Postpartum Period and Beyond
Returns to the umbilicus 6-12 hours postpartum
Fundus
This acronym is used for the management for postpartum hemorrhage and includes the medication TXA
EMOTIVE
A newborn maturity rating score used to access neuromuscular and physical maturity
New Ballard Score
Can occur due to lack of surfactant in the newborn
RDS
This postpartum vaccine requires two doses.
Varicella
Vaginal discharge ranging from rubra, serosa and alba
Lochia
Signs and Symptoms of this life threatening infection can include: hypotension, tachycardia, pulmonary edema, tachypnea and hypothermia
Sepsis
HR 110-160
RR 30-60
Temp 97.7-99.5
Normal Newborn VS
Utilized for a newborn with jaundice
Phototherapy
Should occur 8-12 times with 24 hours then feed on demand schedule can be followed
Breastfeeding
Manifests with crying, weight loss, flat affect, irritability, rejection of the infant, severe anxiety and panic attacks
Postpartum Depression
Risk Factors for this complication can include: prolonged labor, oxytocin use in labor, high parity, placenta previa, lacerations/hematomas, uterine inversion, retained placenta, coagulopathies.
Postpartum Hemorrhage
24 hour newborn lab and diagnostics performed
PKU- metabolic screening
Hearing Screening
CCHD- critical congenital heart disease screening
Expected findings include: High pitch cry, irritability, tremors, increased reflexes, disturbed sleep and convulsions
Neonatal Substance Withdrawl
Newborns are receiving adequate feeding if they are gaining weight, content between feedings and ...
voiding 6-8 diapers a day
Treatment includes emptying breast frequently, antibiotic and analgesics, cool compress
Mastitis
Autoimmune disorder in which platelet lifespan is decreased and can result in severe hemorrhage after C/S or laceration.
ITP- Idiopathic Thrombocytopenic Purpura
This device falls off 5-7 days after placement by provider and leaves a clean healed excision. No petroleum used for this type
Plastibell
Expected findings: poor feeding, jitteriness, hypothermia, weak cry, lethargy, seizures, coma, cyanosis, apnea
Hypoglycemia
Should be rear facing in back seat/ middle, not expired, clip at nipple line and no extra layers under straps
Car seat and Car Seat Safety
Manifestations (Vital signs) of this are often not apparent until significant blood loss occurs
Shock and PPH
Infection manifesting with pelvic pain, chills, fatigue and loss of appetite
Endometritis
Provides a neutral thermal environment and helps maintain core temp with minimal O2 consumption and caloric expenditure. Interventions to maintain this include conduction, convection, evaporation and radiation.
Thermoregulation
Complications can include: RDS, BPD, Aspiration, Apnea, Infection, Hypoglycemia, Delayed Growth and Development
Preterm Newborn 20-37 weeks
Clients who are negative and deliver a positive newborn need this to prevent antibody formation
RhoGAM