Module 7 (Exam 1) ****3**** Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 7 (Exam 1) ****3**** > Flashcards

Flashcards in Module 7 (Exam 1) ****3**** Deck (22):
1

Bonding

  • Initial, unidirectional attraction of parents to infant

2

Attachment

  • Enduring, reciprocal bond between parent and child
  • Each benefits

3

En Face

Position in which one looks at another face to face

4

Taking-In

  • Delivery-PP Day 1-2
  • Passivity, dependence, focus on physical needs, reviewing the birth
  • Provide direct physical care, encourage discussion of birth

5

Taking-Hold

  • Several days following Day 1-2
  • Increasing independence, autonomy
  • Support autonomy, focus on teaching, validate caregiving abilities

6

Letting-Go

  • Variable time frame
  • Reliquishment of previous roles, realization of new family unit
  • Generally happens after dischage, support integration

7

Maternal Role Attainment: Anticipatory

  1. Prenatal
  2. Planning for birth and parenthood
  3. Seeking out role  models
  4. Attending classes

8

Maternal Role Attainment: Formal to Informal

  1. Birth-4-6weeks
  2. Becoming aquainted with babe
  3. Responding to cues
  4. Personalizing parenting style

9

Maternal Role Attainment: Personal

  1. Variable time frame
  2. Harmony
  3. Integration of the maternal role

10

Sequential Touching Behaviors characteristic of a mother in becoming acquainted with her newborn

  • Fingertip touch: mother touches baby with only fingertips to explore baby's characteristics
  • Palmar contact: mother uses whole palm to touch baby
  • Enfolding/Holding: mother holds baby close to her

11

Baby Blues

  1. 60-70% incidence
  2. Onset is early puerperium
  3. Transient and self limiting
  4. Sadness, tears, mood swings
  5. Resolution within two weeks PP
  6. May progress to PP depression

12

Postpartum Depression

  1. 10-15% incidence
  2. Persistent blues
  3. Difficulty in caring for self and/or infant

13

Postpartum Psychosis

  1. Major depressive disorder
  2. Incidence 1-2 women per 1000

14

Warning Signs: Maternal

  1. Temp Elevation: greater than or equal to 38 degrees C
  2. Excessive uterine bleeding
  3. Localized breast pain, redness
  4. Localized pain or redness in legs
  5. Dysuria, frequency, urgency
  6. Persistent baby blues

15

Warning Signs: Neonatal

  1. Temp Elevation: greater than or equal to 38 degrees C
  2. Poor Feeding: BF less than 8-12 X a day or Formula feeding less than 6-8 X a day
  3. Jaundice below umbilicus
  4. Inadequate Output: less than 6 voids and/or less than 1-2 stoolsper day
  5. Excessive fussiness or sleepiness

16

Contraceptive Counsel

  1. Consider cultural and religious convictions
  2. Recommend barrier methods during puerperium (oral contraception can interefere with milk production)
  3. Breastfeeding is not considered effective contraception
  4. Progestin-only preparations during lactation - estrogen correlates with decreased milk production

17

Sleep Habits to Encourage

  • Room sharing
  • Breastfeeding
  • Back-to-sleep
  • Firm sleep surface
  • Consistent AP care
  • Pacifier during sleep
  • Infant immunizations
  • Supervised tummy time

18

Sleep Habits to Avoid

  1. Bedsharing
  2. Overheating
  3. Home Monitors
  4. Smoke Exposure
  5. ETOH/illicit drugs
  6. Commerical devices
  7. Loose bedding/soft toys

19

Witch hazel compress, analgesic spray, dibucaine hydrochloride

 

 

 

 

 

Used for comfort measures with pain, lacerations, and hemorroids in perineal area.

 

20

Docusate Sodium

Colace. Given to mother after birth as a stool softener. Pain prevention.

21

Ocycodone hydrochloride/Acetaminophen (Percocet)

Administered for pain. Fine with breastfeeding.

22

Codeine/Acetaminophen (Tylenol with codeine)

Given for pain. Fine with breastfeeding.

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