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FINALS REVIEWER > NCMA217 RLE (EINC) > Flashcards

NCMA217 RLE (EINC) Flashcards

1
Q

An evidence based standards for safe quality
care of birthing mothers and their newborns
within 48 hours of intrapartum period and a
week of life for the newborn

A

ESSENTIAL INTRAPARTAL NEWBORN CARE

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2
Q

EINC

Administrative Order

A

2009 – 0025 – December
2009

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3
Q

EINC

A

Unang Yakap

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4
Q

EINC PRACTICES

Continuous maternal support

A

by a companion of her choice,
during labor and delivery

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5
Q

EINC PRACTICES

the mother is still mobile, within reason,
during this stage

A

Mobility during labor

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6
Q

EINC PRACTICES

Position of choice during

A

labor and delivery

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7
Q

EINC PRACTICES

before offering labor anesthesia

A

Non-drug pain relief

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8
Q

EINC PRACTICES

Spontaneous pushing in a

A

semi-upright position

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9
Q

EINC PRACTICES

Episiotomy will not be done, unless

A

necessary

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10
Q

EINC PRACTICES

Active management of

A

third stage of labor

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11
Q

EINC PRACTICES

Monitoring the progress of labor with the use of

A

partograph

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12
Q

EINC PURPOSES

as he or she
transitions from intrauterine life to extrauterine life.

A

Assess and evaluate the newborn

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13
Q

EINC PURPOSES

system-by
system for normal versus abnormal functioning,
providing maintenance of normal and potential
treatment of abnormal findings.

A

Evaluate and monitor the newborn

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14
Q

EINC PURPOSES

between infant and parent/s

A

Foster bonding

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15
Q

EINC PURPOSES

Provide a

A

safe environment at all times

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16
Q

4 CORE STEPS OF EINC

90 MINS

A

1.Immediate and thorough
drying
2.Early skin to skin contact
3. Properly timed cord clamping
4. Non-separation of newborn from
mother for early breastfeeding

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17
Q

Immediate and thorough drying

30 SECONDS

A

Call the time of birth
Using a clean dry cloth, dry the
newborn thoroughly for at least 30
seconds
Wipe the eyes, face, head, front and
back, arms and legs
Remove wet cloth
Do a quick check of breathing while
drying

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18
Q

APGAR SCORING

A
Appearance
(Blue/Pale
all over
the body)

A

0

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19
Q

APGAR SCORING

A
Appearance
(Accrocyanosis
Circumural
Cyanosis )

A

1

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20
Q

APGAR SCORING

A
Appearance
(PINK
ALL OVER)

A

2

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21
Q

APGAR SCORING

P
Pulse
(0 )

A

0

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22
Q

APGAR SCORING

P
Pulse
(<100 bpm )

A

1

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23
Q

APGAR SCORING

P
Pulse
(>100 bpm )

A

2

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24
Q

APGAR SCORING

G
Grimace
(NO
REACTION to
stimulation )

A

0

25
Q

APGAR SCORING

G
Grimace
(No cry to stimulation
Weak Cry / Grimace )

A

1

26
Q

APGAR SCORING

G
Grimace
(Strong Cry )

A

2

27
Q

APGAR SCORING

A
Activity
(None,
Flaccid)

A

0

28
Q

APGAR SCORING

A
Activity
(Some flexion of
arms & legs )

A

1

29
Q

APGAR SCORING

A
Activity
(Well flexed
Arms & legs )

A

2

30
Q

APGAR SCORING

R
Respiration
(0 )

A

0

31
Q

APGAR SCORING

R
Respiration
(<30
Wear, irregular cry)

A

1

32
Q

APGAR SCORING

R
Respiration
(>30
Strong vigorous
cry)

A

2

33
Q

APGAR

A

APPEARANCE
PULSE
GRIMACE
ACTIVITY
RESPIRATION

34
Q

APGAR SCORING

0-3
INTEPRETATION

A

Severely
Depressed

35
Q

APGAR SCORING

0-3
NURSING
INTERVENTION

A

Immediate
Resuscitation

36
Q

APGAR SCORING

4-6
INTEPRETATION

A

Guarded

37
Q

APGAR SCORING

4-6
NURSING
INTERVENTION

A

Suctioning

38
Q

APGAR SCORING

7-10
INTEPRETATION

A

Good Prognosis

39
Q

APGAR SCORING

7-10
NURSING
INTERVENTION

A

Proceed to
Routine
Newborn Care

40
Q

Early skin to skin contact

A

Position the newborn prone on the
mother’s abdomen or chest
Cover the newborn’s back with dry
blanket
Cover the newborn’s head with bonnet
Place identification band on ankle
If newborn is crying and breathing
normally avoid any manipulation

41
Q

Properly timed cord clamping

A

Remove the first sets of gloves
Hold the cord and feel the pulsation.
Wait 1-3minutes until the pulsation
stop then put the sterile clamp or tie
2cm above the base, and get the Kelly
clamp 5cm above the base
Cut the cord close to the plastic
clamp

42
Q

Non separation of mother from her newborn

A

Observe the newborn and
feeding cues (crawling,
licking, rooting, sucking)
Counsel on positioning and
attachment
Initiate breastfeeding

43
Q

Anthropometric Measurement

HEAD

A

HC: 33-35 cm (1 finger breath
from the eyebrow)

44
Q

Anthropometric Measurement

CHEST

A

CC: 31-33cm (nipple line)

45
Q

Anthropometric Measurement

ABDOMEN

A

AC: 31-33 cm (umbilical level)

46
Q

Anthropometric Measurement

LENGTH

A

BL: 47-54 cm (posterior fontanel
up to the heel of the foot following
contour of newborn’s body

47
Q

Anthropometric Measurement

WEIGHT

A

WT: 2.5-4 kg. or 5.5 -8.8lbs. or
2500-4000 grams

48
Q

MEDICATIONS

EYE

A

CREDE’S PROPHYLAXIS
ERYTHROMYCIN
OPHTHALMIC
OINTMENT
TERRAMYCIN

49
Q

MEDICATION (EYE)

To prevent OPTHALMIA
NEONATORUM

A

TERRAMYCIN

50
Q

MEDICATION (EYE)

applied from inner to
outer canthus of the
eyes

A

TERRAMYCIN

51
Q

MEDICATIONS

BCG (BACILLUS CALMETTE
GUERINE)
Dosage & Route:

A

0.05 ml, ID Deltoid (R)

52
Q

MEDICATION

To prevent lung TB infection, TB
Meningitis, Miliary TB

A

BCG (BACILLUS CALMETTE
GUERINE)

53
Q

MEDICATION

HEPA - B
Dosage & Route:
Site:

A

Dosage & Route:
0.5ml , IM
Site: Vastus Lateralis

54
Q

MEDICATIONS

Promote blood clotting
Prevent bleeding
Prevent Hypofibrinogenemia

A

VITAMIN K

55
Q

MEDICATIONS

VITAMIN K
DRUG OF CHOICE

A

PHYTOMENADIONE,
AQUAMEPHYTON

56
Q

MEDICATIONS

VITAMIN K
ROUTE

A

Intramuscular

57
Q

MEDICATIONS

VITAMIN K
SITE

A

Left-Vastus lateralis (common)
 Rectus Femoris (alternative site)

58
Q

MEDICATIONS

VITAMIN K
DOSAGE

A

 PRE TERM - 0.05 CC
 FULLTERM - 0.1 CC
 POST TERM – 0.1 CC

FINALS REVIEWER (8 decks)

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