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Postnatal exam
Fichas del conjunto (16)
- 1introduction-wash hands
-introduce yourself + examiners
-ID bracelet + cot card
-kif irqadt?
-il hlas? - 2summary + consentillum li ha naghmlu kif spjegajtlek qabel ha nezaminaw lilek u lil baby tieghek minn fuq sisfel. Importanti li tkun taf li ha niccekjaw ukoll sidrek, il parti tieghek habba infection, l-ammont ta' bleeding u saqajk.
Along the way ha nkunu qed intuk xi advice
consent - 3historycheck
- 4vital signstemp: 36.5-37.3 degrees
breaths: 12-20 breaths per min
pulse: 60-100 bpm
PIPi? legs not crossed
BP: 140-100 // 90-60 mmHg - 5Conjunctiva + Diet- IRONEconjunctiva- jindika l-ammont ta' hadid fid-demm. imp- li jkun lejn il-lewn hamrani
-iron supplements
-dieta bbilancjata b'hafna iron- shrimps, spinach, broccoli, kale pumpkin seeds, legumes, quinoa
Dan huwa importanti biex nikkumpensaw ghad-dmija li jaf tlift waqt il hlas - 6Diet 2 (healthy, balanced diet carbs, lean protein, fibre, omega3)mimlija b'moderazzjoni-
carbohydrates- legumes, frott, wholemeal bread u ghagin- ituk boost of energy
lean protein- chicken minghajr gilda, legumes
fibre- raw vegetables, dried fruit- apricots, cereals
omega-3-fatty acids - jghaddi mill-halib tas-sider u jghin fid development tal-mohh u l-ghajnejn tal-baby - salmon - 7diet 3 (tevita)mercury in fish- pixxispad u tuna
caffeine- moderat 2 cups a day maximum- jghaddi mill- breastmilk avolja idea tajba li tevita l-kafe specjalment jekk it tarbija qed ikollha problema fl-irqadt - té, soft drinks u cikkulata - 8breast 1- FEEDINGghandek xi problemi jew concerns?
BF: ipprova tantx taqta qalbek ghax hemm hafna beneficcji tal- BF
jekk ikollok xi concerns dejjem tista ssaqsi u ghajnuna ha ssib
-BM= proper nutrients required
-right temperature
-easily digested
-antibodies
-help mother to lose weight - 9feeding 2 - duration + frequencyBF on demand; imp imma li ma thallihx >3 sieghat- minhabba z zokkor fid demm
latch baby on when needed; reassure that some babies might even feed every hour- just until feeds are established
on average a baby feeds every 2-3 hours
when baby= seems satisfied offer other breast
imp to recognise feeding cues - 10feeding cuesgreen: baby opens mouth, turning of head
yellow: stretching, increased movement, hand to mouth
red: crying, face turning red
imp: always calm baby before attempting to feed - skin to skin, rocking - 11BF reassurancediscomfort in the beginning normal
if pain: remove suck by placing finger
persistent pain = poor positioning
tummy to mummy
nose to nipple - 12good attaching + positioningbaby's mouth = wide open
less areola visible underneath chin
lower lip curled down
nose free
jaw movement
frequent soaked nappies
as long as mother feels rhythmic consistent sucks w/ occasional rests --> good - 13milk changescolostrum- yellow, low quantities rich in antibodies - allergies + illness, requires little digestion; absorbed quickly
day 3 - milk filled with carbs, vitamins, protein + fat - 14tips on BF-remove extra clothing; skin-skin
baby might fall asleep whilst feed- wake up earlier for the next
-signs of restlessness- burp
-massage babies cheek, legs- to continue feeding - 15engorgementwell-fitted bra
freq, unlimited feeding
massage
expressing after feed and store milk
paracetamol
cold compress after feed- facecloth/qlejba - 16Bottle feedingbaby led
usually: day 1: 8ml per kg sa max. 20mls
imbaghad tibda zzid bil mod
6/8 bottles a day
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- Fichas sobre Postnatal exam, creado por Michelle Bugeja el 26/10/2021.
- Creado por
- Michelle Bugeja
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