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Nursing school notes, Study notes of Nursing

Lincoln CollegeNursing

Lectures notes and study guide

Typology: Study notes

2025/2026

Uploaded on 05/07/2026

grismely-de-jesus
grismely-de-jesus 🇺🇸

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MATERNITY REVIEW KEY POINTS
BREASTFEEDING:
• Losser fitting supportive bra
• 15 to 20 mins each side
• Baby should be feed every 2hrs
• Baby stools more often (yellow stools is normal)
*If notice blood or mucus in the stools (Milk
protein allergies), check mom's diet: Dairy and
Spices are NOT recommended.
• Mom needs to increase calories intake 400-500
calories.
• Proper feeding: Areola should be completely
cover
• Mom passes passive immunity (Lives vaccine,
iron)
BOTTLE FEEDING/FORMULA:
• Thigh fitting supportive bra
• Dry up milk supply with ice/cold pack and
cabbage leaves.
• Take off the bottle at own discretion (remember
baby stomach is very little)
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MATERNITY REVIEW KEY POINTS

BREASTFEEDING:

  • Losser fitting supportive bra
  • 15 to 20 mins each side
  • Baby should be feed every 2hrs
  • Baby stools more often (yellow stools is normal) *If notice blood or mucus in the stools (Milk protein allergies), check mom's diet: Dairy and Spices are NOT recommended.
    • Mom needs to increase calories intake 400- 500 calories.
    • Proper feeding: Areola should be completely cover
    • Mom passes passive immunity (Lives vaccine, iron) BOTTLE FEEDING/FORMULA:
  • Thigh fitting supportive bra
  • Dry up milk supply with ice/cold pack and cabbage leaves.
  • Take off the bottle at own discretion (remember baby stomach is very little)
  • A stool a day, less frequent stools
  • Baby should be feed every 3hrs PAIN RELIEVER/ MASTITIS INFECTION
  • Tylenol
  • Use ice pack temporarily / prolonged use can dry up milk supply. TAKE OFF 10-20 mins POST PARTUM PERIOD:
  • Head to toe assessment: check for fluid volume deficit (Dehydration), Infection and Hemorrhage.
  • Temp can spike a little bit: Low grade 100.4- 100.5 can be Dehydration
  • Infection: Temp high and climbing and some S/S
  • shakes can occur after delivery (has to do with fluids shifts, not seizure), a BLANKET will help with shiverers
  • Mom can be hungry after delivered but AUSCULTATE abd before giving any solid food BABY EDUCATION Umbilical cord- TWO arteries and ONE vein
  • HEAT LOSS PREVENTION: put hat and swaddle the baby * watch temp
  • WATCH BULIRUBIN CLOSELY (can peak on day 2 - 3 but then it tapers off) can become KERNICTERUS and cause Permant brain damage
  • Phototherapy- use to treat high bilirubin levels (Eye and genitals are cover)
  • Blood work: check hypothyroidism, can have positive false result, needs to be repeated
  • Hearing screening: If positive, needs to be repeat after 1 month Normal Blood Glucose: 40 - 60 Hypoglycemia : below 40 Normal B/P : 110- 160 Tachycardia : above 160 Bradycardia : below 110

Monitor Newborn closely: lungs, heart, musclr tone, APGAR testing (we want to see increase or progression) Breastfeeding: Football hold – underam Side lying - uncomfortable for C-section IMMEDIATELY AFTER BABY DELIVERED

  • First 4hrs – monitor V/S, Check Blood on pad (LIFT UP, if don't see enough blood can be underneath)
  • First blood loss should be moderate: - For Vaginal Delivery 500 ML or GREATER is HERMORRHAGE – For C-section 1000 ML blood loss is HERMORRHAGE PRE-PARTUM/ FETAL CARE

Diabetic mom should be careful, this med increase Blood sugar Magnesium Sulfate - Treats all type of eclampsia and HELLP syndrome * help bring down B/P but can affect Resp* Magnesium Sulfate toxicity: BURP, antidote is Calcium Gluconate VEAL CHOP V- variable decelerations --- C- cord compression E - early deceleration---- H - head compression A - accelerations---- O - Ok normal oxygenation L - late decelerations----- P - placental insufficient

MOST DANGER – late deceleration: placenta not working not oxygen * put mom on her side to take pressure off the vena cava* Cord compression: Reposition mom can take pressire off the cord