Birth
What are some nursing responsibilities that one may have during the labor/birthing process?
Assessment of mother and fetus, building a therapeutic relationship, admission, birthing responsibilities
What is normal glucose for an infant who is less than 24 hours old?
40-60
What is involution?
changes in the reproductive organs after child birth
Describe safe sleep.
no blankets, no padded rails, no stuffed animals, no pillows, back to sleep, in a bassinet/crib
What cervical changes do we assess for during the birth process?
Effacement (thinning and shortening) & Dilation (opening)
What slippery detergent like combination of lipoproteins reduces the surface tension within the alveoli, preventing the lung from collapsing?
Surfactant
How does the urinary system change after birth?
urethra, bladder, and tissue may be traumatized or edematous. Diminished sensitivity to void. May cause UTI or risk for bleeding
Why is Vitamin K important to administer to a newborn after birth?
promotes the formation of clotting factors by the liver.
A woman comes in complaining of inconsistent contractions and discomfort in her abdomen. The nurse does a cervical check and there is no change in effacement or dilation. What is the next step?
Send the client home.
What are symptoms of hypoglycemia in newborns?
Jitteriness, poor muscle tone, diaphoresis, poor sucking, low temp, lethargy, seizures
What occurs in the endocrine system after birth?
Pituitary hormone prolactin stimulates milk secretion, oxytocin is what allows milk to be expressed from the alveoli.
What is the most common single bacterial cause of neonatal sepsis?
GBS (Group Beta Strep)
What happens to fetal blood circulation while a woman is contracting?
There is an intermittent interruption of blood flow. Placental circulation typically has enough reserve to tolerate the interruption.
What is a newborns first stool called and what does it look like?
Meconium, black and tarry
What is included in a vaginal assessment POST delivery?
vital signs, pain, fundal checks, lochia, REEDA, bladder elimination
irritability, jitters, tremors, exaggerated moro reflex, high pitched crying, poor sleeping, poor feeding, difficulty to console
What are the four components of the birthing process?
Powers of Labor, Passage of Labor, Passenger of Labor, Psyche of Labor
Name 3 neurological reflexes that are assessed in a newborn?
Moro, palmar grasp, plantar grasp, babinski, rooting, sucking, tonic neck, stepping
What is included in a Cesarean assessment POST birth?
pain relief, sensation, abdominal assessment, early ambulation, intake and output, fundus, lochia
What complications could a mother with gestational diabetes have with her infant?
macrosomia, hypoglycemia