maternal

how long should you swaddle a baby

2 months or when they start rolling

breastfeeding reduces the risk of

infection, SIDS

health benefits of breastfeeding

ovarian and breast cancer RA HTN decrease

contraindications of breastfeedings

illegal drug use

active untreated TB

HIV positive

chemo /radiation

lesions

galactosemia

breastfeeding teaching

skin to skin stomach to stomach

every 8-12 times in 24 hours

feed on demand

15-30minutes each time

baby seems satisfied

regain to birthweight at 2 weeks old

no smacking or clicking sound

monitor OP

sore nipples how to fix

a proper latch nipple and part of areeola

see dumping of jaw on bb NOT cheeks

express breast milk to rub on nipple

best way to treat and prevent engorgement

breastfeeding completely

warm shower hot packs

goes away in a few days

mastitis

continue to feed even on affected side

bed rest

antibiotics

fluids

formula feeding can encourage

bond with father and baby

formula feedings takes longer for the newborn to

digest

risk from formula feeding

allergies

less antibodies

obesity’s

intolerance to formula

disagree with mucus or blood

wt loss

slow wt gain

vomiting

colic symptoms

feed formula babies every

3-4 hrs

when to start dental appointments

by 1 year

post mature neonate

delivered after 42wks

premature neonate

can still be SGA if placental insufficiency or LGA

placental insufficiency can cause

stress on baby

hx of post term

anceohaly

first pregnancy

grand mukti. (five or more births

increased risk of post term baby

persistent pulmonary circulation

medium aspiration

fetal hypoxia

neuro problems

hypoglycemia (check CBG)

polycythemia (get CBC)

birth trauma injuries

post mature neonate

thin wasted appearance loose skin

dry peeling cracked skin

decreased vernix or no vernix

lots of hair

long fingernails

long hair

medium stain of fingernail skin and cord

episodes of hypoglycemia

poor feeding

macroscomic

barrel chest and bronchi and crackles and decreased breath sounds

medium aspiration

who needs to be in room if meconium in sac

someone to intubate

symmetric IUGR

weight head circ and length are ALL below tenth percentile for age

genetics

exposure to teratogens

congenital infections

Asymmetric IUGR

my come from maternal malnutrition

infarcts

later in pregnancy

pre eclampsia

(things that affect blood flow to placenta from maternal or placental issues that happens later in pregnancy .)

SGA IUGR

large head and hair

long nails

sparse or absent hair on head

large ante donte

dey loose skin

degree subq fat

dull thin umbilical cord

and decreased wartons jelly

drawn in belly

minimal brown fat stores

may have hypoglycemia

hypocalcemia

unconjugated bilirubin p

crosses blood brain barrier deposited into tissues

conjugated

stick together able to be excreted

physiologic jaudice

after 24 hrs of broth

goes up for a few days then rapid decline 5-10

pathological jaidice

first 24!

more than 1 week term and 2 week preterm

blood group incompatibility or infection

jaundice increased risk of

breastfed

torch infection

neonatal hyperthyroidism

family hx

coombs test

positive abnormal

rh or abi incompatibility

bili light should be how far away

12-24 inches?????