100%(20)20 out of 20 people found this document helpful
This preview shows page 16 - 19 out of 23 pages.
internal pressure in the lower back because the fetal head is in a posterior position. The heels of the hand or fists are used to provide pressureEffleurage:is light massaging or stroking, usually at the patient’s abdomen in rhythm with breathing during contractionsWater therapyShowering, bathing and sitting in a whirlpool bath can improve comfort, provide relaxation and improve circulation and oxygenation, soften perineal area and help women cope.Women can often stay in the bath for as long as she wishes, as long as there areno contraindications. Facility policy may vary though. Jet hydrotherapy is usually recommended for 30-60 minutes
Remember warm water can cause dizziness, so it is important to assist the patient out of the tub/shower and provide a shower stoolNewborn reflexes:Moro: Also called startle reflex – hold baby and drop down slightly and they extend arms and legs out oNormal from birth to 4 monthsRooting/suck: touch/stroke babies cheek, they turn to that direction and suckoNormal from birth to 4 monthsTonic neck: Extend arm and leg on the side their head is turned to, then they flex arm on opposite sideoNormal form birth to 3-4 monthsPlantar grasp: place finger on foot and they curl toesoBirth to 6 monthsPalmar grasp: place finger in hand and they automatically graspoBirth to 8 monthsBabinski: Stroke outer edge of sole of foot and toes fan outoBirth to 1 yearStepping reflex:hold infant and touch feet to surface and they respond with stepping movementsoBirth to 4 weeks Newborn Nutrition:Newborns can lose 5-10% of body weight after birth, but should regain it within 10-14 days after they’re bornBreastfeed is better than formulaNo solid foods for 4-6 months First food is iron fortified cerealBreast feed right awayCramping is normal during breast feeding due to oxytocin stimulation with breast feedingFeed for 15-20 minutes per breastTry to completely empty breastBest indicator that baby is getting enough milk is if they are voiding 6-8 diapers per dayBreast feed 8-12 times per daySleep:Infant should sleep supine/on back to prevent SIDSNewborns sleep approximately 17 hours per every 24 hours the first month or soCar safety:
Car seat in the back, rear facing, preferably in the middle seat until at least age 2Tx of gonorrheaMedication to tx gonorrhea: ceftriaxone IM and azithromycin POLabor and delivery processes: teaching findings of false laborContractions are painless, irregular, decrease, felt in lower back or abdomen above the umbilicus, often stop with sleep or hydration.Cervix: no change in dilation or effacement, remains in posterior position, no bloody show.