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T/F: You should never supplement your baby's feedings with water?
TRUE
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What should be supplemented in formula fed babies?
Iron & Fluoride
(breast feeding moms should drink fluorated water)
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When should vitamins be supplemented into the baby's diet?
6 months
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How long does the APA say you should breast feed for?
atleast 12 months
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What stimulates milk production?
When is it produced?
Prolctin
-Produced when progesterone levels fall after placenta is delivered
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What is the first milk produced?
Colostrum - thick, creamy, yellow fluid that is very nutritious to the newborn. Has a laxative effect on the baby to help the baby poo.
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What milk is constantly formed and low in fat?
Fore milk
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What is the stimulation of baby at breast, sound of baby. hind milk ejected?
Let-down reflex
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Which type of milk is higher in fat and calories that is formed after the let-down reflex?
Hind milk
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Infant Advantages of breast feeding?
- Less infection
- Ideal compensation for human baby
- Easy to digest
- Reduces obesity & diabetes later in life
- Decreased ear infections
- cheap!
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Mother Advantages of breast feeding?
- Breast cancer prevention
- Release oxytocin
- Empowerment effect
- Bonding
- Cheap
- Destroys bad bacteria
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How do you know if your baby is getting enough milk?
- Sleeps between feedings
- Loses no more than 10% of body weight
- Good skin turgor
- 6-8 wet diapers & 2-3 poopy diapers a day
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How often should a mother breast feed in the first few weeks?
every 2-3 hours
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How much should a baby be fed with formula per pound of body weight?
75-90 ml of flud per pound
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How often should you assess the baby after circumcision?
every 15 min for first hour, then every hour for the next 24 hrs
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When should you notify the physician after a circumcision?
Redness, discharge, swelling, strong odor, tenderness, decrease in urination or excessive crying of infant
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A yellow mucus "crust" may forms over the glans after a circumcision - what should you do?
Nothing!! - it is normal
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Basic Circumcision care?
- note first void
- apply diaper loosely
- clean area and check diaper every 4 hours
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What is a normal jaundice and when does it occur?
Physiologic jaundice
It doesn't occur in first 24 hours of life
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What causes Pathologic Jaundice and when does it occur?
Abnormal destruction of RBCs
Occurs in first 24 hrs and persists after 1 week
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What increses the baby's chance of jaundice (hyperbilirubinemia)?
Rh or ABO incompatibility!!!
(others see ppt. slide)
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Treatment for Jaundice?
- Early feedings
- Phototherapy
- Exchange transfusion
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What is the L:S ratio that indicates fetal maturity?
2:1
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If a mother has a TENDER ABDOMEN what should you suspect?
Abruptio Placenta
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If a pregnant women has bleeding at 7 months and is PAINLESS what should you suspect?
Placenta Previa
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When would you recieve chemo for Hydatiform Mole?
If HCG levels are increased
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What is a pregnancy that ends before 20 weeks?
Spontaneous Abortion
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Light spotting; cervix is closed and no tissue is passed - what should you suspect?
Threatened Abortion
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Increased bleeding and cervix dialates - what should you suspect?
Inevitable Abortion
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Bleeding dilation of cervix and passage of tissue - what should you suspect?
Incomplete Abortion
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Passage of all products of conception, cervix closes and bleeding stops?
Complete Abortion
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Fetus dies in utero but not expelled, uterine growth stops?
What are you at risk for?
Missed Abortion
SEPSIS is possible!
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2 or more consecutive spontaneous abortions?
Recurrent Abortion
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If a pregnant woman is actively bleeding, what should you do?
Keep the woman NPO because surgery may be needed
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Hyperemesis Gravidum is characterized by what?
S/S?
Excessive Nausea & Vomiting
Dehydration symptoms
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Patient education for Hyperemesis Gravidarum?
- Reduce fears that trigger nausea & vomiting
- Keep I&O
- Frequent, small meals
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S/S of Ectopic Pregnancy?
- Lower abdominal pain
- Light vaginal bleeding
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Ectopic Pregnancy S/S if tube ruptures?
- Sudden severe low abdominal pain
- Vaginal Bleeding
- Signs of hypovolemic shock
- Shoulder pain may possible
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Hydatiform Mole puts a mother at risk for what?
Cancer
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When is a Hydatidiform Mole more likely to occur?
Women at age extremes of reproductive life
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S/S of Hydatiform Mole?
- Rapid Uterine Growth
- Failure to detect fetal heart activity
- Higher HCG
- No evidence of developing fetus
- Signs of hyperemesis gravidarum
- unusual developement of uterine measures
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Bright bleeding occurs when cervix dilates, resulting in PAINLESS bleeding?
Placenta Previa
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Dark bleeding with PAIN and enlarging uterus suggests that blood is accumulating in the cavity suggests what?
Abruptio Placentae
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Placenta previa - abnormal or normal implantation of the placenta?
Abnormal implantation of placenta
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Abruptio placentae - abnormal or normal implantation of the placenta?
Normal implantation of the placenta
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When should you give Rhogam?
If the mother is Rh - and the baby is rh +
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What is the reversal drug of Magnesium Sulfate?
Calcium Gluconate
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When should RhoGAM be given?
28 weeks and within 72 hrs of delivery to the mother
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What does HELLP stand for?
Hemolysis, Elevated Liver labs, Low Platelet count
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