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PN 3003 MAT AND PEDS EXAM LATEST UPDATED
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PN 3003 MAT AND PEDS EXAM LATEST UPDATED...
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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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