Class info Test 2 Flashcards
Meds to give for HTN
Mag sulf
Labadol
Hydrazaline
Do not induce with what condition
Placenta previa
Oxytocin does what to fetus
Decreases perfusion and contractility of uterus
Regular anesthesia- decreases what
Platelets
What to do for decreased variability
Repo
Fluids
Oxygenate
What to do for increased hr in baby
Check for fever
Hydrate
Antibiotics (penicillin)
If baby presenting with nose up
Counter pressure
Hands and knees
What happens to milk production if retained placenta
No production
Heavier bleeding
What triggers milk production
Baby suckling
Where is the umbelicus right after delivery
Right above belly button - midline
How much blood soaking pad is bad after birth
Bad s/e
More than 1 an hour
Smelly
Hypotension
High pulse
Best way to help sore nipples
Rub colostrum over and airbdry
Tells us how much fetal blood has been exposed and determines how much rohgam to give to mom
Combs test
Rt shoulder pain may occur after c section due to?
What may fix it?
Retained gas
Referred pain
Movement will fix
What does an amniocentesis test for
DNA Gender Disease Complications Infection
What is a sitz bath
Water soak
What will moms temp be 1 and 2 days after delivery
When to be concerned
What is number one reason for fever
1- concerned if greater than 100.4
2 if grater than 100.1
Corioamnitis - infection or rupture of placenta
What findings will see with dehydration
Tachycardia and hypotension
How to determine where to put FHR monitor
Leopolds
Number one killer in ob
Hemorrhage
Med to stop contractions
What else to give
Tributaline
IV fluids
Do not give a bleeding mom these two meds together
Mag sulfate
And tributerline
How much amniotic fluid is there
600-800ml
Who is at risk for polyhydraminos
Diabetic moms
Risk for oligiohydramios ?
Kidney problems
Is increased vaginal discharge normal in pregnancy?
No
GDM Macrosomnia baby risk
Low bs - due to insulin
Intrauterine growth restriction is what type
Of problem
Perfusion problem such as diabetes
Turtling of neck indicates what
SD
How quick to get someone out with SD
Fine line?
Most common bone break
5 min
Release posterior arm
Clavicle
What to do for Nuchal cord
Take pressure off cord
Placenta does not come out after birth
Placenta acreta
Cords are starched to membranes
Vasa previa
What consists of intrauterine resuscitation
Oxygenate
Repo
Hydrate
Most important thing to see on a monitor strip
Variability
What to do for late decelerations
Fix moms contractions
Empty bladder postpartum why
Release pressure on fundus
If firm uterus but trickle of blood?
Laceration ?
How long to have no sex after birth
6 weeks
Always check what after birth
Perineal area
Breast size has nothing to do with what
Milk
Baby to latch onto what
Breast not nipple
How often to feed if breastfeeding
How to know if baby is getting enough
Very 2 hr
Click sounds when drinking 6 wet diapers a day
Worst postpartum day for moms
Day 2
How long to breastfeed
3 months is norm
1 year is goal
Wt Loss after birth 13-15 lbs
What burns calories
Breastfeeding
How much urine ouput and hour
30 ml
Diet after labor
Clear liquids until bowel and urinary comes back
Diaphragm does what after birth
Depends and can breath better
Live vaccines nit to give preg women
Mmr
Varicella
Rubella
Tdap and flu vaccine can give to pregnant mom?
Yes
What type of IV fluids to give with pph
What else to give if loosing blood
Isotonic- lactated ringers
Oxygen to increase hemoglobin
S/s with hemabate
Loose stools
What does bakri balloon do?
Contracts uterus
HTN will do what to baby
Decrease perfusion
If mom has seizure what to do
Care for mom first
Mag sulfate decreases
Benefits
Deep tendon reflexes
Decreases bp , increase perfusion , no headache or blurry vision, increase urination, (kidneys are able to produce urine)
What info to gather with post partum depression
When they had their last child
Antiobiotic used for group b - exposure increases infection risk
Penicillin
Protects baby - amniotic fluid
Yes
Where to put heart monitor
Baby’s back
Quad screen is what?
Less invasive dna test than amniocentesis
Meds to take if bleeding to death
Pitocin
Methrergine
Cytotec
Hemabate
Meds to take for preterm labor
Terbutaline
Mag sulfate
Betamethasone
HTN moms give what
Magnesium sulfate
Labetalol
Hydrazaline
Meconium break inside mom can occur due to ?
Stress
HTN
Diabetes
Prevent water loss of infant by doing what
Drying baby
Always ID baby before leaving with mom
Yes
Normal birth wt
5-10 lbs
When fontanels close
Posterior
Anterior
- 4 months
- 18 months
Blood build up on head which may be due to what
Use on clamps
Cephaematoma
Longer to heal - weeks
Epstein pearls
are very small cysts that can appear in a baby’s mouth that look like tiny, white bumps.
If baby not breathing what to do first
Start cpr - babies have no reserve
Then call 911
Pseudomenstration in baby
Drop of blood due to hormones is normal
When breast feeding baby may loose how much weight
5-10 %!in first 3-5 days
Stepping reflex when
Galant reflex - stroke side gonto that side
Erbs palsy can be caused by what
2 months
SD
When should cord fall off?
What to checkn for?
When to take clamp offf
1-2 weeks on own
Don’t clip nails
24 hours
Cleanse with water keep dry
Alcohol cotton ball , gauze
What to check with circumcision
Swelling and ability to urinate
Soy does what to babies
Increases gas
Shunts do what when baby takes first breath
Close
What is considered post term
42 weeks
Causes of iugr
HTN
Causes SGA
Meconium May be jaundiced
Yes
Breast fed babies jaundice how to fix?
Feed them
Low bs in infant s/s
Decrease respiratory
Jittery
Sweaty
Get bs
Nas causes
Interventions
Drugs withdrawal
Loose stools
Irritable
Crying
Quiet area , skin tonskin
When to do Ballard assessment
Severe premature
23-26 weeks
