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ATI Capstone > Maternal Newborn - Week 4 Tips > Flashcards

Maternal Newborn - Week 4 Tips Flashcards

1
Q

Severe Pre-eclampsia HELLP Syndrome (HEL)

A

Hemolysis
Elevated Liver enzymes
Low platelet count

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2
Q

Logan Bow

A

stainless steel wire w/ tape that protects newly repaired cleft lip

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3
Q

Dystocia

A

prolonged/difficult labor

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4
Q

“TORCH” infections

A 
Toxoplasmosis
Other (Hep B, Syphilis, B Beta Strep)
Rubella
Cytomegalovirus
Herpes Simplex Virus
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5
Q

“TORCH” infections causes

A 
raw/undercooked meat or handling cat poo
Congenital anomalies
Mothers/children with rashes
Droplet infection
Direct contact lesions
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6
Q

Intrauterine Device (IUD) complications (PAINS)

A 
Period
Abdominal pain
Infection
Not feeling well, fever/chills
String missing
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7
Q

Newborne Assessment Components (APGAR)

A 
Appearance
Pulse
Grimace
Activity
Respiratory Effort
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8
Q

APGAR is taken @ which 2 times?

A

1 and 5 minutes post-birth

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9
Q

APGAR Scoring

A

Each section is 1 - 2 out of 10
0 - 3 = severe distress
4 - 6 = moderate difficulty
7 - 10 = adapting

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10
Q

APGAR Activity 0 - 2

A

Flexion
0 = flaccid
1 = some flexion
2 = well flexed

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11
Q

APGAR Grimace 0 - 2

A

Rule soles
0 = no response
1 = grimace
2 = cry

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12
Q

APGAR Pulse 0 - 2

A

Pulse of ♥ @ Apex w/ neonatal stethoscope
0 = absent
1 = ↓ 100 bpm
2 = ↑ 100 bpm

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13
Q

APGAR Respiratory Effort 0 - 2

A

Observe cry
0 = no respiratory effort
1 = weak cry
2 = good cry

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14
Q

APGAR Appearance 0 - 2

A

Observe color
0 = pale/blue
1 = pink bod/blue extremities (acrocyanosis) OK!
2 = completely pink

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15
Q

Maternity History (GTPAL)

A 
Gravida
Term Births (↑ 38 weeks)
Preterm Births (Viability to 37 weeks)
Abortions/Miscarriages
Living Children
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16
Q

Oral Contraceptive Potential problems (ACHES) and meanings.

A 
Abdominal pain (liver/gallbladder)
Chest pain/SoB (pulmonary emobolus)
Headache (HTN, brain attack)
Eye problems (HTN, vascular accident)
Severe leg pain (thromboembolic proccess)
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17
Q

Preterm Infant Anticipates Problems (TRIES)

A 
Temperature regulation
Resistance to infections
Immature liver
Elimination problems
Sensory-perceptual issues
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18
Q

Fetal Heart Rate (FHR) - VEAL CHOP

A

Variable Decels - cord compression, move mom
Early Decels - head compression
Accelerations - O2, good!
Late Decels - Placental utero infufficiency, BAD!!!

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19
Q

Admitting Pregnant Ladies (FETUS) Assessment

A 
F - Fetal ♥ Tones, document qshirt
E - Emotional Support
T - Temperature mom
U - Uterine Activity
S - Sensations in fetal movement qshirt
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20
Q

Fetal Tone assessment at 20 vs 24 weeks.

A

Doppler
20 - symphysis pubis
24 - towards umbilicus

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21
Q

Unusual fetal movement r/in lower back pain?

A

Softly palpate lower abdomen for ↑ 2 minutes… if +pain with ▲ uterine tone, contractions are expected.

Initiate continuous fetal monitoring!

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22
Q

Admitting Post-partum ladies (BLPC) Assessment

A

B - Boobs
L - Lochia
P - Perineal Care
C - Cesarean Section

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23
Q

BLPC Boob milk timings

A

first 24 hours = colostrum

first 72 hours = breastmilk

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24
Q

BLPC Lochia timings

A

immediately - red/heavy, needs pad ▲ q1-2hrs
7 days post - lighter, needs pad ▲ q4hrs
IF heavy, smells bad, and w/ pain REPORT

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25
Q

BLPC Perineal Care

A

first 2 weeks post-delivery

water rinse post urination w/ warm water and sitz baths

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26
Q

BLPC Cesarean Section

A

Staples removed 5 days post delivery

REPORT redness, warmth, discharge

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27
Q

Placenta Previa (%)

A

low implantation of placenta (0.005%)

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28
Q

Abruptio Placenta

A

premature separation of placenta (10%)

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29
Q

Causes Placenta Previa (5)

A 
High parity
OLD
Hx C-sections
Hx curettage
Multiple gestation
30
Q

Causes Abruptio Placenta (7)

A 
High parity
OLD
Short umbilical cord
HTN
Trauma
Vasoconstriction r/t cig use
Thrombic conditions
31
Q

Placenta Previa vs. Abruptio Placenta Bleeding?

A

ALWAYS w/ Previa

Sometimes w/ Placenta

32
Q

Placenta Previa vs. Abruptio Placenta Blood Color?

A

Bright red Previa

Dark red Placenta

33
Q

Placenta Previa vs. Abruptio Placenta Pain?

A

Painless previa

SHARP STABBING PAIN AAAH PLACENTA

34
Q

Placenta Previa Management (3)

A

Bed rest, side-lying
Weigh perineal pads
NEVER exam pelvis/rectum

35
Q

Abruptio Placenta Management (6)

A 
Fluid replacement
O2 via mask
Monitor FHR
Lateral position
NEVER exam pelvis
TERMINATE PREGNANCY
36
Q

Thyroid Hormone Medications are…?

A

Synthetic THYROxine (T4) which ↑ metabolic rate

37
Q

Thyroid Medications examples (4)

A

LevoTHYROxine (Synthroid, Levothyroid)
LioTHUROnien (Cytomel)
Liotrix (THYROlar)
THYROid (Thyroid USP)

38
Q

AntiThyroid Medications function…?

A

block conversion of T4 and T3, which treats Grave’s Disease and Thyrotoxicosis

39
Q

Grave’s Disease

A

When autoimmune antibodies r/in hyper secretion of thyroid hormones

40
Q

AntiThyroid Medication examples (4)

A

Proplythiouracil (PTU)
Methimazole (Tazapole)
Thyroid Radioactive Iodine
Thyroid NonRadioactive Iodine

41
Q

Thyroid Radioative vs. NonRadioactive Iodine

A

Radioactive - destroys thyroid cells (good for thyroid cancer)
Non - iodine inhibits hormone production

42
Q

Thyroid Iodine, how’s it taste?

A

LIKE SHIT

Drink through a straw to prevent staining of teeth.
No radioactivity precautions necessary for this medication.

43
Q

Oral Hypoglycemic Agents function…?

A

Promote insulin release in DM-2 patients

44
Q

Oral Hypoglycemic Agent examples (3)

A

Glipizide (GLUCOtrol)
Chlorpropamide (DIABines)
Glyburide (DIABinese, Micronase)
MetformincHC1 (GLUCOphage)

45
Q

Insulin Overdose antidose

A

Glucose (GLUCAgon)

46
Q

Anterior Pituitary (Growth) Hormones function…?

WATCH OUT for when taking?

A

Stimulate growth for patients w/ growth deficiencies.

DM, as they ↑ r/o hyperglycemia

47
Q

Growth Hormone examples (2)

A

Somatropin

Somatrem (Protropin)

48
Q

Posterior Pituitary (Antidiuretic) Hormones function…?

A

promotes reabsorption of water in kidneys and causes vasoconstriction

49
Q

Antidiuretic Hormones examples (2)

A

Desmopressin (DDAVP, Stimate)

Vasopressin (Petressin Synthetic)

50
Q

Anticonvulants function…? how?

A

treat epileptic seizures by suppressing rapid firing neurons in brains that start them.

51
Q

Anticonvulsant medications (Caphe Valet, misour!) (4)

A

CA-rbamazepine
PHE-nytoin/PHE-nobarbital
VAL-proic Acid
ET-hosuximide

52
Q

CAPHE vs. VALET anticonvulsants

A

VALET’s are only for petit mal seizures

53
Q

Petit Mal Seizures

A

aka Absence Seizures…

involve brief lapses of attention

54
Q

“PHENytoin” Adverse Effects

All seizure medications have these.

A 
P -interactions
H -irsutism
E -nlarged gums
N -ystagmus
Y -ellow browning skin
T -eratogenicity
O -steomalacia
I -nterferences w/ B metabolism
N -europathies
55
Q

Hirsutism

A

Unwanted hair growth where men get it

56
Q

Nystagmus

A

Repetitive uncontrolled eye movements

57
Q

Osteomalacia

A

Softening of bones

58
Q

Neuropathy - Ataxia

A

Loss of full control of body movements

59
Q

Neuropathy - Vertigo

A

Sensation of spinning/dizziness

60
Q

Antiparkinson/sonian medications treat…? How…?

A

Parkinson’s disease.

↑ dopamine activity to reduce ACh in brain, halting progression but NOT providing relief

61
Q

Beta-Adrenergic Blocking Agents treat? how?

A

Open-angle glaucoma by blocking beta-1 and beta-2 receptors

62
Q

Beta-Adrenergic Blocking medication examples (4)

A

BETAxolos (Betoptic)
LevoBETAxolol (Betaxon)
Levobunolol (BETAgan)
Timolol (BETimol)

63
Q

Prostaglandin Analogs treat? how?

A

glaucoma (w/ fever sfx than B-Adrenergic Blockers) by relaxing ciliary muscle, r/in aqueous humor outflow

64
Q

Prostaglandin Analog medication examples (2)

A

LatanoPROST

TravoPROST

65
Q

Alpha2-Adrenergic Agonists treat? how?

A

Increased ocular pressure by ↓ aqueous humor production.

ALSO protects retinal neurons from death

66
Q

Alpha2-Adrenergic medication examples (2)

A

BrimonIDINE (Alphagan)

ApracionIDINE (Iop Idine)

67
Q

Direct Acting Cholinergic Agonists/Muscarinic Agonist function?

1 example?

A

constricts pupil and ciliary muscle, this widens trabecular meshwork, r/in ↑ outflow aqueous humor

Pilocarpine

68
Q

Cyloplegic medication function

A

paralyze ciliary muscle

69
Q

Mydriatic medication function

A

dilate pupil

70
Q

Oculus Dexter, Sinister, Uterque

A

Dexter - R eye
Sinister - L eye
Uterque - Both eyes

71
Q

Side effects to Opthalmic Medicatiosn (BAD POCC)

A 
Blurred vission
Angle closure glaucoma
Dry eyes
Photophobia
Ocular Pressure
Can cause systemic effets
Ciliary muscle constriction

ATI Capstone (9 decks)

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