Antepartum/Postpartum Exam Guide with Complete Solutions

Take In phase - Answer-Usually lasts 1-2 days following birth -regeneration and restoration -*Passive-dependence:* mother focuses on self and her own needs -Reflects on details of labor and delivery -**NOT the best time to teach** Take Hold phase - Answer-End of 2nd day, beginning of 3rd day *Dependent-independent*: independence and autonomy begin -initiates self and infant care -needs reassurance and praise Letting go phase - Answer-Begins any time after 1st postpartum week and may last up to 8-9 months -mother sees infant as human being not an extension of herself -refocuses her relationship with her partner and others -may return to work -increased confidence in her role as mother. Rooting reflex - Answer-when the mom gently strokes the cheek of the baby on the side nearest of her. How should we teach peri care? - Answer--Sitz bath: after 24 hours -Peribottle: after each voiding -Pad change -Perineal cooling: after birth -analgesics -tighten buttock before sitting Teens - Answer--teen that is pregnant or married can make decisions for herself or her baby -increased risk for anemia -increased risk of STI's -Nutritional deficiency -risk of complications not due to age but due to not having prenantal care -inappropriate prenatal care can cause preterm labor and/or cephalopelvic disproportion Milia - Answer-White spots around nose and cheeks Pseudomenses - Answer-mother passes hormones to baby -baby may have a little discharge from vagina. -hormones will return to normal and discharge will go away.