OB NEW MATERIAL

studied byStudied by 0 people
0.0(0)
get a hint
hint

How many calories does a newborn need daily?

1 / 143

Tags and Description

Nursing

144 Terms

1

How many calories does a newborn need daily?

Breastfed: 85-100kcal/kg Formula fed: 100-110kcal/kg

New cards
2

What % of birth weight are babies expected to lose?

Less than 10%

New cards
3

What is lactogenesis i

During pregnancy a few days are delivery Liquid gold- very rich in immunoglobulins

New cards
4

What is lactogenesis ii?

2-3 days after birth transitional milk gradually changes from colostrum to mature milk (more calories and fat)

New cards
5

What is lactogenesis iii?

Mature bilk that is bluish and not as thick as colostrum

New cards
6

Breast milk is high in taurine, what is that important for?

Brain development and conjugation of bile

New cards
7

What is lactulose important for?

Improved absorption of calcium and provides energy for brain growth

New cards
8

What mineral is lower in breastmilk than formula but is absorbed 5x better?

Iron

New cards
9

Why are enzymes from milk important?

Has infection preventing components

New cards
10

What do igA immunoglobulins do?

Helps protect infants GI tract from infection

New cards
11

Positive effects of breastfeeding are...

Decrease chance of diabetes, asthma, obesity UTI's, ear infections, respiratory diseases, SIDS, etc.

New cards
12

What milk is NOT recommended for infants under 12m?

Unmodified cow's milk (too much protein and sodium)

New cards
13

What source of milk is the source of most commercial formulas?

Modified cow's milk (remove saturated fat, reduce protein and add vitamins and nutrients)

New cards
14

What formula is better tolerated for infants with allergies?

Protein hydrolysate

New cards
15

What would be a few examples of "baby-friendly" breastfeeding?

Feeding 1hr after birth On demand feeding Avoiding formula unless medically indicated

New cards
16

What two hormones prepare the breast for lactation?

Estrogen and progesterone

New cards
17

Increased levels of what initiate milk production?

Prolactin Baby suckling and removing milk increases those levels even more

New cards
18

What hormone increases with nipple stimulation?

Oxytocin "let down" effects ejection reflex

New cards
19

Can you put soap on your nipples?

No! It strips away healthy protective oils

New cards
20

What are some infant hunger cues?

Licking or sucking movements Lip smacking Rooting Hand to mouth movements Sucking on hands Increased activity Crying (a late sign) Try to calm before feeding

New cards
21

What is a nutritive vs a non-nutritive suckling pattern?

Nutritive: Smooth, continuous movements and occasional pauses to rest Non-nutritive: Flutter or choppy motion of the jaw not accompanied by the sounds of swallowing

New cards
22

How many times a day should a baby feed?

8-12 times

New cards
23

LATCH score

Latch, Audible swallowing, type of nipple, Comfort, Hold The higher the score the better

New cards
24

What might indicate a suckling problem?

Dimpling of the cheeks and smacking or clicking sounds

New cards
25

Why is frequent breastfeeding and frequent stools important for infants with jaundice?

Will aid in the excretion of bilirubin!

New cards
26

What is engorgement and what can it lead to?

Edema, hard, tender breasts Mastitis

New cards
27

What can cause a clogged duct?

Missed feedings or engorgement Encourage mom to massage breasts, use heat and frequent feedings

New cards
28

S/S of mastitis?

Flu like symptoms 102.2 or > fever, muscles aches, fatigues lump on breast

New cards
29

Treatment for mastitis?

Antibiotics or go to ER to get breasts drained Encourage mom to still breastfeed!!

New cards
30

Can a chemotherapy mom breastfeed?

NO

New cards
31

How long can you use fresh milk and how long can it stay refrigerated and frozen for?

3-4hrs 72hrs 6 months

New cards
32

How can you wean a baby from breastfeeding?

Omit 1 breastfeeding session per day then wait 3-4 days before omitting another day

New cards
33

What are the 3 involution stages of the uterus?

Muscle contracting back down Cells shrinking (catabolism) Epithelium is regenerating

New cards
34

What are the 3 types of lochia (or vaginal discharge) that you can get after birth?

Rubra (1-3days) Serosa (3-10 days..pink) Alba (up to 6 weeks...white)

New cards
35

When looking at a mother's pad, when would it look like she was hemorrhaging?

Pad is heavily saturated in 15minutes-1 hour

New cards
36

Why do you not want to take a bath right away after childbirth?

Cervix takes a week to go back to 1cm

New cards
37

How long does it take an episiotomy to heal completely?

4-6 months

New cards
38

What is a benefit of nursing your baby after labor?

Helps mom labor down more and prevent postpartum hemorrhage

New cards
39

Is it normal for WBC to increase after birth? When does it return back to normal?

Yes, can go up to 30k Takes 6 days to go back to normal

New cards
40

Why would a mother's hct be low postpartum?

Due to fluid shifts into the veins which causes more fluid than hematocrit numbers... gets diluted

New cards
41

How long does it take for hct and coagulation to return to normal?

4-6 weeks

New cards
42

What might be some causes of constipation in mothers postpartum?

Pain meds Decrease in fluid Labor or C-section (slows motility) Fear of having 1st BM after having baby

New cards
43

True or false... Protein in urine is normal post partum, only when they are pregnant does it indicate preeclampsia

True

New cards
44

What is acetone in urine a result of?

Dehydration

New cards
45

What can ovulation recur after labor?

3 weeks...it is possible to get pregnant again without a period

New cards
46

What does REEDA stand for when doing an assessment?

Redness Edema Ecchymosis Drainage Approximated

New cards
47

What does BUBBLE-HE stand for when doing an assessment?

Breasts Uterus Bladder Bowels Lochia Episiotomies Homan's sign Emotional status

New cards
48

What immunizations would you look for in their chart?

Rubella, Pertussis, Varicella, Flu, Pneumonia

New cards
49

What is some post partum nursing care?

Ice Packs Sitz bath Analgesics Perineal care Topical medications Sitting measures Promoting bladder elimination Providing fluids and food

New cards
50

What are some S/S that should be reported post partum?

Fever, localized redness, swelling/pain, persistent abdominal tenderness, feelings of pelvic pressure, persistent perineal pain, frequency, urgency, or burning on urination, abnormal changes in lochia, localized tenderness or warmth in legs, edema or separation of abdominal incision or foul drainage from incision

New cards
51

What is the taking-in phase?

Mom is focused on herself...tired, hungry, thirsty (lasts day or less)

New cards
52

What is the taking-hold phase?

More independent and attention shifts to baby (over several days)

New cards
53

What is the letting-go phase?

Giving up some things, previous role Giving up ideal childbirth that may have not happened

New cards
54

What is a hemorrhage defined as?

>500ml blood loss after vaginal birth >1000ml blood loss after C-section

New cards
55

How does ACOG define a postpartum hemorrhage?

cumulative blood loss of >1000 or blood loss accompanied by S/S of hypovolemia within 24hrs following birth process

New cards
56

What are the 5 T's that cause a hemorrhage and an example of each KNOW THIS!!!

Tone: uterus not contracting Tocolytics: Mag Sulfate Tissue: Retained placenta Trauma: Cervical laceration Thrombin: Pre-existing clot disorder or DIC

New cards
57

When is the patient at greatest risk for getting a post partum hemorrhage?

The first hour

New cards
58

What should you be assessing during fundal checks?

Fundus is firm ball size of grapefruit Level of umbilicus Midline

New cards
59

How can you assess blood loss?

Weight peripad of chucks 1g of weight = 1ml of blood

New cards
60

What is the first intervention for a postpartum hemorrhage?

Fundal massage!

New cards
61

What should you be looking at vital wise when managing a postpartum hemorrhage?

q3-5min MAP tachypnea, tachycardia O2, RR Consider telemetry

New cards
62

What are some other nursing interventions for postpartum hemorrhage?

Bladder management Elevate legs Medications I's and O's IV access (for LR or plasma expanders) Assess for shock Lab work Transfusions

New cards
63

What 4 meds can be given for postpartum hemorrhage?

Oxytocin: Tightens uterus 20-40 units/min Methylergonovine Misoprostol Carboprost Tromethamine

New cards
64

What medication is contraindicated with asthma?

Carboprost Tromethamine

New cards
65

What medications in contraindicated with HTN?

Methylergonovine

New cards
66

What are some thromboembolic disorders?

Superficial Venous Thrombophlebitis DVT PE

New cards
67

What causes thromboembolic disorders?

Venous Stasis Hypercoagulable blood Injury to the endothelial surface of blood vessel

New cards
68

What is a puerperal infection?

A bacterial infection after childbirth 100.4 or higher fever first 24hrs and occurring on at least 2 of the first 10 days postpartum

New cards
69

Different types of bacterial infections

Endometritis Wound infection UTI Mastitis Septic pelvic thrombophlebitis

New cards
70

What are some affective disorders post partum women might experience?

Postpartum... blues, depression, psychosis Bipolar 2 disorder Panic disorders Postpartum OCD PTSD

New cards
71

When are late preterm infants born?

Between 34 and 38 weeks

New cards
72

How often should you monitor the temperature for a late preterm infant?

Every 3-4hrs

New cards
73

What is kangaroo care?

Skin to skin contact

New cards
74

What 3 risks are a part of the baby triad?

Temperature, hypoglycemia, respiratory issues

New cards
75

How would be some characteristics of a 24w baby?

fragile see through skin, not a lot of subq fat

New cards
76

What can stress a baby easily and why should they be avoided?

light and noise Can decrease O2 and cause a bradycardia episode

New cards
77

What would be some common respiratory issues?

Apneic spells (greater than 20seconds), effort of breathing (using accessory muscles, nasal flaring, grunting

New cards
78

What is the Nurse's role in coalition?

When 2 or more groups join to maximize resources, increasing their influence and improving their chances of success in achieving a common goal, they form a coalition

New cards
79

What is the Nurse's role as a change agent?

Nurses communicate with elected officials at the local, state, and federal levels through letters, emails, or personal visits, belonging to a professional organization, speaking publicly, or serving on advisory boards engage the nurse in effecting policy change

New cards
80

What does the Title VIII funding (HRSA) do?

provides the largest source of federal funding for nursing education

New cards
81

What is the Patient Protection and Affordable Care Act of 2010 (Health Care Reform Act)?

All U.S. citizens and legal residents mandated to have qualifying health coverage, Subsidized premiums for lower income families, Required coverage of dependent adult children up to age 26 for those with group policies, Significant insurance changes, funded through new fees and taxes

New cards
82

What is the Welfare Reform Act of 1996?

Restricted eligibility for Aid to Families with Dependent Children (AFDC), Medicaid, and other federally funded welfare programs

New cards
83

What is the Health Insurance Portability and Accountability Act (HIPAA) of 1996?

This law offered protection for patient privacy and confidentiality

New cards
84

What is the Occupational Safety and Health Act of 1970?

Focused on health needs and risks in workplace and environment

New cards
85

What is a public sector?

Influenced by social and political theories, needs are determined by voting shifts, electoral realignment, and term limits

New cards
86

What is a private sector?

Includes employers, professional organizations, nonprofit health care organizations (American Heart Association), and for-profit corporations that deliver, insure, or fund health care services outside government control

New cards
87

What is the public health policy?

Decisions made by legislative, executive, and judicial branches of one of the three levels of government (local, state, or federal), Influence health care through monitoring, production, provision, and financing of health care services

New cards
88

When does a bill become a law?

passed both houses (congress- senate and house of representatives) and signed by the president, Executive branch neither signs nor veto's the bill, Vetoed by the President but is approved by a 2/3 vote in the House of Representatives and Senate

New cards
89

What is Bicameralism?

Power to enact laws is shared by the House of Representatives and the Senate

New cards
90

What are the positions in the judicial branch of government?

federal: U.S. Supreme Court; U.S. Court of Appeals; U.S. Circuit Court, state: State and County Courts, local: Indiana Circuit Courts, Indiana District Courts, Indiana Probate Courts

New cards
91

What are the positions in the legislative branch of government?

federal: U.S. Congress, state: Indiana State Legislature, local:City council County Board of Commissioners Township Board of Supervisors Township Board of Trustees

New cards
92

What are the positions in the executive branch of government?

federal: president and Vice President, state: governor, Local: Mayor County Executive Township Supervisor

New cards
93

What are the three branches of government?

Legislative (makes law), Executive (carries out the law), Judicial (applies the laws to specific court cases, determines whether someone has broken the law, and evaluates laws to make certain that they are legitimate)

New cards
94

What are the three separate levels of the US government?

federal, state, and local governments

New cards
95

What is the purpose of the government?

Regulation of conditions beyond individual control and provision of individual protection through a population-wide focus

New cards
96

What is the importance of nursing in policy and legislation?

Nurses can be the powerful force that brings about change in the delivery and quality of the health care of aggregates

New cards
97

What is the role of the community health nurse in primary care?

First line or point-of-access medical and nursing care controlled by providers and focused on the individual, May not be the norm in developing or less developed countries that have overwhelming needs for basic necessities - safe drinking water, sanitation, hygiene

New cards
98

What is the role of the community health nurse in primary health care?

Essential services that support a healthy life, Involves access, availability, service delivery, community participation, and the citizen's right to health care

New cards
99

What does an effective health care delivery system need to do?

increase access and efficiency, improve health status through health promotion and disease prevention, eliminate health disparities, Protect individuals and families from financial loss due to catastrophic illness

New cards
100

What are the two basic health care systems?

market-based, population based

New cards

Explore top notes

note Note
studied byStudied by 9 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 27 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 11 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 4255 people
Updated ... ago
5.0 Stars(9)
note Note
studied byStudied by 12 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 4 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 36 people
Updated ... ago
5.0 Stars(1)
note Note
studied byStudied by 16743 people
Updated ... ago
4.6 Stars(38)

Explore top flashcards

flashcards Flashcard120 terms
studied byStudied by 8 people
Updated ... ago
4.5 Stars(2)
flashcards Flashcard66 terms
studied byStudied by 5 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard33 terms
studied byStudied by 8 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard65 terms
studied byStudied by 6 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard49 terms
studied byStudied by 43 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard66 terms
studied byStudied by 21 people
Updated ... ago
4.0 Stars(1)
flashcards Flashcard56 terms
studied byStudied by 62 people
Updated ... ago
5.0 Stars(1)
flashcards Flashcard44 terms
studied byStudied by 35 people
Updated ... ago
5.0 Stars(1)