Postpartum
How should the fundus feel postpartum?
firm and not boggy
A women postpartum has noticed her pads being excessively saturated with blood what should be the first nursing actions?
Massage the fundus
What is meconium?
Greenish black stool that consists of amniotic fluid, intestinal secretions (bilirubin), and cells (shed from the mucosa)
What does the acronym BUBBLE stand for?
Breast, Uterus, Bladder, Bowel, Lochia, Episiotomy/Lacerations
What hormone lets-down breast milk?
Prolactin
What is the cheese-like substance that covers a newborn immediately after birth?
Vernix
How to prevent heat loss in a newborn immediately after birth?
Dry and wrap them in blankets. Place hat on head, skin to skin.
When should the first feeding start?
within the 1st hour after birth
Sacral dimples and tufts of hair above the buttocks of newborns could indicate this abnormality.
Spina Bifida
What is maternal blues?
postpartum the mother feels down, depression, a letdown feeling, restlessness, fatigue, insomnia, anxiety and sadness which peaks on the 4th or 5th day.
What is the bluish discoloration found in a newborn's extremities, particularly the palms of the hands and the soles of the feet in a newborn?
Acrocyanosis
What are two signs or symptoms that would indicate a newborn is in respiratory distress?
Retractions, tachypnea, accessory muscle use, nasal flaring, cyanosis
What is uterine atony?
Decreased tone in the uterine muscle, and is the major cause of primary postpartum hemorrhage.
What are three benefits of breastfeeding?
Decreases the risk for breast cancer, helps mom lose weight, provides immunity to baby, reduces risk of child developing allergies, asthma, obesity. It is cheap and it promotes bonding.
What is assessed in the APGAR score?
Heart rate, respiratory effort, muscle tone, reflex, and color
What is Caput succedaneum?
collection of fluid (serum) under the scalp.
What are two treatments for mastitis?
What is a cephalohematoma?
Name a few common reflexes in a newborn.
Rooting, sucking, grasping, Moro, Babinski, palmar, plantar
Differentiate between Physiological Jaundice vs Pathological Jaundice.
Physiological jaundice is typically visible after 24 hours of life and during the first week, and Pathological jaundice occurs within the first 24 hours of life.
What medication is administered to a newborn after birth to prevent bleeding?
Vitamin K
What is bilirubin?
The yellow breakdown product of normal hemoglobin, a principal component of red blood cells.
Name the four modes of heat loss in the newborn
convection, radiation, evaporation, and conduction
The return of the uterus to a non-pregnant state after birth
What is the Homan's sign?
Pain with dorsiflexion of foot which indicates a venous thromboembolism