Everythiong Pepi Flashcards
110bpm - 150bpm is what?
A normal FHR
What do you use APGARS for?
To assess pepi tone, respiration, heart rate, colour, reflexs
When is Vitamin K strongly recommended IM?
- When forceps, ventouse, kiwi cup or a C-section
What are you looking at in the top to toe @ birth?
- Fontenelle’s present no haemorrhage
- symmetrical facial features
- Mouth moist clear - Reflex’s
- Ears skin tags - Hip joints
- spine straight - HC
- Anus is present - Length
- soft puku - Heart
- Femoral pulses - Lungs
- genitalia F or M
- Testiest down
What is the correct amount of Vitamin K to give IM?
0.1mL
What is the correct amount of Vitamin K PO?
0.2mL
How many does of oral Vitamin K is needed and how often?
3 oral does at birth, 1 week and 5-6 weeks postpartum
What do you prescribe for oral thrush?
Nystatin (Nstatin) 100,00 units/mL
How much Nystatin is prescribed & how long for?
1mL QID after feeds for 7 days
If you suspected conjunctivitis what are your actions?
- Swab eyes and nasal passage
- Encourage the use of breastmilk until results
confirm suspicions - prescription for Chloramhenicol 0.5% - 1%
Drops or Gel
What medication would you give for thrush on the bottom?
- Clotrimazole 1%
- Miconazole 2%
A Baby develops Jaundice in the first 24 hours of life is this normal?
NO this is pathological and transfer of care is recommended.
Jaundice is visible at 4 days of age only on the eyes and face.
This is normal continue to breastfeed the pēpi and use filtered sunlight
Definition of prolonged Jaundice?
- 2wks for a full term pēpi
- 3wks for a premature pēpi
Pēpi can lose weight in the first week of life, what is a normal percentage of loss?
up to 7% - 10%
As a midwife what is your care plan for a pēpi that has lost 7 %?
- Continue to feed every 3 - 4hrly as this is a normal weight loss in the first week.
- re-weigh in three days
At what percentage do you need to consult?
10% or more
What is unconjugated bilirubin?
It is a waste product of haemoglobin breakdown
How is Bilirubin carried to the liver?
By a protein called Albumin
When is Jaundice considered pathological
- If it occurs in the first 24hrs
- prolonged jaundice does not improve and continues for more
than 3weeks.
You have a postnatal visit with a mama & pēpi is 3 wks old and still has visible Jaundice what are your actions?
- Speak with the parents
- Consultation with peds
- SBR
What is Infantile Haemangioma?
Strawberry Naevus
What are Infantile haemangioma associated with?
- Premature birth
- Low birth weight
- Multiples
- Whanau history
Is it normal for Pēpi to develop Sticky eyes?
Yes - as the tear ducts can become blocked.
-Massaging and applying breastmilk will help to clear it.
What blood vessel carries the blood to the baby in utero?
Placental Vein carries oxygenated and nutrient rich blood to the baby
The Aorta in the umbilical cord carries what?
Deoxygenated blood back to the mama/ placenta
What can cause absent femoral pulses?
Aortoiliac occlusive disease
What is Aortoiliac occlusive disease?
It occurs when the iliac artery that brings blood to your legs becomes narrow or blocked
When the pēpi is in utero what are the 3 differences of Fetal circulation ?
- Ductus Venosus
- Foramen Ovale
- Ductus arteriosus
What are the Mechanisms of New-born heat loss?
- Radiation
- Convection
- Conduction
- Evaporation
Where does RADIATION occur?
From the head
Conduction is loss of heat to where?
Solid surfaces
Evaporation is?
Heat loss when amniotic fluid/water froms skin to air
Which enzyme is necessary for conjugation of bilirubin?
Glycerol transferase
Definition of Neonatal death rate per 100 live births?
Death Occurring in the first 28 days of life
What do you prescribe for ORAL thrush? A) Narcan B) Clotrimazole C) Nystatin D) Micoznazole
C - Nystain
What would you prescribe for Conjunctivitis? What do you prescribe for ORAL thrush? A) Narcan B) Clotrimazole C) Nystatin D) C
B) - C
