3 Flashcards
what is the most accurate way to get gestational age in first trimester?
ultrasound
is IUGR seen with gestational diabetes?
no, just pre-existing diabetes
complications with gestational diabetes in fetus
macrosomia, polyhydramnios, hypoglycemia, hyperbilirubinemia,
polycythemia,
hypocalcemia
resp distress
how much folic acid should a woman take preconception if she had a prior baby with neural tube defect
4 mg
braxton kicks contractions
short, less intense, discomfort in abdomen and groin
no dilation or effacement
should you test for GBS for women who previously had it in prior pregnancy?
no test needed
just give antibiotics during labor
what tool should you use if you’re having hard time getting fetal heart rate?
fetal scalp electrode
what causes early decels?
head compression (normal)
what causes late decels and what should you do?
uteroplacental insufficiency (acidemia, hypoxia)
oxygenate, reposition mom
give fluids and stop offending agents
what causes variable decels and what should you do
cause: cord compression
reposition mom
stop offending agents (pitocin)
amnioinfusion
if you feel the umbilical cord prolapsing in the vagina in active labor, what should you do
c-section
what should you do if fetus exposed to meconium stained amniotic fluid?
only if newborn depressed, intubate the trachea and suction meconium beneath glottis to prevent meconium aspiration
whats the state of infant if mom has type 1 diabetes
small and hypoglycemic
septic baby appears…
lethargic, pale, high temp
fetal tachy
twin-twin transfusion syndrome
cause: imbalance of blood flow across shared placenta in monochorionic twins where one twin becomes large and polycythemic (–> polyhydramnios–>HF and hydrops fetalis) and the other twin becomes small and anemic (–> IUGR and oligohydramnios)
what should you do for infant that had mom taking opioids and is experiencing resp depression
positive pressure ventilation and prepare to intubate if necessary
dont give naloxone!
what should you do for infant with HIV mom after birth?
start AZT right after delivery
HIV testing in 24 hours
no breastfeeding!
risk factors for infection in mom after vaginal delivery
prolonged labor prolonged rupture of membranes multiple vag exams internal fetal monitoring removal of placenta manually low SES
most common cause of post partum fever
endometritis
most common bacteria in endometritis
mix of aerobic and anaerobic-
staph and strep
timeline of postpartum depression
two weeks to six months post delivery
breastfeeding decreases risk of what disease in mom
ovarian cancer
what causes bleeding and cracked nipples during breastfeeding?
improper positioning
proper is belly-to-belly to latch properly
candida of the breast
intense nipple pain
treat mom (clotrimazole or miconazole) and baby (oral nystatin and fluc)
signs that baby is getting enough milk
- 3-4 stools a day
- 6 wet diapers/ day
- weight gain
- sounds of swallowing
