Maternity Nursing Review

Flashcards reviewing key concepts related to maternity and newborn nursing, including postpartum phases, bonding, complications, and care practices.

Supplementing Breastfeeding/Formula

Around six months, breast milk or formula may not provide enough protein and nutrients, necessitating supplementation.

Extrusion Reflex

The extrusion reflex usually starts to disappear between four to six months, signaling readiness for solid foods.

Honey and Infants

Infants under one year old should avoid honey due to the risk of organisms that can cause problems.

Infant Juice Consumption

The American Academy of Pediatrics recommends introducing juice after 12 months of age and limiting it to a small amount.

Cultural, Social, and Religious Considerations in Infant Care

Healthcare providers should be aware of cultural, religious, and social preferences related to infant care, such as beliefs about ice in a mother's water.

Colostrum

The initial milk produced is rich in colostrum, which is highly beneficial for newborns.

Changing Family Dynamics

The introduction of a baby causes changes, and each additional child requires further adjustment and adaptation within the family.

Taking In Phase

Occurs in the first 24 hours postpartum, characterized by the mother being tired, vulnerable, and inwardly focused on her own physical needs.

Taking Hold Phase

Begins on the second or third day postpartum, where the mother has more energy and actively takes responsibility for baby care, making it an ideal time for teaching.

Letting Go Phase

Involves adjusting to a new normal and settling into new roles as family members adapt to life with the baby, seeing the newborn as a separate individual.

Attachment

An enduring emotional bond that develops between parent and infant, crucial for the baby's psychological outcome.

Skin-to-Skin Contact

Helps regulate the baby's glucose levels and promotes bonding.

Newborn's First Hour

Babies are usually awake and ready to interact and eat, making it a critical bonding period.

Infant Cues

Includes when the baby is ready to eat or sleep, which parents will eventually learn to recognize.

Baby Blues

A self-limiting form of depression, often marked by crying and mood swings, typically occurring in the early postpartum period.

Postpartum Depression

Characterized by strong feelings of sadness, irritability, anxiety, and tearfulness that extend beyond a week, requiring medical attention.

Postpartum Psychosis

A rare and severe distortion of reality that requires emergency intervention, often involving delusions and hallucinations, emerging as early as 48 hours after birth.

Hemorrhage Protocol

Initiated for all mothers due to the inherent risk of bleeding, involving continuous assessment.

Midline Episiotomy Assessment

Involves checking for approximation, discharge, bruising, and redness, with ice applied for 20 minutes on and 10 minutes off.

Potential Findings

Slightly Echhymoses on the toes but well approximated.

Lochia Rubra Normal Assessment

Moderate amount of normal, normal in amount with some small clots.

Postpartum Activity Levels

Avoid excessive exercise in the first month, gradually reintroducing activities as advised by a doctor.

Normal Healing Process Signs

Fever over 100.4, lines redness pain and areas on the breasts.

Subinvolution

The uterus is changing in different positions, one is going up, and the other is going down.

Severe Unremitting Abdominal Back Pain

There is something that is going wrong in the body.

Full Bladder Complications

There is back flow and may cause the uterus to bleed.

Breastfeeding Teachings

Stimulation will produce more milk.

Early Hemorrhage

Occurs within the 24 hours of birth.

Late Hemorrhage

Occurs after the first 24 hours after birth.

Uterine Atony

It is a form of eary hemorrhage that occurs because the bladder has not released enough of it's pressure.