Maternity

Question 1

What is RDS?

Answer 1

Respiratory distress syndrome

Not able to breath properly

Question 2

Babies and risk for RDS

Answer 2

Preterm
Infants of diabetic mom
Decrease blood perfusion to lungs

Question 3

Signs and symptoms of RDS

Answer 3

Low body temp
Nasal flaring
Tachypnea
Cyanotic mucous membranes

Question 4

S/S Increased distress in RDS

Answer 4

Grunting
Seesaw respirations
Decrease trine output
Apnea
Bradycardia 
Pneumothorax

Question 5

How to treat RDS

Answer 5

Surfactant forms at 34 weeks

Question 6

What do you need to know about admin O2

Answer 6

Used to correct low P02 and pH levels following surfactant admin
CPAP and PEEP apply pressure on alveoli to prevent collapse
Bronchopulmonary dysphasia or
Retinopathy of prematurity leads to blindness

Question 7

What is transient tachypnea of the new born

Answer 7

At birth 80rmp when crying, within an hour goes to 30-60

TTN= breaths do not slow, 80-120

Question 8

What causes Transient tachypnea of the newborn

Answer 8

retained lung fluid which limits amount of surface for oxygen exchange or decrease production of surfactant
Onset: 6hrs
Duration: 72hrs

Question 9

What is meconium aspiration ?

Answer 9

Is baby poop in baby lungs

This occurs from HYPOXIA, that affects vagus nerve to relax rectal sphincter

Question 10

What is subjective data of meconium aspiration?

Answer 10

Green to black amniotic fluid

Respiratory distress

Question 11

Number one issue from meconium aspiration syndrome

Answer 11

Inflammation of bronchioles, decrease surfactant due to lung trauma
Secondary infection is pneumonia

Question 12

What is hemolytic disease of new born (hyperbilbrubinemia)

Answer 12

The fetus has a different blood type then the mother, mother builds up antibodies against the fetal red blood cells leading to hemolysis

Question 13

What causes hyperbilibrubinemia?

Answer 13

Rh incompatibility
-red blood cells enter maternal circulation
-mom makes antibodies against fetal antigens
RHOGAM is given in this case

Question 14

What is hydrops fetalis?

Answer 14

Occurs when blood in vascularure becomes hypotonic to interstitial fluid due to decreased RBC causing fluid shift and extreme edema

Question 15

What are normal levels and high levels of bilirubin. Why is it dangerous to have high levels? What do we do?

Answer 15

Brain damage occurs
Body is forced to use glucose stores to maintain metabolism of anemia which equals hypoglycaemia 
Norm: 0.3mh/100mL
Dangerous: 12mg/dl 
Phototherapy

Question 16

What are the effects of cocaine?

Answer 16

Vasoconstriction (respiratory and cardiac problems)

Infants suffer hemorrhage,tremors, irritability and muscle rigidity

Question 17

What does amphetamines do?

Answer 17

Can cause high contractions in maternal circulation

Jitteriness, poor feeding and growth restriction

Question 18

What does phencyclidine do?

Answer 18

Used for IV anesthetic

Cause long term hallucinations and irritation

Question 19

Narcotic agents

Answer 19

Euphoria and sedation
PIH, phlebitis, subacute bacterial endocarditis, Hep B and HIV
With draw symptoms: N&V, diarrhea, abdominal pain, shivering, body aches, muscle jerks and insomnia

Question 20

What is necrotizing Enterocolitis?

Answer 20

Intestinal dysfunction where the bowel develops necrotic patches that interfere with digestion. This can lead to paralytic ileus, perforation and peritonitis