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Midwifery NZ 21 > Everythiong Pepi > Flashcards

Everythiong Pepi Flashcards

1
Q

110bpm - 150bpm is what?

A

A normal FHR

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2
Q

What do you use APGARS for?

A

To assess pepi tone, respiration, heart rate, colour, reflexs

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3
Q

When is Vitamin K strongly recommended IM?

A
  • When forceps, ventouse, kiwi cup or a C-section
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4
Q

What are you looking at in the top to toe @ birth?

A
  • 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
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5
Q

What is the correct amount of Vitamin K to give IM?

A

0.1mL

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6
Q

What is the correct amount of Vitamin K PO?

A

0.2mL

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7
Q

How many does of oral Vitamin K is needed and how often?

A

3 oral does at birth, 1 week and 5-6 weeks postpartum

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8
Q

What do you prescribe for oral thrush?

A

Nystatin (Nstatin) 100,00 units/mL

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9
Q

How much Nystatin is prescribed & how long for?

A

1mL QID after feeds for 7 days

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10
Q

If you suspected conjunctivitis what are your actions?

A
  • Swab eyes and nasal passage
  • Encourage the use of breastmilk until results
    confirm suspicions
  • prescription for Chloramhenicol 0.5% - 1%
    Drops or Gel
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11
Q

What medication would you give for thrush on the bottom?

A
  • Clotrimazole 1%

- Miconazole 2%

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12
Q

A Baby develops Jaundice in the first 24 hours of life is this normal?

A

NO this is pathological and transfer of care is recommended.

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13
Q

Jaundice is visible at 4 days of age only on the eyes and face.

A

This is normal continue to breastfeed the pēpi and use filtered sunlight

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14
Q

Definition of prolonged Jaundice?

A
  • 2wks for a full term pēpi

- 3wks for a premature pēpi

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15
Q

Pēpi can lose weight in the first week of life, what is a normal percentage of loss?

A

up to 7% - 10%

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16
Q

As a midwife what is your care plan for a pēpi that has lost 7 %?

A
  • Continue to feed every 3 - 4hrly as this is a normal weight loss in the first week.
  • re-weigh in three days
17
Q

At what percentage do you need to consult?

A

10% or more

18
Q

What is unconjugated bilirubin?

A

It is a waste product of haemoglobin breakdown

19
Q

How is Bilirubin carried to the liver?

A

By a protein called Albumin

20
Q

When is Jaundice considered pathological

A
  • If it occurs in the first 24hrs
  • prolonged jaundice does not improve and continues for more
    than 3weeks.
21
Q

You have a postnatal visit with a mama & pēpi is 3 wks old and still has visible Jaundice what are your actions?

A
  • Speak with the parents
  • Consultation with peds
  • SBR
22
Q

What is Infantile Haemangioma?

A

Strawberry Naevus

23
Q

What are Infantile haemangioma associated with?

A
  • Premature birth
  • Low birth weight
  • Multiples
  • Whanau history
24
Q

Is it normal for Pēpi to develop Sticky eyes?

A

Yes - as the tear ducts can become blocked.

-Massaging and applying breastmilk will help to clear it.

25
Q

What blood vessel carries the blood to the baby in utero?

A

Placental Vein carries oxygenated and nutrient rich blood to the baby

26
Q

The Aorta in the umbilical cord carries what?

A

Deoxygenated blood back to the mama/ placenta

27
Q

What can cause absent femoral pulses?

A

Aortoiliac occlusive disease

28
Q

What is Aortoiliac occlusive disease?

A

It occurs when the iliac artery that brings blood to your legs becomes narrow or blocked

29
Q

When the pēpi is in utero what are the 3 differences of Fetal circulation ?

A
  • Ductus Venosus
  • Foramen Ovale
  • Ductus arteriosus
30
Q

What are the Mechanisms of New-born heat loss?

A
  • Radiation
  • Convection
  • Conduction
  • Evaporation
31
Q

Where does RADIATION occur?

A

From the head

32
Q

Conduction is loss of heat to where?

A

Solid surfaces

33
Q

Evaporation is?

A

Heat loss when amniotic fluid/water froms skin to air

34
Q

Which enzyme is necessary for conjugation of bilirubin?

A

Glycerol transferase

35
Q

Definition of Neonatal death rate per 100 live births?

A

Death Occurring in the first 28 days of life

36
Q 
What do you prescribe for ORAL thrush?
A) Narcan
B) Clotrimazole
C) Nystatin
D) Micoznazole
A

C - Nystain

37
Q 
What would you prescribe for Conjunctivitis?
What do you prescribe for ORAL thrush?
A) Narcan
B) Clotrimazole
C) Nystatin
D) C
A

B) - C

Midwifery NZ 21 (32 decks)

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