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When entering/leaving the room verbalize it
Speak clearly and normally
Keep doors, cabinets closed
Use sight guided when ambulating
Seeing eye dog
Orient the pt to the room (time)
Describe foods like a clock
Offer resources in braille
Adjust teaching
, Discharge info on a audiotape or braille
Breast (Physiological changes)
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Decrase of estrogen and progestrone that increases prolactin
-stimulates production of milk
Oxytocin-released by suckling to create the milk ejection reflex (aka let
down felex)
Colostrum-liquid gold that contains immuoglobulins G & A
-5 days to 2 weeks to transition to mature milk
Primary engorgement
Subsequent engorgement
Mastitis-infection r/t engorgement
Parent-Infant Contact (Rubin's maternal touch)
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Initial stage: the woman touches her infant tentatively with her fingertips
Second stage: The woman, as she becomes more comfortable with herself
as a mother, uses her hand to stroke her infant's head or body
Final stage: The mother holds her infant in her arms and bring her infant
close to her body
,Bonding & Attachment (Bonding)
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Emotional connection of parent to infant
En face
Calls baby by name
Cuddles baby close to chest
Talk/sing baby
Kisses the baby
Breastfeeds the baby or holds the baby close when bottle feeding
unidirectional
Motherhood (Mercer's 4 Stages of Becoming a Mother)
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○Commitment, attachment, and preparation for an infant during pregnancy
○Acquaintance with and increasing attachment to the infant, learning how
to care for the infant, and physical restoration during the early weeks after
birth
○Moving toward a new normal during the first 4 months
○Achievement of a maternal identity around 4 months
, Adolescent Parents (Nursing Actions)
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Assess level of knowledge
Present information at an age-appropriate level
Include the adolescent father in infant care teaching sessions
Involve the maternal grandparent in teaching sessions
Discuss with the adolescent parents their expectations of each other
regarding child care & support
Involve adolescent fathers in prenatal care based on adolescent mother's
comfort level
Breastfeeding (Latch Scoring System-1)
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Latch
-Repeated attempts
-Hold nipple in mouth
-Stimulate to suck
A*udible swallowing(
-A few with simulation
Type of nipple
-Flat