/3 full term
19. describe babies poop after meconium is passed
o yellow mustard stools, loose
20. newborn assessment scrotum
o palpate scrotum, looking for descending testes
o do we retract the foreskin? - NO
o can take several years for foreskin to retract over penile gland
21. normal eyesight on a newborn?
o do they have tears? NO
o are they able to follow fingers 180 degrees? no
o can follow light to midline
o see in black and white initially
o cant see details
22. why do we give vitamin K?
o help with bleeding - administer in vastus lateralis muscle
23. new born assessments - flexion of hips to assess for hip subluxation
o baby will not be able to abduct
24. what does normal breastfeeding poop look like
o Yellow, seedy, mustard loose
25. advantages of breastfeeding for babies
o immunity
26. postpartum hemorrhage
o massage the fundus
27. nursing diagnosis for a baby needing to be under a warmer
o heat loss
28. which bacteria indicates the mother should be able to breastfeed.
29. nursing reflexes for breastfeeding.
o stroke their cheek
30. how do you know if baby is receiving enough milk
o weight gain
o wet and dirty diapers
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