Newborn Assessment
an oblong shape of the newborns head caused by the tight birth canal/pressure
What is Molding
“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
How many mL's of blood loss is considered a hemorrhage for a vaginal birth and c-section?
500ml for vaginal delivery, 1000ml for c/s
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
Signs, symptoms, labs of preeclampsia
Headache, vision changes, right upper quadrant pain, >140/90, increased liver enzymes, proteinuria, edema of face and hands.
Name interventions during a postpartum hemorrhage.
Call for help, uterine massage, 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 the benefits of breastfeeding?
Decreases risk for breast and ovarian cancer for mom, helps mom lose weight, provides immunity to infant, decreases risk of obesity, asthma, and allergies. It is cheap, convenient, sterile, facilitates bonding.
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?
S/S of postpartum psychosis
• Sleep disturbances-unable to sleep
• Depersonalization
• Confusion
• Hallucinations, Delusions*
• Psychomotor disturbances-agitated state, rapid incoherent speech
The yellow breakdown product of normal hemoglobin, a principal component of red blood cells.
What is bilirubin?
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 and how long each will last.
• 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)
This occurs when the placenta grows too deeply into the uterine wall. After the child is born, part or all of the placenta remains attached to uterine wall. This can cause severe blood loss after delivery.
What is placenta accreta?
Something you learned today
400!
Name 2 risk factors for developing newborn hyperbilirubinemia.
maternal-fetal blood incompatibility, history of pervious child with hyperbilirubinemia, cephalohematoma/trauma, prematurity, poor feeding, g6pd deficiency, Asian or native American ethnicity.
How many wet and soiled diapers should a newborn have in the first day of life? Second day? Third day? What is the first stool called? What color and consistency is a breastfed infants stool?
What is the treatment for mastitis?
Continue to breastfeed frequently, fully emptying the breast, ensure latch is effective, warm compress, full course of antibiotics, increase fluid intake.
Name the three types of placental separation/abruption.
MARGINAL - CENTRAL - COMPLETE
Give me change of shift report on your patient.