Newborn Assessment
infant born before 37 weeks gestation
Preterm infant
What hormone stimulates milk production in the mammary glands?
prolactin
When is the postpartum period
From birth to the first six weeks after
What is the most common cause of primary postpartum hemorrhage?
Uterine Atony
Highest priority after a vaginal delivery
ambulate and urinate
a flat, harmless birthmark that appears as a blue, blue-gray, or blue-black patch on the skin, common on the sacral area and in Hispanic or African decent
Mongolian spots
What hormone causes the milk ejection, or let-down, reflex?
Oxytocin
How long do you have to void after delivery
4-6 hours
What are the four T's of PP Hemorrhage?
Tone, Tissue, Thrombin, Trauma
when the mother begins to compare herself to the nurse and do everthing her self
taking hold
LGA/Macrosomia
What are signs of a good latch
The infant's mouth is wide open with the chin against the breast, and there is deep breast tissue in the mouth with rhythmic sucking and swallowing. Feeding should not cause persistent nipple pain.
What are the three major stages of lochia?
Lochia rubra, lochia serosa, and lochia alba
A postpartum patient saturates a pad in 15 minutes and has a boggy fundus. What is the nurse's immediate action?
Med?
Massage the fundus
Pitocin
Where should the fundus be palpated 8 hours after delivery
at the umbilicus
Testing done on a newborn to test for Developmental Hip Displasia
A breastfeeding mother develops a painful, reddened area of one breast and a fever. What condition should the nurse suspect?
Mastitis
A postpartum patient's fundus is boggy and displaced to the right. What should the nurse suspect?
A distended bladder
A patient who delivered 5 days ago reports a severe headache, blurred vision, and right upper-quadrant pain. What complication must the nurse suspect?
PP Pre E with severe features
A mother expresses post partum she is crying a-lot, sad, doesn't feel bonded with the baby and hearing voices, what does the nurse suspect
PP psychosis
Assign and APGAR
Accrocyanosis
Pulse 90
Weak cry when stimulated
Well Flexed
Slow irregular breathing
7/10
A newborn is 4 days old. The mother says the baby feeds frequently and she worries she has no milk. What is the best way to assess whether the infant is getting enough milk?
Wet/dirty diapers and adequate weight gain
Rubins Theory Phase where the mother embraces her new role as a parent and may grieve parts of her old life
Taking In
A patient has a temperature of 102°F, uterine tenderness, and foul-smelling lochia 2 days after delivery. What is the likely complication?
Postpartum endometritis. Prompt evaluation, cultures as ordered, and IV broad-spectrum antibiotics are commonly indicated.
A patient is 6 hours PP from a forceps-assisted vaginal delivery and reports she is saturating a pad in an hour. What should the nurse assess for?
Vaginal lacerations