MCN Flashcards
Newborn assessment
HR 110-160 F: 97.7- 99.5 RR 30-60 Length: 45-55 Lbs: 5.5-8.8
Biophysical Profile
asses fetal breathing movements gross body movements fetal heart rate reactive FHR (NST) amniotic fluid
amniocentesis
patent iv monitor FHR asses signs of labor asses for vaginal bleeding rohgam
MSAFP
16-18 weeks
Fetal assessment
110-160 bpm
no movement or decreases in 12hrs-bad
less than 10 kicks 2 hrs bad
GBS
culture obtained 35-36 wks
Positive culture tx with PCN q4H IVPB during labor
TORCH
T- toxoplasmosis O- other ( syphilis , varicella, parvovirus) R- rubella C- cytomegalovirus H- herpes
Gestational Hypertension
begins after 20th week
140/90
no proteinuria
returns to normal 6 weeks postpartum
Eclampsia - s/s
proteinuria 160/110 oliguria cerebral or visual disturbances DTRS hepatic dysfunction RUQ pain blurred vision seizures elevated URIC acid
HELLP
H- hemolysis
EL- elevated liver enzymes
LP- low platelets
Protein
60-70g
Ectopic pregnancy
delayed or missed menses unilateral stabbing pain and tenderness in lower abdomen bleeding shock 12 weeks RUQ
Braxton hicks
pain above the lower back or abdomen above the umbilicus
decreases with walking or position changes
True labor
walking can increase contraction intensity
usually felt in lower back and radiating to abdomen
Terbutaline
used for preterm labor
monitor for SE: headaches, dizziness, tremors. tachycardia, monitor K
Amniotomy
artificial rupture of amniotic membranes
typically begins in 12 hours
at risk for cord prolapse and infection
Prolapsed cord
knee to chest
reverse trendenberg
8-10 L non rebreather
hypoglycemia newborn
<40 flaccid muscles tremors poor feeding heel stick w/in 2 hrs
RDS
tachypnea intercostal/ substernal retractions cyanosis pre term nasal flaring
jaundice newborn
24 hours after ok
24 hours before bad
bilirubin above 5 bad
3 mos
raises head prone
6 mos
rolls back to front
8 mos
sits unsupported
9 mos
pincer grasp more precise
solid foods
4-6 mos
iron fortified cereals first
3 yrs
tricycle
4 years
skips and hops
5 years
walks backward heel to toe
hypertrophic pyloric stenosis
projectile vomiting after feedings
constant hunger
failure to gain weight
hirschsprungs disease
section of colon is big and causes decreased motility and obstruction
newborn-no meconium first 48 hrs
older children ribbon like stool older children
intussception
telescoping of intestines
palpable sausage shaped mass
red currant jelly stool
