Newborn reflexes: Palmar
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infant's hand closes around the finger
fades by 3-4 months
Newborn reflexes: Stepping
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, when infants are help upright with their feet touching a solid surface, they
lift one foot giving the appearance of stepping
fades by 4-5 months
Lidocaine: adverse effects and considerations
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Confusion
Tremors
Restlessness
Hypotension
Dysrhythmias
Tinnitus
Blurred Vision
It's a regional nerve block, relieve uterine or perineal pain, and if given
subarachnoid space then keep pt flat for 6-8h
Elimination
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needs to pee 6h after foley catheter removal
monitor I & O
encourage voiding (early ambulation and warm water over perineum)
Constipation may be an issue
-stool softeners, increased diet in fiber and hydration
,Increment
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steep crescent slope from beginning of contraction until its peak
Newborn reflexes: Plantar
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infants toes curl over finger
lessens by 8 months
S/S of Newborn Resp. Distress
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Nasal flaring
Apnea >15 seconds (normal for babies to have some apnea)
Retractions/use of accessory muscles
Seesaw breathing (chest up, stomach down)
Tachypnea >160 breaths per minute (more common with cesarean babies
because lungs weren't squeezed dry as passed through birth canal)
Cyanosis
Stimulate and reposition newborn
Maternal Positions (Kneeling) Pros, Cons and Implications?
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+ Reduces back pain because fetus falls forward, away from sacral
promontory
+ Adds gravity to force of contractions to promote fetal descent
+ Can be used with continuous fetal monitoring
+ Caregivers can rub her back or apply sacral pressure
+ Promotes normal mechanisms of birth.
- Knees may become tired or uncomfortable
Nursing Implications:
Raise the HOB, and have the woman face the head of the bed while she is
on her knees
Another method is for the partner to sit in a chair, with the woman kneeling
in front, facing her partner, and leaning forward on him or her for support
Use pillow under the knees and in front of the woman's chest, as needed,
for comfort
Encourage her to change positions if she becomes tired
Newborn Nutrition
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The baby's stomach is the size of a marble! Small, frequent feedings are key
Breast fed babies should be put to breast at least every 2 hrs: this
stimulates mom's breasts to make adequate milk
Bottle fed babies should be fed at least every 4 hrs
6 wet diapers a day should indicate proper hydration
Cephalic/vertex
Give this one a try later!
Give this one a try later!
infant's hand closes around the finger
fades by 3-4 months
Newborn reflexes: Stepping
Give this one a try later!
, when infants are help upright with their feet touching a solid surface, they
lift one foot giving the appearance of stepping
fades by 4-5 months
Lidocaine: adverse effects and considerations
Give this one a try later!
Confusion
Tremors
Restlessness
Hypotension
Dysrhythmias
Tinnitus
Blurred Vision
It's a regional nerve block, relieve uterine or perineal pain, and if given
subarachnoid space then keep pt flat for 6-8h
Elimination
Give this one a try later!
needs to pee 6h after foley catheter removal
monitor I & O
encourage voiding (early ambulation and warm water over perineum)
Constipation may be an issue
-stool softeners, increased diet in fiber and hydration
,Increment
Give this one a try later!
steep crescent slope from beginning of contraction until its peak
Newborn reflexes: Plantar
Give this one a try later!
infants toes curl over finger
lessens by 8 months
S/S of Newborn Resp. Distress
Give this one a try later!
Nasal flaring
Apnea >15 seconds (normal for babies to have some apnea)
Retractions/use of accessory muscles
Seesaw breathing (chest up, stomach down)
Tachypnea >160 breaths per minute (more common with cesarean babies
because lungs weren't squeezed dry as passed through birth canal)
Cyanosis
Stimulate and reposition newborn
Maternal Positions (Kneeling) Pros, Cons and Implications?
, Give this one a try later!
+ Reduces back pain because fetus falls forward, away from sacral
promontory
+ Adds gravity to force of contractions to promote fetal descent
+ Can be used with continuous fetal monitoring
+ Caregivers can rub her back or apply sacral pressure
+ Promotes normal mechanisms of birth.
- Knees may become tired or uncomfortable
Nursing Implications:
Raise the HOB, and have the woman face the head of the bed while she is
on her knees
Another method is for the partner to sit in a chair, with the woman kneeling
in front, facing her partner, and leaning forward on him or her for support
Use pillow under the knees and in front of the woman's chest, as needed,
for comfort
Encourage her to change positions if she becomes tired
Newborn Nutrition
Give this one a try later!
The baby's stomach is the size of a marble! Small, frequent feedings are key
Breast fed babies should be put to breast at least every 2 hrs: this
stimulates mom's breasts to make adequate milk
Bottle fed babies should be fed at least every 4 hrs
6 wet diapers a day should indicate proper hydration
Cephalic/vertex
Give this one a try later!
