Newborn Assessment
110-160
What is the normal HR range of the newborn baby?
“Acrocyanosis”
What is cyanosis (blue color) found in the extremities, particularly the palms of the hands and the soles of the feet on the newborn.
Educate a non-breasfeeding mom on suppression of lactation.
• Tight-fitting sports bra
• Apply ice to breasts
• Avoid breast stimulation; avoid heat
• Engorgement
• Lactation usually suppressed in 5 to 7 days
Name 4 causes of postpartum hemorrhage. Provide an example.
The “4 T’s”: tone, trauma, tissue, thrombin
Uterine atony, Lacerations, Retained placental fragments, Disseminated intravascular coagulation
4-5 months, approximately 18 weeks
Swelling or edema of newborns head due to the vaginal birth canal - crosses suture lines.
What is Caput succedaneum?
Erythema Toxicum Neonatorum (ETN)
What is a common rash seen in full-term newborns. It usually appears in the first few days after birth and fades within a week.
When a new mom feels anger, anxiety, guilt, hopelessness, loss of interest or pleasure in activities, mood swings, or panic attack, crying, irritability, or restlessness.
What is postpartum depression
Name 3 risk factors for placental abruption.
Hypertension (most common), cocaine use, trauma, cigarette smoking, chorioamnionitis
Name interventions during a postpartum hemorrhage.
Uterine/fundal massage, call for help, vital signs, start 2 large bore IVs, insert urinary catheter, fluids (LR), draw labs, apply oxygen, weigh saturated pads/towels. Prepare for pitocin infusion. Emotional support, make sure baby is safe (take to nursery)
A small pool of blood collected between the periosteum of the skull bone and the skull bone itself, does not cross suture lines!
What is Cephalohematoma?
Name 3 signs/symptoms of newborn respiratory distress.
Retractions, tachypnea, accessory muscle use, grunting, nasal flaring, cyanosis.
What are treatment recommendations for breast engorgement?
Feed infant every 2 hours, use both breasts at each feeding, wear a supportive bra, apply cold compress after feedings, gentle massage
This occurs when the placenta detaches from the inner wall of the womb before delivery. The condition can deprive the baby of oxygen and nutrients.
What is placental abruption?
Magnesium Toxicity - provide 2 findings.
Decrease/absent reflexes, respiratory depression, decreased output <30ml/hour, cardiac arrhythmia
Stop Infusion
Antidote: Calcium Gluconate
The yellow breakdown product of normal hemoglobin
What is bilirubin?
Occurs postpartum day 1-3, a nutrient-rich, thick, yellow, fluid produced by female mammals immediately after giving birth, is loaded with immune, growth and tissue repair factors.
What is colostrum.
Describe 3 types of Lochia.
• Lochia rubra is red (first 2–3 days, or longer)
• Lochia serosa is pink (day 3 to day 10)
• Lochia alba is white (continues until the cervix is closed)
A medication used as a tocolytic in preterm labor which has an adverse effect of cardiac complications and pulmonary edema.
What is terbutaline.
If a pregnant or laboring patient is lying supine with a blood pressure of 88/50, what could she be experiencing? What is one intervention?
Vena cava syndrome, turn her on her side.
Name 1 condition that can cause pathological jaundice. When does this type of jaundice present?
Maternal-fetal blood incompatibility, signs of jaundice and hyperbilirubinemia occur before 24 hours of life.
How many wet diapers should a newborn have on day 7 of life?
6-8 wet diapers per day
What is the treatment for mastitis?
Continue to breastfeed frequently, fully emptying the breast, ensure latch is effective, full course of antibiotics, increase fluid intake.
Describe the third stage of labor.
Delivery of the placenta.
A condition that occurs when there is too much amniotic fluid surrounding a developing fetus during pregnancy