maternal and newborn

Question 1

Assessment findings:

Answer 1

Maternal fever (>100.4 F [38 C])
Maternal tachycardia
Fetal tachycardia (>160 bpm)
Uterine tenderness
Green Foul-smelling amniotic fluid

Question 2

Nursing considerations:
Chorioamnionitisrisk for sepsis in the mother and fetus.

Answer 2

Prevention and monitoring:
Minimize vaginal exams after membranes rupture.
Maintain sterile technique during labor
procedures (cervical exams, internal monitoring
placement, amniotomy).
Check maternal and fetal vital signs frequently for
signs of chorioamnionitis (HR, maternal fever).
Palpate for uterine tenderness.
Assess for foul-odored discharge.

Question 3

Treatment:

Answer 3

Obtain CBC and blood cultures as prescribed.
Administer broad-spectrum IV antibiotics as
prescribed (ampicillin, gentamicin).
Prepare for cesarean delivery if indicated
(dysfunctional labor, worsening infection,
fetal distress).

Question 4

Risk factors:

Answer 4

Prolonged rupture of membranes (>18 hr)
Frequent cervical exams during labor
Internal monitoring devices (fetal scalp electrode,
intrauterine pressure catheter)
Genital tract infections (chlamydia)

Question 5

Chorioamnionitis prevention:

Answer 5

To prevent
chorioamnionitis, minimize vaginal exams
after membranes rupture and maintain sterile
technique during labor procedures.

Question 6

Chorioamnionitis monitoring:

Answer 6

Monitor for
maternal fever, maternal and fetal tachycardia,
and uterine tenderness.

Question 7

Neonatal Sepsis

Answer 7

Neonatal sepsis = systemic infection in the newborn.
Pathophysiology:
Bacteria (GBS, E. coli) enter the bloodstream 
Overwhelms the neonatal immune system 
Systemic inflammation

Question 8

Risk factors:

Answer 8

GBS-positive mother
Maternal chorioamnionitis
Prolonged rupture of membranes (>18 hr)
Poor immunity (prematurity)
Invasive procedures (central lines)

Question 9

Assessment findings:

Answer 9

Temperature instability (hypothermia or fever)
Poor feeding or lethargy
Respiratory distress (grunting, nasal flaring, tachypnea)
Hypotonia
Signs of shock (mottled skin, hypotension)

Question 10

Chorioamnionitis and neonatal sepsis
treatment:

Answer 10

Administer broad-spectrum
IV antibiotics.

Question 11

Neonatal sepsis monitoring:

Answer 11

Monitor for signs of
sepsis, like temperature instability, poor feeding,
and respiratory distress.