Lactation
This feeding method is recommended only for short-term supplementation in newborns and should generally transition to bottle feeding by 24 hours of age.
What is syringe feeding.
What is every 4 hours?
Patients receiving oxytocin, Cytotec, or a mechanical dilator such as a Cook catheter or foley, should have their VS (blood pressure, pulse, respirations, and O2 sats) assessed this often.
What is every hour?
This postpartum assessment schedule includes transfer to postpartum or a change in primary care nurse every 2 hours x 2, then every 6 hours until 12 hours post-delivery, then every 12 hours until discharge and PRN.
What is a vaginal delivery?
This is the gestational age at which a newborn follows the assessment schedule of every 30 minutes for the first 2 hours, at 6 hours of life, every 6 hours until 24 hours of life, then every 12 hours of life until discharge.
The healthy newborn's stomach capacity during the first 24 hours is approximately this volume.
What is 2-10mls per feeding?
This is the minimum frequency that intake and output should be documented for EVERY antepartum patient.
What is the end of each shift or change in care provider?
What is every 30 minutes?
This assessment is completed on admission to L&D, 24 hours post-delivery, the day of discharge, and PRN to assess the patient's mental health.
What is the Edinburgh scale for postpartum depression?
(If the patient scores 10 or higher a BP pop box will appear)
This gestational age group requires newborn assessments every 30 minutes for the first 2 hours, then every 4 hours for the first 24 hours, and then every 8 hours until discharge.
What is a newborn at < or = 36 6/7 weeks gestation?
By day 4, infants should typically have at least this many wet diapers and this many yellow stools per day.
What are 6 or more wet diapers and 3 or more stools per day?
These are the two safety measures that should be completed with every change in primary care nurse.
What are bedside shift report and verification of patient identification bands?
This scoring tool is documented on arrival to PACU, every 30 minutes, with condition changes, and at departure from PACU.
What is the Aldrete score?
This assessment schedule is required for a newly transferred patient to postpartum who delivered via C-section recieving magnesium sulfate. The nurse should assess this patient at these frequencies over the next 24 hours.
What is assessment at transfer, then every 2 hours x 2, then every 6 hours until 24 hours post delivery, also assessing VS (Bp, pulse, respirations, O2 sats) hourly, Neuro assessments every 4 hours, and strict I&Os every 2 hours.
A newborn weighing less than 2.5kg (5.5lbs) or born less than 37 weeks gestation must complete and pass this screening before discharge.
What is a car seat challenge tolerance screening (CSTC) or car seat challenge test?
The ultimate goal of triple feeding is this.
What is exclusive breastfeeding once milk transfer and infant weight gain are adequate?
Triple feeding consists of 3 steps: breastfeeding, supplementing, and pumping
Triple feeding helps establish or maintain maternal milk supply.
Nurses should assess and document this every 2 hours for patients receiving IV therapy.
What are IV site assessments, IV medication, and rates?
During the second stage of labor, fetal heart tones for a low-risk patient should be assessed this often.
What is every 15 minutes?
Observing the patient for consiousness and/or agitation, calling the patient's name in a loud clear void several times and telling them to open their eyes and look at you, performing a sternal rub and/or shaking the patient shoulders if there is no response, noting a score and using it to guide titration of sedation to maintain a score of -2 to 0, and notifying the clinician of abnormal findings should be completed by the nurse to assess sedation after opioid administration.
A newborn exposed to opioids is feeding well, sleeping for over an hour between feeds, and can be soothed within 10 minutes. This nurse should implement these assessments to monitor the newborn's status.
What is Eat, Sleep, Console (ESC)?
Name 2 questions that a nurse should ask to evaluate if breastfeeding is effective.
Do you hear swallowing? Does your breast feel softer after feeding? Is the baby satisfied after feeding? How many wet and dirty diapers has your baby had? Is feeding painful?
Primary IV tubing used continuously without disconnection should be changed this often.
What is every 7 days?
During the second stage of labor, fetal heart tones for a high-risk patient should be assessed this often.
What is every 5 minutes?
This nursing assessment is critical throughout the entire L&D and postpartum hospitalization of a patient with Pre-Eclampsia because decreased urine output may indicate worsening renal function and an increased risk of magnesium sulfate toxicity.
What is strict I&O
A newborn develops temperature instability, tachypnea, and poor feeding after birth. According to policy, this newborn screening should be performed immediately because it is done at birth, PRN, and when the infant's condition dictates.
What is the Neonatal Sepsis Risk Calculator (EOS/Epic Neonatal Sepsis Risk Calculator)