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8/9/2019 The Nursing Care of a Family With a Newborn
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THE NURSING CARE OF A FAMILY WITH A NEWBORN (LANUGO-IDENTIFICATION BAND)
LANUGO It is a fne hair that covers a newborns shoulder, back and upper arms.37-39 WKS, 40
WKS
A baby born between _and_ may have more lanugo than a newborn o _
weeks.DESQUAMATION Within ! hours ater birth, the skin o most newborns has become
e"tremely dry.MILIA #inpoint white papule can be ound on the cheek or across the bridge o the
nose. $uch lesions are termed_ERYTHEMA
TOICUM
A newborn rash sometimes called a fea bite usually appears at !th%&thday
o lie until weeksFORCE!S MARKS 'hey may leave circular or linear contusions matching the rim o the blade
o the orceps.FONTANELLES It is the spaces or openings where the skull bones (oin.
ANTERIOR
FONTANELLE,
"#-"$ %&'*
It is located at the (uncture o the two parietal bones and two used rontal
bones. )ormally closes at _to_ months.
!OSTERIORFONTANELLS, #'+
%&'
It is located at the (unction o the parietal bones and the occipital bones.)ormally closes at _months.
SUTURES 'he separating lines o the skull.MOLDING 'he part o the inants head that engaged the cervi" molds to ft the cervi"
contours during labor.CA!UT
SUCCEDANEUM
Is the edema o the scalp at the presenting part o the head.
CE!HALHEMATO
MA
a collection o blood between periosteum o the skull and the bone itsel
cause d by rupture o a periostial capillary o pressure o birth.CRANIOTABES *ocali+ed sotening o the cranial bones that is probably caused by pressure
o the etal skull3 MONTHS lacrimal ducts o a newborn usually matures at _ monthsGRAY, BLUE the irises o a newborn are color _or_.3 MONTHS Inants eyes assumes their permanent color between _to_ months o age.
CHLAMYDIA,
O!THALMIA
NEONATORUM
'he administration o erythromycin to protect rom_ and_.
E!STEINS
!EARL
-ne or two small, round, glistening well circumscribed cysts are present on
the palate.A!GAR SCORING at 1 minute and & minute ater birth are observed and reted according to_.
A!!EARANCE
!ULSEGRIMACE
ACTIITY
RES!IRATIONS
A#A/
RES!IRATORY OR
CARDIOASCULA
R FAILURE
A newborn whose total score is ! is in serious danger o_ and needs
resuscitation.
MAY NEED
CLEARING OF
THE AIRWAY
AND
SU!!LEMENTARY
OYGEN
$0-/ -2 !%3
HIGH OR IS
AD.USTING WELL
TO
ETREAUTERINE
LIFE
4%15
EERY / MIN 'he Agar score is repeated _ min.NAME I6)'I2I0A'I-) 7A)6
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DATE OF BIRTH
TIME OF BIRTH
BODY WEIGHT
LENGTH
A!GAR SCORE
AMNIOTIC FLUID
NAME OF THE
MOTHER
!OST!ARTAL !ERIOD
!OST!ARTAL
!ERIOD OR
!UER!ERIUM
/eers to the 3 week period ater childbirth.
1 1 it is a time or maternal changes that are retrogressive and progressiveFOURTH TRIMESTER
OF !REGNANCY
protecting a womans health as these changes occur is important or
preserving her uture childbearing unctions.
TAKING-IN
TAKING-HOLD
LETTING-GO
phases o the puerperium
time when the new parents review their pregnancy and the labor their
pregnancy and the labor and birth
these are the times o renewed action and orward movement
TAKING-IN HASE time o re8ection frst phase e"perienced. during this %9 days themother is passive
TAKING-HOLD
!HASE
a woman begins to initiate action
LETTING-GO !HASE a woman fnally redefnes her role. she gives u antasi+ed image o her
child and accepts the real oneTAKING-HOLD
!HASE
a woman may have e"pressed little eelings or her child
EN !OSITION when a woman looks directly at her newborns ace with direct contact is
a sign a woman is beginning e:ective interactionCLAIMING OR
BONDING
she eels comortable enough to press her cheeks aginst the babys, she
has become a mother tending to her childENGROSSMENT many athers can observwed staring at their newborn or a long interval
ROOMING-IN iher inant stays in the birthing room with her rather than in the
nursery , she can become ac;uainted with her child
COM!LETE
!ARTIAL
types o rooming%in
mother and child are together ! hours a day
the inant remains in the womans room or the meantime
ABANDONMNENT
DISSA!OINTMENT
!OST!ARTAL BLUES
!OST!ARTALDE!RESSION
maternal concerns and eelings in postpartal period
woman e"eriencing some eeling o overwhelming sadness
more serious level o sadness ater birth
INOLUTION is the process whereby the reproductive organs return to their non
pregnant state
FINGERBREADTHS,
the undus o the uterus may be palpated through the abdominal wall ,
halway between the umbilicus and the symphisis pubis, within a ew
minutes ater birth
! hours , it decreases _ per day
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" CM
BIRTH OF MULTI!LE
FETUSES
HYDRAMNIOS
EHAUSTION FROM
!ROLONGED LABOR
GRANDMULTI!ARITY
AND ANALGESIA
uterine involution may be delayed by a condition such as _
UTERINE ATONY the frst hour o birth is potentially the most dangerous time or womanAFTER!AINS contractions o the uterus aterbirth causes cramping
!OST!ARTAL COM!LICATIONS
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