■ Assess legs for DVT, unilateral swelling, erythema, & warmth
■ Encourage ambulation
,Accelerations in FHR - answer ■ Temporary increase -
■ Reassuring - no interventions
Advantages of Breastfeeding - answer ■ Less likely to result to
overfeeding leading to obesity
■ Immunological properties help fight infection in infant
■ Provide protection against food allergies
■ Promote optimal mother-infant bonding
■ Less expensive than formula
■ Promote postpartum weight loss
■ Lowers the risk of breast cancer
Another family member - Bonding - answer May view them as
competition or fear that they will be replaced
■ Reassurance & attention from parents will help them feel loved &
important
■ Expect regression (sucking thumb, bedwetting)
■ Encourage discussion about the infant
■ Arrange for child to see infant in the hospital
■ Show photos of baby growing in mommy's belly
■ Encourage others to pay attention to the older child when visiting
- count HR for 1 min: place fingers at junction of umbilical cord and
skin (if cord still pulsates) or place fingers or stethoscope over 5th
intercostal space
APGAR: muscle tone - answer -0=flaccid
-1=some flexion
-2=well-flexed, active movement of extremeties
Appropriate for Gestational Age (AGA) - answer Weight, length,
and head circumference are between the 10th and 90th percentiles
for gestational age.
Average newborn length - answer 17-22 inches
Average newborn weight - answer 5.5 to 8.8
B(U)BBLE - answer Uterus
(Fundal Height, Uterine Placement, and Consistency)
■ 2 hrs after birth- Fundus is between the umbilicus and the
symphysis pubis
■ 6-12 hrs after birth the fundus usually is at the level of the
umbilicus
■ The fundus progresses downward at a rate of 1 fingerbreadth (or 1
cm) per day
after childbirth
■ If the fundus is not firm gently message the uterus using a circular
motion until it
becomes firm
Baby blues (1-10 days) - answer characterized by mild depressive
symptoms - mood swings, anger,
anxiety, irritability, tearfulness (often for no reason)
■ the "blues" typically peak on postpartum 4 th & 5 th day, may last
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