OB ATI

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Circumcision care

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Terms in this set (126)

-stop mild bleeding by applying pressure with sterile gauze, if bleeding continues notify provider
-examine circumcision site when changing diaper, usually Q4
-wash penis gently with warm water and have petroleum jelly applied to glans
-do not use alcohol wipes until 5-6 days when it heals
-do not attempt to remove yellow exudate from site, part of healing process

Breastfeeding considerations

-breasts should feel softer after feeding
-milk production occurs 3-4 days after colostrum feedings
-newborn should appear content after feeding

Urinary considerations

-newborn should void 6-8x/day
-at least 3 stools/day
-not uncommon to have stool with each feeding

Epidural anesthesia considerations

-position pt upright in order for anesthetic to flow downward following first dose, if additional pain management is needed place pt supine with head and shoulders elevated and at lateral tilt to increase perfusion to fetus
-obtain baseline BP prior to initiation of anesthetics, continue to monitor BP every 5-10 mins to assess maternal hypotension from anesthesia
-no need NPO
-plan to administer 500-1000mL of LR or NS 15-30min prior to anesthesia to decrease risk for hypotension

Bulb syringe use

-for suctioning secretions of newborn
-suction mouth and then nares, newborn can gasp and inhale secretions when syringe tip touches nares
-insert into side of newborn's mouth
-stop suctioning when newborn's cry no longer sounds like coming through bubble of fluid or mucus, stop when sounds clear