High risk pregnancy Flashcards
criteria for PPH
500 ml blood loss for vaginal
1000 ml for c-section
OR 10% decrease in HCT from prebirth
order of meds for PPH
- oxytocin
- Methylergonovine
- Ergonovine(ergotrate)
- Carboprost(Hemabate)
Hematoma s/s
PAIN
Tenderness
Feeling of fullness
treatment for a hematoma less then 5 cm
ice first 12 hours w/pain meds
then sitz baths
treatment for hematoma greater then 5 cm
incision and drainage with possible placement of a drain
Metritis
Infection of the endometrium usually starts at the placental site
s/s of cervical/vaginal laceration
firm, midline fundus with steady stream of blood WITHOUT clots
Primary risk factors for subinvolution
Fibroids
Retained placental tissue
Metritis
Low birth weight
very low birth weight
extremely low birth weight
> 15001000
when is phototherapy indicated
unconjugated bilibrubin > 12 mg/dL
what does neonatal withdrawl look like
hypoglycemia with tremors and hypertonia instead of hypotonia
s/s of Hypercalcemia in neonate
vomiting, constipation, arrhythmias
two risk factors for necrotizing enterocolitis and why
feeding preterms formula-its harder to digest the undigested parts can get stuck
NG feedings-bacterial colonization can cause inflmmation
what is the function of vernix caseosa
to prevent water loss from skin into amniotic fluid. As the baby gets older the vernix decreases therefore post term babys end up with dry skin
what are the primary concerns during phototherapy
body temperature and hydration status
