Postpartum and Newborn Flashcards
Other Def/ Concepts (49 cards)
Circumcision: how long after procedure should infant void
Within 12 hours
How much blood is normal post circumcision?
If greater than a quarter size, the surgical provider should be notified
normal circumcision healing
Slight swelling and the formation of a crust on the glands
Circumcision care
cleanse gently with soap and water, petroleum ointment or water based lubricants is placed over the wound for 3-5 days to avoid adhesion of the glands to the infant diaper
Omphalitis
infection of the umbilical stump
S/s of omphalitis
foul smelling yellow discharge from the cord, red skin, and crying when cord is touched
Cephalohematoma resolve
6-8 weeks without intervention
Caput resolves
24-48 hours
Positive red reflex in newborn
is normal
circumoral cyanosis
bluish discoloration around the mouth
Peripheral cyanosis or Acrocyanosis
Benign bluish coloration around the hands and feet after birth
Central cyanosis:
bluish coloration of the mouth, head, and torso after birth NOT normal
Erythema toxicum:
tiny, punctate red macules and papules on the cheeks, trunk, chest, back, and buttocks, normal
How long is Milia present for?
disappear within first month of life, no treatment is needed
Hypotonia
decreased muscle tone. Neuromuscular disorders, CNS dysfunction, Sepsis, drug intake, congenital chromosomal abnormalities, development immaturity
Omphalocele
contents through abdominal wall organs are covered by membrane
Appropriate counseling for a client with a ‘reluctant nurser’ includes
- arching babies might take well to the breast with a football hold
- you can use a syringe to offer small amounts of milk or colostrum to the baby
- avoid excess holding of the baby by others except the nursing parent
Which of the following are included in appropriate counseling to offer to clients with hx of breast augmentation?
-Feed 8-12x every 24 hours
- Educate the parent that breast augmentation surgery has the potential to disrupt bf
After an abortion (spontaneous or elective), pelvic rest should persist for at least ___ weeks
2
Predisposing factors for mastitis include
- Underwire bras
- utlization of the same position during nursing sessions
-substituting some nursing session with bottle milk - nipple damage
Possible management for nipple candida may include
- oral fluconazole
-Gentian violet - sterilizing objects that contain breast or infants mouth
- Nystatin cream
What are some neuromuscular maturity signs present in a premature baby?
- During the square window assessment, wrist is unable to bend to allow hand to touch arm
- there is little resistance when moving heel to ear
- during scar sign assessment, the elbow easily crosses the midline
A newborn in our care was born 1 hr ago and you are attempting to get him to latch when he starts coughing and has a very large amount of saliva coming out of his mouth. This is most likely an indication of what defect?
Esophageal Atresia
You are performing a quick check on 45 minutes old baby, who has just finished bf. He is resting quietly in Dad’s arms, with a heart rate of 132, respiratory rate of 84, temp of 97.1. You note that his feet and hands are bluish. What actions on your part would be appropriate?
Evaluate baby for any other signs of respiratory distress, and if non, reevaluate in 15 minutes
