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-HR 160/min
-calcium 9.2 mg/dl
-axillary temp 97.7 F
-voiding should occur within the first 24 hours
-umbilical cord 2 arteries and 1 vein
Newborn Assessment abnormal
--blood glucose < 40 mg/dl indicates hypoglycemia
-Jaundice within the first 24 hours can lead to hearing
loss
-one artery of umbilical cord newborn might have renal
anomaly
Normal findings of breeched baby
-scrotum appears edematous
Normal findings gestation
-second trimester = 0.9 lb / week
increased leukorrhea
hyperpigmentation of the face
varicose veins
-fundal height should be the same number of weeks of
gestation
Abnormal findings gestation
-Second Trimester = frequent uterine contractions =
preterm labor
Feeding
-newborns eat 8 12 times per day
-6 day olds should have 6 wet diapers per day
-breastfed babies should have 2 stools per day
-breast milk can be stored in the freezer for up to 6 mo
Safe newborn care:
-avoid baby powder
-avoid comforters and pillows in cribs SIDs
-use a firm mattress NOT SOFT MATTRESS SIDs
-place on back to sleep
-avoid cotton tipped swabs
-keep newborn wrapped while washing her hair to
prevent heat loss
-avoid running water during bathing water temp
could change
-set water heater to 120
-space between the mattress and the sides of the crib
should be ess than 2 fingerbreadths
-check smoke detectors once per month
-crib slats should be no more than 6.4 (2 in) apart
Magnesium toxicity
- deep tendon reflexes
- respiratory rate
-oliguria
- LOC
double vision
fundus that is 2 cm above the umbilicus and
deviated to the right
-assist to the bathroom
Hyperesmesis Gravidarum
-persistent vomiting and ketonuria indicates
development of hyperemesis gravidarum
-tachycardia
Tachypnea can indicate hypoglycemia
Proteinuria can indicate preeclampsia
Breastfeeding a 12 hr newborn teaching
-do not remove colostrum contains IgA passive
immunity for newborn
-wake baby up in the night feed every 4 hours for
the first 24 to 48 after birth. Once the newborn is
gaining weight adequately progressing to demand
feedings is appropriate
-Breastfeeding the newborn is the best means of
stimulation of milk production use breast pump only
when infant is latching well
Medroxyprogesterone increase calcium intake,
administer every 3 months, administer the first dose of
medro during the first 5 days of the clients menstrual
cycle.
Reactive nonstress test: 2 FHR accelerations of
15/min over a 20 min period lasting at least 15 seconds
Nonreactive: no accelerations in a 20 min period
Hypoglycemia in Infant:
-hypothermia
-twitching
-tachypnea
Hypocalcemia in infant
-abdominal distention
ABSENT BOWEL SOUNDS INFANT CAN INDICATE
ALTERATION IN GI
Uterine Bleeding: relaxed, distended uterus with the
presence of blood and clots
Cervical Laceration: slow, oozing trickle of blood,
during which the fundus can remain firm
Retention of Placental Fragments:
1 hr oral glucose tolerance test: avoid caffeine the
morning of test no need to fast, not necessary to
provide urine sample at the start of the test,
Phytonadione in newborn: admn IM