FINAL blue print Flashcards
Respiratory distress
What we do?
Oxygen therapy!!
Prevention of cold stress and infection
Respiratory distress
why?
causes?
a lack of surfactant in the lungs
-premature infant
-C-section delivery
-a mother that has diabetes
-infection(lungs inflamed)
-cold stress
Respiratory distress
s/s
Apnea/ Longer than 15 sec
Cyanosis
Grunting, nasal flaring
Poor feeding
Tachypnea (more than 60)
TTN
Meconium aspiration
What to do?
Life-threatening!!
Oxygen therapy!!
suctioning at birth harm vocal cords NOT even effect meconium decrease
Meconium aspiration
why?
s/s
postpartum fetal d/t poor perfusion
Respiratory distress
Fetal infection
s/s
Any signs of respiratory distress
Temperature instability
Lethargy 無気力
Irritability 過敏
Pallor
Cyanosis
poor feeding
Vomiting
Fetal infection
treatment?
antibiotic
collect the culture before it starts!!
hypoglycemia
risk factors?
Glucose <45 mg/dL with 24hr
LGA, SGA
Maternal diabetes
macrosomia infant (>90th percentile)
hypoglycemia
what to do?
Early breastfeeding!!!
Skin-to-skin with the mother
Neonatal Abstinence Syndrome (NAS)
Recognize behavior
High-pitched cry
Tremors, muscle stiff
tachypnea
Fussy with frequent sneezing and jittery movements
poor feeding/no sleeping
Neonatal Abstinence Syndrome (NAS)
intervention
hold them a lot, skin-to-skin
offer a pacifier
frequent small feeding
position on the right side or semi-Fowler
Jaundice
a) Physiological
b) Pathologic
a)on days 2 to 4
immature liver function
b) within the first 24 hours!!!
d/t ABO incompatibility
Jaundice
intervention
Phototherapy
increased frequency of breastfeeding
Prematurity
#1 problem is?
RDS!
immature lungs
Place in a side-lying or prone position to improve oxygenation
Prematurity
#2 problem is?
Aspiration!
DO NOT bottle feed a baby in respiratory distress!
Prematurity
Heat loss
intervention
Keep them warm!
they don’t have enough fat to maintain temp!
Prematurity
Weight loss
intervention
d/t weak suck and poor absorption
Semi-elevated, side-lying position
Tube feedings
IV fluids
Consultation with a speech therapist
Babies in NICU
parents support
Kangaroo care
-encourage a mom to hold a baby
-encourage them to visit their baby often
Includes parents as part of the care team
Perineal hematoma
how do we know?
The uterus is firm, but the mom is still bleeding
Mom stated a strong pain
Perineal hematoma
causes?
Forceps deliver (tool)
Precipitous birth (within 3 hr)
3rd or 4th degree
Large baby
First-time mom
Perineal hematoma
intervention
Call the provider immediately
need to suture
PPH
how do we know?
what to do?
Pad saturated <15 mins
Uterus massage till it gets firm
Risk Factors for PHH
#1 cause?
Uterine atony
-a full bladder
-big baby
-prolong labor
-administered Mg
Risk Factors for PHH
Other than uterine atony
Infection
Lacerations
Placenta fragment
baby blue?
on 2nd day and lasts 1-2 weeks
normal finding, rapid hormonal change
resolves without intervention
Postpartum depression (PPD)?
within 1 year of delivery
sadness persists beyond 2 weeks
intense mood swing
rejection of infant
flat affect
Postpartum psychosis?
within 2 weeks
hallucinations, destinations
history of bipolar
The biggest concern is harming their baby and harming themselves!!!!
Postpartum Mood disorders
Interventions
Encourage bounding
Encourage them to share their feelings
Ensure the baby’s safety
Mastitis
s/s
in the first 2-8 weeks
warmth, redness, and swelling of one breast
ful-like symptoms
Mastitis
interventions
Completely empty out!!
Cracked nipple( nipple to air dry)
educate proper infant positioning
Education about hygiene
Encourage good fluid intake
Ice pack may apply
Endometriosis
S/S Intervention
Pelvic pain
Fever, chills, flu-like symptoms
Collect virginal and blood culture
Administer antibiotics
UTI
S/S Intervention
Urinary frequency
Pain while urinating
Cloudy urine
Obtain urine samples
administer antibiotics
Surgical Site infection
S/S Interventions
Redness
Warmth
Edema
Purulent discharge
Increased pain
Fever greater than 100.4
C-section is at risk!!
Thromboembolism
how to prevent?
Ambulation ASAP!!!
If a mom cannot get out the bed yet, then
SCDs
Elastic hose socks
ROM in the bed
Thromboembolism
how to care?
Bed rest is important
-prevent clots travel to the lungs or brain
-elevate the affected leg
-monitor for bleeding while receiving anticoagulant medication
DO NOT massage
Methylergonovine Maleate (Methergine)
Used?
ADRs ?
Controlled PPH
Assess uterine tone and virginal bleeding
Headache
N/V
Contraindication Hypertension!!
Carboprost (Hemabate)
Used?
ADRs ?
Controlled PPH
Fever, chills
Headache
N/V
Major GI issue!!
Uncorralled diarrhea and vomiting=hypovolemia
