HSV-1 (oral lesions) and HSV-2 (perineal lesions) - Herpes
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Both strains enter mucous membranes and spread throughout the body
Incubation period 2 days to 2 weeks.
Can be asymptomatic for months or years
Treat with Valacyclovir and acyclovir. (can't cure but can try and shorten
time.)
Transmitted through skin to skin contact with lesions or secretions.
Most common sites (penis, scrotum, anus, urethra in men) (inner thighs,
vulva, vagina, perianal area in women)
, Diagnosed through exam and lesion culture
Symptoms include malaise, body ache, headache, and then painful and
itchy lesions.
Transdermal Patch: Advantages
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- easy to use
- each patch lasts 1 week
- can help with heavy periods
- can help with painful periods
Newborn: Care
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Car seat test (sit in car seat for 90 minute)
Educate MOB on bathing and skin care (do not submerge baby in water if
cord stump still hasn't fallen off yet.)
Umbilical cord care (only wash with wet washcloth)
Education on SIDS prevention
Breastfeeding: Teaching
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Avoid applying soap, cream, or rolling on the nipples.
Feed 8-12 times a day until satisfied, breastfeed every 1-3 hours. Effective
suckling on each side with a minimum of 10-15 minutes.
, Assess breasts for engorgement, nipple pain, flat and inverted nipples,
painful or cracked nipples, or plugged ducts.
Normal Newborn: Gastrointestinal
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Note any changes in color ( jaundice), look for abdominal distention,
masses, abdominal tenderness, and active bowel sounds.
Assess for thick, sticky, greenish/black stool (normal)
What is supine hypotension and how is it treated?
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When a pregnant woman is in the supine position, particularly during the
second half of pregnancy, the weight of the pregnant uterus partially
occludes the vena cava and the aorta. The occlusion may impede return of
blood from the lower extremities and reduce cardiac return, cardiac
output, and blood pressure. Collateral circulation developed in pregnancy
generally allows blood flow from the legs and pelvis to return to the heart
when the women is in a supine position. Symptoms include: faintness,
lightheadedness, dizziness, nausea, and agitation. Turning to a lateral
recumbent position alleviates the pressure on the blood vessels and
quickly corrects supine hypotension. Women should be advised to rest in a
side-lying position to prevent SH. If they must lie in a supine position for
any reason, a wedge or pillow under either hip effective in decreasing
supine SH.
When to go to the hospital/or call the provider: DECREASED FETAL MOVEMENT
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If you notice a decrease in the baby's movement (3 hours with no
movement)
When to go to the hospital/or call the provider: CONTRACTIONS
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A pattern of increasing regularity, frequency, duration, and intensity (will be
different for nullipara - 5 min apart for 1 hour - ) (will be different for
multipara - 10 minutes apart for 1 hour - )
Acrocyanosis
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A peripheral cyanosis involving just the extremities and is NORMAL during
the first day or when the infant is cold.
It is caused by poor perfusion of blood to the periphery of the body and is
different from cyanosis.
Powers
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The two powers of labor are uterine contractions and the maternal pushing
efforts.
During the first phase of labor (onset through dilation) uterine contractions
are the primary force moving the fetus through the maternal pelvis.
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Both strains enter mucous membranes and spread throughout the body
Incubation period 2 days to 2 weeks.
Can be asymptomatic for months or years
Treat with Valacyclovir and acyclovir. (can't cure but can try and shorten
time.)
Transmitted through skin to skin contact with lesions or secretions.
Most common sites (penis, scrotum, anus, urethra in men) (inner thighs,
vulva, vagina, perianal area in women)
, Diagnosed through exam and lesion culture
Symptoms include malaise, body ache, headache, and then painful and
itchy lesions.
Transdermal Patch: Advantages
Give this one a try later!
- easy to use
- each patch lasts 1 week
- can help with heavy periods
- can help with painful periods
Newborn: Care
Give this one a try later!
Car seat test (sit in car seat for 90 minute)
Educate MOB on bathing and skin care (do not submerge baby in water if
cord stump still hasn't fallen off yet.)
Umbilical cord care (only wash with wet washcloth)
Education on SIDS prevention
Breastfeeding: Teaching
Give this one a try later!
Avoid applying soap, cream, or rolling on the nipples.
Feed 8-12 times a day until satisfied, breastfeed every 1-3 hours. Effective
suckling on each side with a minimum of 10-15 minutes.
, Assess breasts for engorgement, nipple pain, flat and inverted nipples,
painful or cracked nipples, or plugged ducts.
Normal Newborn: Gastrointestinal
Give this one a try later!
Note any changes in color ( jaundice), look for abdominal distention,
masses, abdominal tenderness, and active bowel sounds.
Assess for thick, sticky, greenish/black stool (normal)
What is supine hypotension and how is it treated?
Give this one a try later!
When a pregnant woman is in the supine position, particularly during the
second half of pregnancy, the weight of the pregnant uterus partially
occludes the vena cava and the aorta. The occlusion may impede return of
blood from the lower extremities and reduce cardiac return, cardiac
output, and blood pressure. Collateral circulation developed in pregnancy
generally allows blood flow from the legs and pelvis to return to the heart
when the women is in a supine position. Symptoms include: faintness,
lightheadedness, dizziness, nausea, and agitation. Turning to a lateral
recumbent position alleviates the pressure on the blood vessels and
quickly corrects supine hypotension. Women should be advised to rest in a
side-lying position to prevent SH. If they must lie in a supine position for
any reason, a wedge or pillow under either hip effective in decreasing
supine SH.
When to go to the hospital/or call the provider: DECREASED FETAL MOVEMENT
, Give this one a try later!
If you notice a decrease in the baby's movement (3 hours with no
movement)
When to go to the hospital/or call the provider: CONTRACTIONS
Give this one a try later!
A pattern of increasing regularity, frequency, duration, and intensity (will be
different for nullipara - 5 min apart for 1 hour - ) (will be different for
multipara - 10 minutes apart for 1 hour - )
Acrocyanosis
Give this one a try later!
A peripheral cyanosis involving just the extremities and is NORMAL during
the first day or when the infant is cold.
It is caused by poor perfusion of blood to the periphery of the body and is
different from cyanosis.
Powers
Give this one a try later!
The two powers of labor are uterine contractions and the maternal pushing
efforts.
During the first phase of labor (onset through dilation) uterine contractions
are the primary force moving the fetus through the maternal pelvis.
