Breast v. Bottle feeding
Baby blues affect how many new mothers?
50-70%
To ensure adequate lactation the nurse should teach the mother to?
Breast feed the baby on self-demand day and night
What are the phases of maternal postpartum adjustment?
Taking-in phase (day 1; very dependent), Taking-hold phase (day2-3; lasts 10 days to several wks), Letting-go phase (independent)
What nursing intervention would you use to relieve pain in breast engorgement while the mother continues to breastfeed?
Apply warm compress on the engorged breast
What does LATCH stand for?
Latch
Audible swallowing
Type of nipple
Comfort (pain)
Hold (position)
What are some signs of Postpartum Psychosis?
Hallucinations, delusions, phobias, disorganization, emotional liability, bizarre/violent behavior, mania, changes in appetite or sleep patterns, may harm the infant
The nurse should anticipate that hemorrhage related to uterine atony may occur postpartally if this condition was present during the delivery?
Excessive analgesia was given to the mother
What is used for psychosocial assessment?
Edinburgh scale
Postpartum Period: The fundus of the uterus is expected to go down normally postpartally about __ cm per day.
1 cm per day
What are some signs and symptoms of baby blues?
Mild, temporary depression; weepy, may feel overwhelmed, insecure in own abilities
The following are nursing interventions to relieve episiotomy wound pain EXCEPT:
-Perineal care
-Giving analgesic
-Heat to the perineum
-Sitz bath
Perineal care
What are the signs and symptoms of postpartum depression?
when could symptoms start?
unable to cope, social withdrawal, despondency, insomnia, fatigue, may have thoughts of death/suicide
Usually occurs around the 4th wk
After an Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:
Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby
Lochia normally disappears after how many days postpartum?
5 to 10 days post partum
Right after birth, when the skin of the baby’s trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:
Acrocyanosis