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Exam (elaborations)

PN 3003 MAT AND PEDS EXAM LATEST UPDATED

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PN 3003 MAT AND PEDS
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PN 3003 MAT AND PEDS

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September 19, 2024
Number of pages
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NB Vitals: RR 30-60 breaths/min.

HR: 110-160 BPM

maybe as low as 100 when sleeping or 180 when weeping.

Temperature: 36.5-37.5 (axillary).

BP: 60-80/40-45 mm Hg

Normal weight

5lb 8oz to 8lb 13o

Average length.

19–21 inches (48–53 cm)

How much weight does a newborn lose?

5-10% of birth weight is regained in 7-10 days.

Circumference of head

Frontal-occipital circumference (FOC).

broadest circumference of the head

Average: 13-14 inches (1-2 inches larger than the chest).

Chest circumference

under the bottom edge of scapula and over the nipples.

,12-13inches

Bowel Sounds

will be apparent within two hours of delivery

Bubbly He

Breast, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's Sign, and
Emotional Status

lochia

Lochia rubra: three to four days.

Lochia serosa: 4–10 days

Lochia alba: 10 days to 6 weeks.

Milk Production

By day three

Blood loss

Vaginal: 300-500 mL

Cesarean: 500-1000 mL

Maternal vital signs

Temperatures may rise over the first 24 hours following birth. A persistently
rising temperature implies infection.

BP is normal; hypertension may indicate preeclampsia.

Low blood pressure with a rising pulse indicates hemmorage.

, High HR: hemorrhage or compensation for blood loss

Low heart rate (50 BPM) is normal.

Postpartum Blues

A common condition.

transient, beginning the third day after delivery.

can last two to fourteen days.

Sadness, irritation, anxiety, difficulty eating and sleeping, poor focus.

*may be caused by a drop in estrogen and progesterone.

Risk factors include: lack of rest, weariness, poor sleep habits, discomfort,
attachment troubles.

How a newborn loses heat

conduction

convection

evaporation

radiation

Neonatal hypoglycemia

<50 mg/dl

s/s jitteriness, poor eating, irritability, low temperature, weak or high pitched
cry, hypotonia (low muscle tone).

Late signs include respiratory depression, convulsions, apnea, and coma.

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