FINAL blue print

Question 1

Respiratory distress
What we do?

Answer 1

Oxygen therapy!!
Prevention of cold stress and infection

Question 2

Respiratory distress
why?
causes?

Answer 2

a lack of surfactant in the lungs
-premature infant
-C-section delivery
-a mother that has diabetes
-infection(lungs inflamed)
-cold stress

Question 3

Respiratory distress
s/s

Answer 3

Apnea/ Longer than 15 sec
Cyanosis
Grunting, nasal flaring
Poor feeding
Tachypnea (more than 60)
TTN

Question 4

Meconium aspiration
What to do?

Answer 4

Life-threatening!!
Oxygen therapy!!

suctioning at birth harm vocal cords NOT even effect meconium decrease

Question 5

Meconium aspiration
why?
s/s

Answer 5

postpartum fetal d/t poor perfusion
Respiratory distress

Question 6

Fetal infection
s/s

Answer 6

Any signs of respiratory distress
Temperature instability
Lethargy 無気力
Irritability 過敏
Pallor
Cyanosis
poor feeding
Vomiting

Question 7

Fetal infection
treatment?

Answer 7

antibiotic
collect the culture before it starts!!

Question 8

hypoglycemia
risk factors?

Answer 8

Glucose <45 mg/dL with 24hr
LGA, SGA
Maternal diabetes
macrosomia infant (>90th percentile)

Question 9

hypoglycemia
what to do?

Answer 9

Early breastfeeding!!!
Skin-to-skin with the mother

Question 10

Neonatal Abstinence Syndrome (NAS)
Recognize behavior

Answer 10

High-pitched cry
Tremors, muscle stiff
tachypnea
Fussy with frequent sneezing and jittery movements
poor feeding/no sleeping

Question 11

Neonatal Abstinence Syndrome (NAS)
intervention

Answer 11

hold them a lot, skin-to-skin
offer a pacifier
frequent small feeding
position on the right side or semi-Fowler

Question 12

Jaundice
a) Physiological
b) Pathologic

Answer 12

a)on days 2 to 4
immature liver function
b) within the first 24 hours!!!
d/t ABO incompatibility

Question 13

Jaundice
intervention

Answer 13

Phototherapy
increased frequency of breastfeeding

Question 14

Prematurity
#1 problem is?

Answer 14

RDS!
immature lungs
Place in a side-lying or prone position to improve oxygenation

Question 15

Prematurity
#2 problem is?

Answer 15

Aspiration!
DO NOT bottle feed a baby in respiratory distress!

Question 16

Prematurity
Heat loss
intervention

Answer 16

Keep them warm!
they don’t have enough fat to maintain temp!

Question 17

Prematurity
Weight loss
intervention

Answer 17

d/t weak suck and poor absorption
Semi-elevated, side-lying position
Tube feedings
IV fluids
Consultation with a speech therapist

Question 18

Babies in NICU
parents support

Answer 18

Kangaroo care
-encourage a mom to hold a baby
-encourage them to visit their baby often
Includes parents as part of the care team

Question 19

Perineal hematoma
how do we know?

Answer 19

The uterus is firm, but the mom is still bleeding
Mom stated a strong pain

Question 20

Perineal hematoma
causes?

Answer 20

Forceps deliver (tool)
Precipitous birth (within 3 hr)
3rd or 4th degree
Large baby
First-time mom

Question 21

Perineal hematoma
intervention

Answer 21

Call the provider immediately
need to suture

Question 22

PPH
how do we know?
what to do?

Answer 22

Pad saturated <15 mins
Uterus massage till it gets firm

Question 23

Risk Factors for PHH
#1 cause?

Answer 23

Uterine atony
-a full bladder
-big baby
-prolong labor
-administered Mg

Question 24

Risk Factors for PHH
Other than uterine atony

Answer 24

Infection
Lacerations
Placenta fragment

Question 25

baby blue?

Answer 25

on 2nd day and lasts 1-2 weeks
normal finding, rapid hormonal change
resolves without intervention

Question 26

Postpartum depression (PPD)?

Answer 26

within 1 year of delivery
sadness persists beyond 2 weeks
intense mood swing
rejection of infant
flat affect

Question 27

Postpartum psychosis?

Answer 27

within 2 weeks
hallucinations, destinations
history of bipolar

The biggest concern is harming their baby and harming themselves!!!!

Question 28

Postpartum　Mood disorders
Interventions

Answer 28

Encourage bounding
Encourage them to share their feelings

Ensure the baby’s safety

Question 29

Mastitis
s/s

Answer 29

in the first 2-8 weeks
warmth, redness, and swelling of one breast
ful-like symptoms

Question 30

Mastitis
interventions

Answer 30

Completely empty out!!
Cracked nipple( nipple to air dry)
educate proper infant positioning
Education about hygiene
Encourage good fluid intake
Ice pack may apply

Question 31

Endometriosis
S/S Intervention

Answer 31

Pelvic pain
Fever, chills, flu-like symptoms

Collect virginal and blood culture
Administer antibiotics

Question 32

UTI
S/S Intervention

Answer 32

Urinary frequency
Pain while urinating
Cloudy urine

Obtain urine samples
administer antibiotics

Question 33

Surgical Site infection
S/S Interventions

Answer 33

Redness
Warmth
Edema
Purulent discharge
Increased pain
Fever greater than 100.4
C-section is at risk!!

Question 34

Thromboembolism
how to prevent?

Answer 34

Ambulation ASAP!!!
If a mom cannot get out the bed yet, then
SCDs
Elastic hose socks
ROM in the bed

Question 35

Thromboembolism
how to care?

Answer 35

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

Question 36

Methylergonovine Maleate (Methergine)
Used?
ADRs ?

Answer 36

Controlled PPH
Assess uterine tone and virginal bleeding

Headache
N/V
Contraindication Hypertension!!

Question 37

Carboprost (Hemabate)
Used?
ADRs ?

Answer 37

Controlled PPH

Fever, chills
Headache
N/V
Major GI issue!!
Uncorralled diarrhea and vomiting=hypovolemia