SVD VS checks
Q15 minutes then at 2hrs
Then once a shift
C/S VS Checks
Q15 minutes then at 2hrs
Then every 4 hours for 24 hrs
Then, once a shift
Transitional stools occur when
Day 3
After initiation of feeding
Greenish-brown to yellowish-brown. May contain milk curds.
Milk Stools
Milk Stool – Day 4
BF = yellow to golden, pasty (mixture of mustard & cottage cheese), smell of sour milk
Formula Fed = pale yellow – light brown, firmer consistency, more odor
APGAR
Appearance
Pulse
Grimace
Activity
Respiration
LATCH
Latch
Audible swallowing
Type of nipple
Comfort
Hold/Help
Naegle’s Rule:
First day of LMP + 1 yr - 3 mo + 7 days
Caput succedaneum
edematous area of scalp (occiput) due to compression of vessels from pressure on cervix (slows venous return)
Cephalhematoma
collection of blood between skull bone and periosteum due to pressure against bony pelvis , low forceps, extraction
Subgaleal hemorrhage
bleeding into subgaleal compartment (loose connective tissue that connects frontal & occipital muscles and forms inner surface of scalp)
More common in difficult vaginal births (vacuum extraction)
In extreme cases can lead to blood loss & hypovolemic shock, death
Assess for boggy scalp, pallor, increasing head circumference
BF infants wt loss
Most BF newborns lose weight until the 3rd or 4th day
Wt loss up to 10% of birth wt is considered normal, however
> than 7% warrants a close assessment of the adequacy of BF latch & milk transfer
Which hormone responsible for starting menstruation
FSH
When is the embryonic phase of fetal development + highest sensitivity to tetragens
0-week 9
LSH and LH spike during
Ovulation
Estrogen count during uterine cycle
Spikes before ovulation
smaller spike from the corpus luteal
Progesterone count during the uterine cycle
Very low until corpus luteal secretes high amount and it exceeds estrogen
