Newborn assessment
When baby girl has gotten a lot of hormones from mom and her diaper has blood in it.
pseudo menstruation
Total amount of blood loss that would = a "hemorrhage"
1,000 mL
Risk factors for endometritis
c/s, prolonged ROM, prolonged labor, trauma/instrument assisted birth, diabetes, pre-existing infections, manual removal of placenta, poor perineal hygiene
What are some reasons breastfeeding would not be best?
Certain meds, infections (HIV), substance abuse
Carries oxygenated blood to the baby
Umbilical Vein
name some baby reflexes we check
moro/startle
palmar/plantar
root/suck
babinski
S/S of hemorrhage
brisk bleeding, no sign of bleeding, tachycardia, hypotension (late), pale color, light headed, swelling and pain in perineum, decreased hct and hgb
S/S: frequency, urgency, dysuria, hematuria, pyuria, low grade fever, flank pain
UTI/ pyelonephritis
How fast does the uterus change in size after delivery?
1 cm/ day (24hr after delivery)
Is the gut in a newborn initially sterile or not sterile?
Sterile
What finding may indicate turner syndrome?
Webbed neck
4 Ts of hemorrhage
tone, trauma, tissue, thrombin
Should you keep breatfeeding if you have mastitis?
YES
What are some reasons for urine retention in a pp mom?
increased bladder capacity, swelling/ bruising of tissues, anesthesia
Cold stress does what to the following?
Metabolic rate
Oxygen consumption
Surfactant production
Vein Size
increased met rate
increased O2 consumption
decreased surfactant production
vasoconstriction
What is a soft marker for down syndrome seen on baby's hand?
simion crease
Name risk factors for hemorrhage
fetal macrosomia, multipara, multiple gestation, mag sulfate, augmentation w/pitocin, general anesthesia
Ways to prevent mastitis
fully drain, change positions of breastfeeding, proper latch, avoid tight bra, hand hygiene, prompt attention, lactation consultation
When would a pp moms temp of 100.4 be possibly concerning?
after 24hr post delivery
apgar:
pink body and hands w/ cyantoic feet, hr 109, grimace to stimulation, flaccid, and irregular cry
5
What is the substance called that is on the body of the baby and looks like hair?
Lanugo
If a pt is hemorrhaging, what is the FIRST thing a nurse should do?
Uterine Massage, then:
start hemorrhage protocol, pit + normal saline, o2, monitor bp, pulse, and urine output
When is the postpartums bp expected to increase?
2-6 days after delivery
What is it called when the uterus is position higher/larger than it should be based on the amount of days postpartum (or boggy)
uterine atony
Youre assessing the one min apgar score of a newborn baby. on assessment, you note the following about your newborn pt; HR 101, cyanotic body and extremities, no response to stimulation, no flexion of extremities, and strong cry. what is your pts apgar score?
4