Newborn
Which systems of the baby undergo the most dramatic changes following birth?
What are 2 things that could effect the ability for lactogenesis?
Cesarean birth & postpartum hemorrhage
What are the clinical manifestations of the baby blues?
Why does this happen?
This happens because of the major shift in hormones
Why does the police have to be notified to come and examine the scene following a SIDS related death?
To rule out murder or neglect
A premature baby is now 4 hours old and is feeding. You notice some nasal flaring and grunting. Their current respirations are 74 per minute. What should be done?
The baby should be NPO because they are in respiratory distress
What assessment cues would indicate a newborn is in respiratory distress?
<30 respirations per minute, nasal flaring, retractions, grunting
A woman has been in the bed for 4 hours following the birth of her child. The nurse decides to get the patient up to try to use the restroom. A sudden gush of blood comes out. What are you thoughts as the nurse?
The patient has been horizontal for a period of time so the blood has pooled.
If blood continues to gush out, then reassess the situation.
A pregnant woman has a history of anxiety and depression. What are they at a higher risk of because of this?
Postpartum depression
In what position should a child sleep?
On their back
What should be done prior to gavage feeding on a premature infant?
Measure abdominal girth
What intervention can the nurse encourage to help treat a baby with jaundice?
Encourage frequent feedings
You are assessing a postpartum patient who has moderate bleeding. You feel the fundus and it is high and to the left. What should be done?
The patient is bleeding moderately because the bladder is full and the fundus cannot clamp down. Assist the patient to use the bathroom
A postpartum patient is prescribed Fluoxetine (prozac) to treat her postpartum depression. What should the nurse ask the patient prior to administration of the med?
Is the patient breastfeeding?
This medication is typically contraindicated for breastfeeding mothers.
Name some ways to prevent SIDS.
Baby on back, firm crib mattress, fitted pad & sheet, swaddling
A 7 year old kid with cerebral palsy has frequent muscle spasms. What medication would most likely be given by intrathecal pump to help relieve these spasms?
Baclofen
A newborn has "brick" colored urine in their diaper. What can you as the nurse assume about this baby?
The baby is dehydrated
A patient gave birth 12 hours ago and has a temperature of 100.3 and a high white count. What do you suspect is happening to this patient?
The patient is most likely dehydrated and it is normal for temperature and WBC to increase
A 3 month postpartum mother calls asking if she can put her baby in the microwave to warm her up. She seems to be having some confusion and possible hallucinations. This is an example of what?
How should you handle this situation?
Postpartum psychosis
Keep the patient on the phone & call 911
What would an autopsy of a baby show following a SIDS related death?
Nothing
What are the clinical manifestations of VSD?
A newborn presents with a large bruise on the scalp that does not cross over the suture lines. What is this?
What is the baby at risk for because of this?
Cephalohematoma
The baby is at risk for jaundice because of the hemolysis of RBCs
A 3 hour postpartum patient with a history of heart disease is on your unit. What is the time frame that you would consider the patient at high risk of complications given her health history?
48 hours
What is the primary question a nurse should ask to assess a patients risk of harm to themselves or others?
Ask the patient if they want to hurt themselves or have a plan to
This does not put the idea in their head
Name objects that should not be in the crib with a baby.
No blankets, stuffed animals, pillows, crib bumpers, or toys
A mother has just delivered and a direct Coombs test was done on the cord of the baby. The test comes back positive. What does this mean the baby is at risk for?
Jaundice