fundamentals Flashcards

1
Q

Medications for PP Hemorrhage

A

Pitocin, oxytocin, methergine, misoprostol, cytotec, and hemabate

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2
Q

1st Degree Perineal Laceration

A

Includes skin and tissue

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3
Q

2nd Degree Perineal Laceration

A

Includes skin, tissue and muscle

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4
Q

3rd Degree Perineal Laceration

A

Extends to the anus

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5
Q

4th Degree Perineal Laceration

A

Goes to the rectum and can include that in the tear very nasty would not recommend

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6
Q

Episiotomy

A

Intentional laceration of the perineal area made by the provider

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7
Q

Maternal Urinary Output Changes Postpartum

A

Increased urinary output for 2-3 days, encourage frequent bathroom trips to prevent bladder distention due to lack of feeling.

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8
Q

Involution

A

The process of the uterus returning to pre-pregnancy size. Should reduce 1 finger width each day postpartum

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9
Q

Subinvolution

A

When the uterus does not reduce in size. Could be from postpartum hemorrhage, bladder distention, uterine myoma, or pelvic infection

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10
Q

Homan’s Sign

A

Dorsiflex the foot to assess resistance and pain

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11
Q

Treatments for Cracked Nipples

A

Colostrum, rub it in

Lanolin is safe for baby to feed over

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12
Q

En face position

A

When you face the newborn and look into its eyes. It facilitates bonding

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13
Q

Normal Newborn Respirations

A

30-60 per minute. Irregular is normal

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14
Q

Normal neonate temperature

A

97.7-99.5 F

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15
Q

Normal newborn heart rate

A

110-160

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16
Q

Normal newborn weight

A

2.5-3.5 kg

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17
Q

Normal newborn length

A

46-54 cm

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18
Q

Normal newborn head circumference

A

34-35 cm

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19
Q

Breast Milk Stool

A

Yellow-gold, loose, seedy, stringy to pasty, sour smell

20
Q

Formula Stool

A

Yellow-yellow-green, loose, pasty-formed, unpleasant

21
Q

Apgar Scoring System

A

Heart rate, respiratory effort, muscle tone, reflex and color

22
Q

When is first breastfeeding encouraged?

A

Within the first hour

23
Q

Newborn feeding schedule

A

On demand, typically every 2-3 hours

24
Q

How Long does breastfeeding take?

A

15-20 minutes

25
Q

Calories in formula and breast milk

A

20 kcal/oz, but higher concentrations can be used for neonates

26
Q

caput succedaneum

A

Newborn head swelling that crosses over the suture lines

27
Q

cephalohematoma

A

Swelling that does not cross suture lines

28
Q

3 medications for newborns

A

Vitamin K, hepatitis B, erythromycin gel on eyes

29
Q

Respiratory Depression Syndrome is Caused By

A

Lung immaturity and lack of alveolar surfactant

30
Q

S/S respiratory depression syndrome

A

Expiratory grunting (cute), nasal flaring, chest wall restrictions, seesaw respirations, generalized cyanosis, heart rate 150-180, fine inspiratory crackles and tachypnea (resp above 60)

31
Q

Transient Tachypnea

A

Usually goes away on its own within 48 hours

32
Q

Normal newborn blood glucose

A

40-90

33
Q

S/S newborn hypoglycemia

A

Jittery, cyanosis, apnea, poor feeding, lethargy, and seizures

34
Q

Risk factors for jaundice

A

Bruises, cephalohematoma, birth traumas, and lower gestational age

35
Q

Shoulder Distocia Injuries

A

Erbs Palsey and broken clavicle

36
Q

Nursing Interventions for Shoulder Distocia

A

Suprapubic pressure, knees to ears position, and then it’s in the providers hands

37
Q

Low birth weight

A

Under 2500 v

38
Q

Very low birth weight

A

Under 1500 g

39
Q

Extremely low birth weight

A

Under 1000g

40
Q

SGA problems

A

Perinatal asphyxiation, difficulty with thermoregulation, hypoglycemia, polycythemia, meconium aspiration

41
Q

LGA problems

A

Birth trauma, hypoglycemia, polycythemia, hyperbilirubinemia

42
Q

Retina of Prematurity

A

Damage to the retina that will cause problems later. Too much oxygen admin can cause it

43
Q

S/S neonatal abstinence

A

High pitched cry, tremors, increased tone, nasal congestion, yawning, skin mottling, apnea, tachypnea, and diarrhea

44
Q

Term Cut offs

A

Preterm before 37 weeks
Term 37-42 weeks
Post term after 42

45
Q

Necrotizing enterocolitis (NEC) mechanisms

A

Bowel ischemia, bacterial flora, and effect of formula feeding

46
Q

NEC s/s

A

Abdominal distention and tenderness, bloody stools, feeding intolerance (bilious vomiting), sepsis, lethargy, apnea, shock. A KUB will show air in the bowel wall, dilated bowel loops