normal postpartum period lectures 9 n.petrenko, md, phd
TRANSCRIPT
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Normal Postpartum PeriodNormal Postpartum Period
Lectures 9Lectures 9N.Petrenko, MD, PhDN.Petrenko, MD, PhD
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Uterine InvolutionUterine Involution
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Uterine InvolutionUterine Involution
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Uterine InvolutionUterine Involution
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LLochia Assessmentochia Assessment
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AbdomenAbdomen
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Postpartum Postpartum PsychosisPsychosis
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BreastBreast
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BreastfeedingBreastfeeding
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BreastfeedingBreastfeeding
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EngorgementEngorgement
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Assessing Assessing UUterine Fundusterine Fundus
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Massaging the FundusMassaging the Fundus
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Lochia: Pad Lochia: Pad
CountCount
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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EEpisiotomy/Perineal pisiotomy/Perineal AssessmentAssessment
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Homan’s SignHoman’s Sign
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Nursing Assessment of the Normal Newborn
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Newborn’s Immediate Newborn’s Immediate NeedsNeeds
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Dry the BabyDry the Baby
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Replace the Wet TowelsReplace the Wet Towels
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Position the BabyPosition the Baby
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Suction the AirwaySuction the Airway
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Ventilate if NecessaryVentilate if Necessary
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Evaluate the BabyEvaluate the Baby
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Keep the Baby WarmKeep the Baby Warm
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TemperatureTemperature
EN-Teaching Aids: ENC 35
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Apgar Score Apgar Score
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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
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Intrauterine Growth GridIntrauterine Growth Grid
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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
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Color of the babyColor of the baby
Normal vs. Abnormal EN-Teaching Aids: ENC 41
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Erythema toxicum, acrocyanosis, milia Erythema toxicum, acrocyanosis, milia and mongolian spotsand mongolian spots
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VernixVernix
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The Head and ChestThe Head and Chest
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Anterior and Posterior Anterior and Posterior FontanellesFontanelles
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Caput succedaneumCaput succedaneum
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Caput succedaneum vs. Caput succedaneum vs. cephalohematomacephalohematoma
Normal vs. Abnormal
EN-Teaching Aids: ENC 49
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The normal resting The normal resting posture of a baby born posture of a baby born
breech breech
EN-Teaching Aids: ENC 50
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ABNORMAL ABNORMAL position of position of arm and handarm and hand
EN-Teaching Aids: ENC 51
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Nursing Assessment of the Nursing Assessment of the Normal NewbornNormal Newborn
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Check the HeartbeatCheck the Heartbeat
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Umbilical Cord CareUmbilical Cord Care
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The umbilicus: Which one is The umbilicus: Which one is normal?normal?
Normal vs. Abnormal
EN-Teaching Aids: ENC 56
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Rooting ReflexRooting Reflex
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Sucking ReflexSucking Reflex
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Palmer Grasping ReflexPalmer Grasping Reflex
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Tonic Neck Reflex (FENCING)Tonic Neck Reflex (FENCING)
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Startle/Moro ReflexStartle/Moro Reflex
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Babinski ReflexBabinski Reflex
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Spina bifida occultaSpina bifida occulta meningocelemeningocele
Spina bifida OccultaSpina bifida Occulta myelomeningocelemyelomeningocele
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Nursing Care of the Normal Nursing Care of the Normal NewbornNewborn
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Newborn: Intramuscular Newborn: Intramuscular injectioninjection
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Bathing the NewbornBathing the Newborn
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Дякую за увагу!Дякую за увагу!