Internal pressure in the lower back because the fetal

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 pressure
 Effleurage: is light massaging or stroking, usually at the patient’s abdomen in
rhythm with breathing during contractions
Water therapy
 Showering, 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 are
no 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 stool
Newborn reflexes:
 Moro : Also called startle reflex – hold baby and drop down slightly and they
extend arms and legs out
o Normal from birth to 4 months
 Rooting/suck : touch/stroke babies cheek, they turn to that direction and suck
o Normal from birth to 4 months
 Tonic neck : Extend arm and leg on the side their head is turned to, then they flex
arm on opposite side
o Normal form birth to 3-4 months
 Plantar grasp : place finger on foot and they curl toes
o Birth to 6 months
 Palmar grasp : place finger in hand and they automatically grasp
o Birth to 8 months
 Babinski : Stroke outer edge of sole of foot and toes fan out
o Birth to 1 year
 Stepping reflex: hold infant and touch feet to surface and they respond with
stepping movements
o Birth 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 born
 Breastfeed is better than formula
 No solid foods for 4-6 months
 First food is iron fortified cereal
 Breast feed right away
 Cramping is normal during breast feeding due to oxytocin stimulation with breast
feeding
 Feed for 15-20 minutes per breast
 Try to completely empty breast
 Best indicator that baby is getting enough milk is if they are voiding 6-8 diapers
per day
 Breast feed 8-12 times per day
Sleep:
 Infant should sleep supine/on back to prevent SIDS
 Newborns sleep approximately 17 hours per every 24 hours the first month or so
Car safety:

 Car seat in the back, rear facing, preferably in the middle seat until at least age 2
Tx of gonorrhea
Medication to tx gonorrhea: ceftriaxone IM and azithromycin PO
Labor and delivery processes: teaching findings of false labor
 Contractions 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.