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What are Reva Rubin's 3 phases of Maternal Adaption?
Taking In, Taking Hold, Letting Go
Urinary retention and bladder distention can displace the uterus and cause uterine _____ which can lead to __________.
Atony, hemorrhage.
Signs and symptoms of fetal alcohol syndrome
- facial dysmorpholgy, Prenatal and post natal growth deficiencies, Central nervous system dysfunction, Microcephaly, intellectual disability, psychiatric conditions, language, motor, and memory disorders, Low birth weight, developmental delays, hyperactivity, brain, craniofacial, and heart defects, neurotoxicity, immune dysfunction.
Which is more common and what approximate percent of women expericen it. Baby Blues or Postpartum Depression
Baby Blues 80%
A decrease in __________ is NOT normal and would indicate __________
Hematocrit, Hemorrhage
Name 3 out of the 7 characteristics of engrossment?
Visual awareness of the newborn, Tactile awareness of the newborn, Perception of the newborn as perfect, Strong attraction to the newborn, Awareness of distinct feature of the newborn, Extreme elation, Increased sense of self-esteem
The formation of a strong affection between an infant & significant other through physical and emotional interactions
Attachment
What kind of lochia would warrant you to report abnormal findings
Bright red, heavy lochia with large tissue fragments, foul odor, return of rubra after serosa or alba.
What is Uterine atony?
Failure of the uterus to contract and retract after birth.
Name 3 risk factors for postpartum hemorrhage.
Multiples, LGA (DM in mom, large dad), Hydramious, Precipitous birth, Pieces of placenta retained in uterine wall.
The close emotional attraction to a newborn by the parents that devleops during the 1st 30-60 min after birth.
Bonding
A= appearance, P= pulse, G= grimace, A=activity, R=respiratory
At what 2 times is RhoGAM given?
28 weeks gestation, again 72 hr after childbirth if she is Rh sensitive.
How many weeks postpartum does it take for hemostasis to return to normal.
3 weeks
Does Caput or Cephalhematoma cross suture lines
Caput
Name the 3 colors of Postpartum Lochia
Rubra= dark red during 1st 3-4 days, serosa= pinkish brown occurs days 4-10, alba= whitish yellow occurs days 11-28
Fetal Alcohol syndrome: Sign and symptoms of of withdrawal (name 3)
Hyperactivity, jitteriness, hyperreflexia, hypertonia, poor suck, tremors, seizure, poor sleep patterns, diaphoresis
What are 3 of the health complications an infant born to a mother with pregestantional or gestational diabetes may have.
Hypoglycemia, birth trauma, hypocalcemia, hypomagnesemia, polycythemia, hyperbilirubinemia, RDS, macrosomia, congenital anomalies.
Blood Clotting.
An APGAR score less that _ needs resuscitation measures.
7
Decreased BP after childbirth could suggest what?
Infection/ hemorrhage
What is Erythromycin Ophthalmic ointment prevent?
Ophthalmia Neonatorum
Name 3 prevention measures for newborn jaundice
Early feeding, phototherapy, exchange transfusions, education and support, home phototherapy
What is normal PPH blood loss for vaginal and c-section (mL)
500 mL vaginal, 1,000 mL C-section
Ballard scoring means higher the core = older ___________ age.
Gestational