Newborn
Normal newborn temperature and RR.
What is 97.7-99.5 and 30-60?
The non-invasive method used to identify the fetus's position.
What is Leopold's maneuver?
After the placenta delivers, this stage of labor begins.
What is the fourth stage?
Present at birth, a sign of hunger, the infant turns head towards stimulus.
What is rooting/lip smacking/sucking on the hands?
Previous c-section, prolapsed cord, cephalopelvic disproportion, placenta previa, active herpes, and significant acute fetal distress.
What are indications for a cesarean section?
4 interventions for a hemorrhaging mother.
What is emptying a bladder? What is giving IV fluid? What is a blood transfusion? What are taking frequent vital signs?
A baby at risk of meconium aspiration, meconium stained, green tinged skin, large birth weight, dry, loose, peeling or cracked skin, little to no lanugo (hair) and minimal vernix (cheesy substance), overgrown fingernails, visible creases on palms and soles.
What is a baby born at 42 weeks?
She is at risk for delivering a baby with shoulder dystocia.
Who is a mom with diabetes (GDM or DM)?
Ice a few minutes before feeding & breastmilk after. Allow to air dry after feeding. Change breast pads frequently. Start nursing on the least sore breast first. Avoid the use of petroleum-based products or soap. To break the suction of the latch, a finger is placed between the baby’s lips and the mother’s breast.
What are comfort measures for nipple soreness?
Several feedings close together
What is cluster feeding?
PROM, preeclampsia, hx of fetal stillbirth & distress & precipitous delivery, IUGR, post-term gestation, chorioamnionitis, oligohydramnios, non-reassuring FHT.
What are reasons for induction of labor?
1 cm below naval.
Where is the fundus 1 day after delivery?
Cephalohematoma puts baby at risk of this.
What is hyperbilirubinemia?
This occurs immediately following an epidural placement.
What is hypotension?
Headache, pain in the right upper abdomen, and vision changes.
What are potential signs of PreEclampsia?
A way to alleviate pain from engorgement.
What is applying ice packs after feeding?
VS, IV fluid bolus, FHR.
What do you do for preparing for an epidural?
Notified HCP of excessive bleeding or if purulent drainage occurs. Petroleum jelly after the procedure. The area is cleaned by squeezing warm water from a clean washcloth over the penis and gently patting it dry.
What is the circumcision care for Gomco?
If a newborn baby is not wiped off with warm blankets, placed skin to skin on their mother or on a pre-heated radiant warmer after birth. They could develop this.
What is a hypothermia/cold stress?
Intrauterine infection, oligohydramnios (umbilical cord compression, reduced lung volume, and deformities resulting from compression).
What are the risks if mom had PROM and labor doesn't start?
A boggy uterus, displaced to the right, birth of a large baby, or multiple babies
What are risks of a PPH?
Pumped breast milk can last this long in room temperature.
What is 4-8 hours?
Resting stops pain.
What is an indicator of false labor?
The plastic rim will fall off in 7 to 14 days. The area is cleaned by squeezing warm water from a clean washcloth over the penis and gently patting it dry.
What is the circumscision care for Plastibell?
A baby has poor coordination of suck and swallow, fast breathing, tremors, appears hungry, difficult to gain weight, frequent high pitched crying and is difficult to console.
What are signs of Neonatal Abstinence Syndrome (NAS)?
The fetus drops lower (lightening), increased urinary frequency, cervical effacement, mucousy discharge, nausea, diarrhea, bursts of energy with the desire to clean and prepare for the baby (called 'nesting') are common.
What are the signs of impending labor?
A baby is born with blue hands, rigorous cry, arms flailing about, with a pulse of 98.
What is an apgar of 8?
The amount of feedings in a day.
What is 8-12 times?
Contraindicated in women with active pelvic infections, highly effective form of birth control, increases the chances of ectopic pregnancy
What are IUD's?
Newborns do this within 12-24 hours
Swaddling, frequent, small on-demand feedings, and avoid eye contact. Rubbing is often better than patting when burping during feedings. Nonnutritive sucking on a soother.
What is caring for a NAS infant?
4-7 cm, contractions every 2-3 minutes lasting 40-60 seconds. The woman is less talkative and focused on comfort and breathing techniques.
Peripad saturted within 15-30 minutes
What is an indication of PPH?
This should not be saved from one feeding to the next. Burp the newborn every ½ to 1 oz. Do not force the infant to finish the bottle. Infant held in a semi-upright position when feeding.
What is formula fed?
A large fetus (macrosomia) or abnormal fetal presentation. Lessen the risks associated with prolonged pushing (lacerations and future bowel and bladder complications). Prepare for the use of delivery devices, such as forceps or vacuum extraction.
What are indications for an episiotomy?
Lethargy, poor feeding, tremors, hypothermia, flaccid muscle tone, irregular respirations, apnea, cyanosis, and a weak, shrill cry.
What are signs of hypoglycemia in a newborn?
Most likely has underdeveloped lungs and therefore require respiratory support
What is a pre-term infant?
Latent=0-3 cm, contractions every 5-8 minutes lasting 30-40 seconds. The woman is still alert, talkative, and teachable.
What is the first stage of labor?
Sitz baths, peri bottle front to back, avoid inserting anything into the vagina for 6 weeks, sutures dissolve (no need to have them removed), witch hazel for hemorrhoids
What is care after vaginal delivery?
2 ways to assist a feeding baby with cleft lip and palate.
What is using longer nipples? What are slow feedings with frequent burps?
Protect the newborn's eyes from the intense light used in phototherapy. Breastfeeding & frequent feedings- more frequent bowel movements.
What is done to prevent hyperbilirubinemia and therefore kernicterus?
A high-pitched cry.
What could indicate kernicterus?