Accronyms

Question 1

HELLP syndrome

Answer 1

Hemolysis
Elevated
Liver Enzymes
Low
Platelets

Question 2

Terbutaline

Answer 2

• Tocolytic agent (halts labor)
• Do not use over 48-72 - black box warning, potential for serious maternal heart problems/death
• 0.25 mg SQ
• Will cause tachycardia in mom & baby-therapeutic
• May repeat

Question 3

Mag Sulfate

Answer 3

• Calcium agonist (also used in preeclampsia)
• Given for neuroprotection prior to 32 weeks (prevents fetal brain injuries)
• Relaxes smooth muscles like the uterus
• Therapeutic serum level of magnesium 4-7 meq/L (5-8 mg/dL)

Question 4

Betamethasone

Answer 4

• If pregnancy <34 weeks give two doses of 12 mg IM 23 hours apart, second dose can be given at 12 hours if delivery is imminent
• Last 7 days
• Can interfere with glucose regulation
• Help with formation of lung surfactant to reduce respiratory distress syndrome (accelerates process)

Question 5

Nifedipine

Answer 5

• PO dose - order may say hold if BP <90/50
• Calcium channel blocker
• Main benefit of tocolytic drug is prolongation of pregnancy for 48-hour period to allow the steroid effect to enhance fetal lung maturity
• Cannot be given with magnesium sulfate
• Must wait 6 hours after last dose of Nifedipine to initiate magnesium sulfate

Question 6

Newborn
Hgb
Platelets

Answer 6

14-24 g/dL
150,000-300,000

Question 7

Newborn
Hct
Glucose

Answer 7

44-64%
40-60 mg/dL

Question 8

Newborn
RBC
WBC

Answer 8

4.8-7.1 million
9,000-30,000

Question 9

Newborn
Bilirubin

Answer 9

24 hr - 2-6 mg/dL
48 hr - 6-7 mg/dL
3-5 days - 4-6 mg/dL

Question 10

Newborn
Fatal Fours

Answer 10

• Right Ventricular Hypertrophy
• Right Ventricular Outflow Tract Obstruction (Pulmonary Artery Stenosis)
• VSD (Ventricular Septal Defect)
• Overriding Aorta

Question 11

Newborn VS

Answer 11

T: 97.6-98.6 Ax
HR: 120-140 bpm
BP:
RR: 30-60 bpm

Question 12

Newborn
Measurements

Answer 12

Head Circumference: 34-35 cm
Chest Circumference: 32-33 cm
Length 46-54 cm
Weight 2.5-3.4 kg

Question 13

APGAR
Indicators

Answer 13

Appearance
Pulse
Grimace
Activity
Respiration

Question 14

Apgar Scores
Appearance
Points

Answer 14

1 - Bluish-gray or pale all over
2 - Normal color (hands and feet are bluish)
3 - Normal color all over (hands and feet are pink)

Question 15

Apgar Scores
Pulse
Points

Answer 15

1 - Absent
2 - Below 100 bpm
3 - Over 100 bpm

Question 16

Apgar Scores
Grimace
Points

Answer 16

1 - Absent
2 - Facial movement only, grimacing with stimulation
3 - Pulls away, sneezes, coughs, or cries with stimulation

Question 17

Apgar Scores
Activity
Points

Answer 17

1 - No movement, or “floppy” tone
2 - Flexed arms and legs with little movement
3 - Active, spontaneous movement

Question 18

Apgar Scores
Respiration
Points

Answer 18

1 - Absent, no breathing
2 - Slow or irregular breathing, weak crying
3 - Normal rate of breathing and effort, good crying

Question 19

4 P’s

Answer 19

Passage
Passenger
Powers
Psyche

Question 20

VealChop

Answer 20

• Variable Decel - Cord compression
• Early Decel - Head Compression
• Accelerations - Okay
• Late - Placenta