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Normal Postpartum PeriodNormal Postpartum Period
Lectures 9Lectures 9N.Petrenko, MD, PhDN.Petrenko, MD, PhD
Uterine InvolutionUterine Involution
Uterine InvolutionUterine Involution
Uterine InvolutionUterine Involution
LLochia Assessmentochia Assessment
AbdomenAbdomen
Postpartum Postpartum PsychosisPsychosis
BreastBreast
BreastfeedingBreastfeeding
BreastfeedingBreastfeeding
EngorgementEngorgement
Assessing Assessing UUterine Fundusterine Fundus
Massaging the FundusMassaging the Fundus
Lochia: Pad Lochia: Pad
CountCount
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
Homan’s SignHoman’s Sign
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
Caput succedaneum vs. Caput succedaneum vs. cephalohematomacephalohematoma
Normal vs. Abnormal
EN-Teaching Aids: ENC 49
The normal resting The normal resting posture of a baby born posture of a baby born
breech breech
EN-Teaching Aids: ENC 50
ABNORMAL ABNORMAL position of position of arm and handarm and hand
EN-Teaching Aids: ENC 51
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
EN-Teaching Aids: ENC 56
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!
