Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
=Whey.=—To a pint of fresh, warm cow’s milk, add rennin as pepsin, or
chymogen, and stir until mixed. Let it stand until coagulation is
complete. Then the curd should be broken up with a fork, and the whey
drained off through coarse muslin. This removes the coagulable proteins
from the milk. A ten per cent cream can be had at home by allowing a
quart of milk to stand for six hours and then using the upper
one-fourth.
=Whey-Cream Mixture.=—Make whey as described and mix with cream, in the
proportion of whey 1½ ounces to cream, 1 dram for each feeding.
=Barley Water. No. 1.=—Use one ounce of barley pearls to a quart of
water. Wash thoroughly, put on a slow fire and boil for six hours. Add
water to make up for evaporation, and add a pinch of salt. Strain and
cool rapidly.
=Barley Water. No. 2.=—Use one heaping teaspoonful of Robinson’s patent
barley flour to each pint of cold water. Boil twenty minutes and add
water to make up for evaporation. Add a little salt, strain and cool
rapidly.
=Other cereal waters=, like rice and oatmeal, are made like barley water
No. 1, and in the same proportion.
=Flour Ball.=—Take four cups of ordinary wheat flour and wrap it in a
piece of muslin, and tie it tightly. Drop the mass into boiling water
and boil six hours. Then take it out, cool it and remove the outer
peeling with a sharp knife. Break into small pieces, the size of an
English walnut, and dry thoroughly in a slow oven. Pulverize in a mill
or meat-grinder, sift and keep in a dry place.
=Milk= may be sterilized, pasteurized, or boiled.
_Sterilization_ kills both germs and spores, but it is not nearly so
necessary as it is to have the right proportion of sugar and fats. Place
in an autoclave and keep at a temperature of 160° F. for an hour.
_Pasteurization_ is desirable when a good, clean milk is not attainable.
It kills the germs, but not the spores. The process must be carefully
attended to, or the milk will sour more easily. Heat a quart of milk to
160° F. for twenty minutes. Cool rapidly to 40° F.
_Boiling milk_ for two minutes kills all bacteria, and renders the
casein more easy of digestion and prevents the formation of curds.
PUTTING FOODS TOGETHER
=Whole milk= contains 4 per cent fat, and must be thoroughly shaken
before it is measured, for otherwise one child will get all the fat and
another all the skimmed milk.
=Fat-free, or skimmed milk=, contains about 0.1 per cent fat. The cream
has been removed by a siphon or centrifuge. If unable to get a fat-free
milk from a dairy, the cream can be removed from a quart of whole milk
quite easily with a siphon.
=Sugars and flours= should be weighed when used, for they vary greatly
in volume.
In using flour ball or imperial granum, the flour must be mixed with
water or cereal water, to make a smooth paste and brought to a boil. If
the milk is to be boiled also, add the milk to the paste and boil all
together. Cool and strain.
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