Newborn
How many hours do you wait before a hearing test can be done?
24 hours
This scale is used to assess for PP depression
Edinburgh post-partum depression scale (EPDS)
Room 1 - read report below
36 5/7, EDD 11/28/24, SROM, G2P1, GDM,
1st baby - SGA and NAS
36 weeks, 5 days, Due date the 28th
spontaneous rupture of membranes, second pregnancy. Has Gest DM, First baby was NAS baby and was small for age.
Name Risk factors for Early PPH
-macrosomia
-multiple gestation
-polyhydramnios
-chorioamnionitis
-prolonged labor
-use of Magnesium Sulfate
-use of oxytocin (Pitocin)
Endometritis
Temp > 100.4, Pelvic Pain, Uterine Tenderness, Heavy and Foul
Smelling Lochia, Chills, Increased WBC
S/s of Resp distress
grunting, flaring, retractions
The most common cause of Late PostPartum Hemorrhage
retained placenta
what is Involution?
return of uterus to prepregnant
state
3 Psychosocial Complications
PP Blues,
PP Depression
PP Psychosis
UTI
Asymptomatic, or
Dysuria, Frequency, Flank pain, Hematuria, Fever
normal NB HR
Rate 110-170
PP period usually lasts how long
6 weeks
who REEDA is?
Redness, Edema, Ecchymosis, Discharge, Approximation
RUBIN’S MATERNAL TASKS
Phase One -Taking-in
Phase Two -Taking-hold
Phase Three -Letting-go
Fever, Tender, Hard Breast, Chills, Generalized Aching, HA, Malaise
Mastitis (Antibiotics, Rest, Increased Fluids, Comfort Measures)
describe NB Resp and normal rate
Irregular, pauses / Rate 30-60
what to do if the fundus is deviated to the side
void
3 meds given to NB
Vit K, Hep B, Erythromycin
Name all parts of a BUBBLE-HE assessment
Breasts
Uterus
Bladder
Bowel
Lochia
Episiotomy
Hemorrhoids
Emotional Status
Small, Large head, soft poorly shaped ears
Thin skin, Lanugo; copious vernix
Describes what type of NB?
Preterm
the size of a newborn stomach capacity day 1
5-7ml at 1 day old
Describe bili lights to a new mom
(or phototherapy) tx used for jaundice, (high level of bilirubin in the blood). Bilirubin is a substance produced when RBCs break down. The liver isnt mature enough to process it effectively, leading to jaundice.
Second period of reactivity
Lasts from 10 minutes to several hours
Tachycardia, tachypnea can occur, Meconium passed, Increased muscle tone, changes in skin
color, and mucus production
Non-pharmacologic methods for Neonatal pain
Oral sucrose, breastfeeding, non-nutritive sucking, Skin-to-skin, kangaroo care, swaddling
What are 4 key assessments that should be performed during PP to monitor a mother's recovery?
uterine tone, assessing lochia, monitoring vital signs, evaluating the mother's emotional state.