Comprehensive Maternal-Newborn and Pediatric Health Promotion
A 24-year-old female, G1P1, presents to the family medicine clinic for a 2-week postpartum follow-up and her newborn's first wellness visit. The mother reports feeling 'exhausted' and having difficulty with breastfeeding, noting that her nipples are sore and cracked. Her vitals are: BP 118/74, HR 82, T 98.8°F. The newborn, born at 39 weeks gestation, currently weighs 6 lbs 8 oz (birth weight 7 lbs 2 oz). The nurse observes the infant is lethargic with fewer than 4 wet diapers in the last 24 hours.
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Prenatal Health Promotion and Screening
Health promotion begins with prenatal care to ensure maternal and fetal well-level. This includes routine screenings for gestational diabetes, group B streptococcus (GBS), and Rh factor compatibility.
- Gestational Diabetes screening usually occurs at 24-28 weeks.
- GBS screening is performed at 35-37 weeks via vaginal/rectal swab.
- Rho(D) immune globulin is given at 28 weeks to Rh-negative mothers.