Normal Postpartum Period Lectures 9 N.Petrenko, MD, PhD.

Normal Postpartum PeriodNormal Postpartum Period

Lectures 9Lectures 9N.Petrenko, MD, PhDN.Petrenko, MD, PhD

Uterine InvolutionUterine Involution

LLochia Assessmentochia Assessment

AbdomenAbdomen

Postpartum Postpartum PsychosisPsychosis

BreastBreast

BreastfeedingBreastfeeding

EngorgementEngorgement

Assessing Assessing UUterine Fundusterine Fundus

Massaging the FundusMassaging the Fundus

Lochia: Pad Lochia: Pad

CountCount

EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment

Homan’s SignHoman’s Sign

The NewbornThe Newborn

http://www.solarnavigator.net/animal_kingdom/humans/humans.htm

Nursing Assessment of the Normal Newborn

Newborn’s Immediate Newborn’s Immediate NeedsNeeds

Dry the BabyDry the Baby

Replace the Wet TowelsReplace the Wet Towels

Position the BabyPosition the Baby

Suction the AirwaySuction the Airway

Ventilate if NecessaryVentilate if Necessary

Evaluate the BabyEvaluate the Baby

Keep the Baby WarmKeep the Baby Warm

TemperatureTemperature

EN-Teaching Aids: ENC 35

Apgar Score Apgar Score

Apgar ScoreApgar ScorePoints GivenPoints Given 00 11 22

AA Activity/Activity/muscle tonemuscle tone

Limp/flaccidLimp/flaccid Some Some motion/fleximotion/flexionon

Active Active motion/well motion/well flexedflexed

PP Pulse RatePulse Rate Absent Absent <100 <100 bts/minbts/min

>100 bts/min>100 bts/min

GG Grimace/Grimace/Reflex Reflex IrritabilityIrritability

No No ResponseResponse

GrimaceGrimace Cry, cough, Cry, cough, sneezesneeze

AA Appearance/ Appearance/ Skin ColorSkin Color

Blue, PaleBlue, Pale Body pink, Body pink, extremities extremities blueblue

Pink all overPink all over

Absence of Absence of cyanosiscyanosis

RR Respiration Respiration Absent Absent Slow weak Slow weak crycry

Good CryGood Cry

Intrauterine Growth GridIntrauterine Growth Grid

ColorColor

Most newborns have Most newborns have acrocyanosis (body is acrocyanosis (body is centrally pink, but centrally pink, but hands and feet are hands and feet are blueblue

Cyanosis requires Cyanosis requires treatment:treatment: OxygenOxygen AirwayAirway VentilationVentilation

Pink

Acrocyanosis

Cyanosis

Color of the babyColor of the baby

Normal vs. Abnormal EN-Teaching Aids: ENC 41

Erythema toxicum, acrocyanosis, milia Erythema toxicum, acrocyanosis, milia and mongolian spotsand mongolian spots

VernixVernix

The Head and ChestThe Head and Chest

Anterior and Posterior Anterior and Posterior FontanellesFontanelles

Caput succedaneumCaput succedaneum

Cephalohematoma Cephalohematoma

http://162.129.70.33/images/s010110_42.jpg

Caput succedaneum vs. Caput succedaneum vs. cephalohematomacephalohematoma

Normal vs. Abnormal


The normal resting The normal resting posture of a baby born posture of a baby born

breech breech


ABNORMAL ABNORMAL position of position of arm and handarm and hand


Nursing Assessment of the Nursing Assessment of the Normal NewbornNormal Newborn

Check the HeartbeatCheck the Heartbeat

Umbilical Cord CareUmbilical Cord Care

The umbilicus: Which one is The umbilicus: Which one is normal?normal?

Normal vs. Abnormal


Rooting ReflexRooting Reflex

Sucking ReflexSucking Reflex

Palmer Grasping ReflexPalmer Grasping Reflex

Tonic Neck Reflex (FENCING)Tonic Neck Reflex (FENCING)

Startle/Moro ReflexStartle/Moro Reflex

Babinski ReflexBabinski Reflex

Spina bifida occultaSpina bifida occulta meningocelemeningocele

Spina bifida OccultaSpina bifida Occulta myelomeningocelemyelomeningocele

Nursing Care of the Normal Nursing Care of the Normal NewbornNewborn

Newborn: Intramuscular Newborn: Intramuscular injectioninjection

Bathing the NewbornBathing the Newborn

Дякую за увагу!Дякую за увагу!

Normal Postpartum Period Lectures 9 N.Petrenko, MD, PhD.

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