Caring for mothers and newborns Chapter 17

Key terms Episiotomy – incision into the peritoneum (surgically sutured after labor and requires special care) Lochia – the vaginal discharge that occurs after childbirth Meconium – first baby’s stool – a dark green or black bowel movement Post-partum – after childbirth (post-partum care) Circumcision – the surgical removal of foreskin from the penis

Lochia Lochia Rubra – is dark or bright red (rubra) discharge – mainly blood for the first three to four days Lochia Serosa – is pinkish brown ( serosa ) drainage. Last until 10 days after birth Lochia alba – is whitish (alba) drainage. Continues for 2 to 6 weeks after birth. Sexual intercourse should be delayed till lochia stop, and not less than 6 weeks after birth, to prevent infection of the uterus.

Newborn assessment Apgar score https://www.youtube.com/watch?v=XFjNyx8jGnI 5 min

Care for a newborn https://www.youtube.com/watch?v=vUHh9nSBdVQ How to bond with your baby https://www.youtube.com/watch?v=b0aFTSOoHdI

Infant safety Read the handout, be ready to answer the questions afterwards

Questions 1. A baby’s head and neck are supported for the first A. 7 to 10 days B. One month C. 3 month D. 6 month

Questions 1. A baby’s head and neck are supported for the first A. 7 to 10 days B. Month C. 3 month D. 6 month

When holding a newborn you should do the following except A. Hold the infant securely B. Cuddle the infant C. Sing and talk to the infant D. Hold the infant on his or her stomach

When holding a newborn you should fo the following except A. Hold the infant securely B. Cuddle the infant C. Sing and talk to the infant D. Hold the infant on his or her stomach

You observe the following. Which is considered normal? A. the baby looks flushed and perspiring B. the baby has a watery stool C. the baby’s eye’s are red and irritated D. the baby spits up a small amount when burped

You observe the following. Which is considered normal? A. the baby looks flushed and perspiring B. the baby has a watery stool C. the baby’s eye’s are red and irritated D. the baby spits up a small amount when burped

In which position baby should sleep? A. On their stomach B. On their back

In which position baby should sleep? A. On their stomach B. On their back

Caring for the mother Breastfeeding and care for nipples. Mastitis prevention Resting, eating, and drinking. Drinking is more important than eating. Sleeping every time baby is sleeping for the first month. Support for mother and postpartum depression prevention. Observe for signs of complications – lochia and involution of the uterus.

Early potty training Disadvantages of a long time wearing diapers. Any ideas? African technique of an early potty training

Raising a child Indian Guru 4 min https://www.youtube.com/watch?v=OUfEr_DeP3s

Time line charts Find: 1. Gross motor skills of a 12 month old 2. Fine motor skills of 18 years old Cognitive skills : HELP Hawaii early Learning Profile Activity Guide – www.amaon.com BCP Instructional Activities VORT corporation

Other helpful sites Seattle’s Child http://www.seattleschild.com/ Magazine Highlights https://store.highlights.com/high-five-magazine-for-kids Seattle Aquarium Seattle Zoo

Practice time How to swaddle a baby two ways. Potty train technique

Homework NAC 17 Reproductive System WB+T tomorrow, Tuesday, 1/10/2017 MT 14 Reproductive system WB+T on Thursday, 1/12 Clinicals groups 3 and 4 on Saturday