Postpartum
Newly postpartum patient has large lochia and a few small clots. Fundal assessment is normal. What should you do?
This is normal for a patient just delivered... so monitor and document.
Newborn born via C/S can experience lung fluid retention which could lead to what?
Respiratory Distress
Your patient has a history of depression. What is she at risk for?
Postpartum depression
JAUNDICE THAT OCCURS AFTER 24 HOURS AND S&S
PHYISIOLOGICAL
In this situation I should prevent any pressure on the umbilical cord to promote oxygenation of the fetus.
What is umbilical cord prolapse
How do we know Methylergonovine is working?
Firm fundus
Newborn has the following:
Pink body and cyanotic hands and feet
Well flexed extremities
Slow weak cry
HR=140
Cry with bulb suction
What is the Apgar score
Apgar score= 8
You assess a patient and note their uterus is displaced from midline. What does this mean?
Distended bladder which can place the patient at high risk for uterine atony and bleeding.
NEWBORN TESTING AT 24 HOURS
CHD, PKU, TCB, WEIGHT LOSS
Area of edema on the newborns occiput present at birth following a vacuum delivery and resolves within 3-4 days
What is Caput succedaneum
I prevent formation of Rh antibodies in a patient who is Rh negative
What is rhogam
These babies are at risk for what:
Intrauterine hypoxia- meconium in amniotic fluid
Hypoglycemia
Polycythemia
Hypothermia
SGA - Small for gestational age
Red hard painful area on the breast.
What is mastitis
3 discharge teachings for newborn
SIDS, SAFE SLEEP, WHEN TO CALL DR, JAUNDICE
Swelling, bleeding under the subcutaneous tissues of the newborn scalp... does not cross the suture line
What is cephalohematoma
Feeding my baby regularly can relive me
What is breast engorgment
Peeling skin, moro relfex, no lanugo, long firm nails, lack of vernix
What is postmature newborn
Patient is now postpartum and had an episiotomy. What should you apply?
Ice pack during the first 24 hours
normal temperature for newborn
36.5-37.5
Vitamin K in a newborn should be given where?
Vastus lateralis muscle in thigh
Methylergonovine and Oxytocin are what?
Uterotonic medications causing the uterus to contract and decrease bleeding.
Cluster care of these newborns
Preterm newborn
3-5 days postpartum
Newborn that has poor body control of temperature and needs additional thermal support
Preterm newborn
PAINLESS BRIGHT RED BLEEDING
PLACENTA PREVIA