OB Exam 2 Flashcards
achievement of a parenthood role around 4 months
stage 4 of parenthood
second period of reactivity
2 to 8 hours
what is the time frame for breast milk and formula to be used
within 2 hours
what type of Coombs test for Rh incompatibility
Positive direct Coombs test
1st line medication for PPH
oxytocin (Pitocin)
this pH is a sign of pathologic acidemia
less than 7
intake after first 2 days of life
100-150mL/kg (45-68 mL/lb)
PP assessments for the first 2 hours
every 15 min
color of lochia/discharge 1-4 days after birth
rubra (red)
good newborn states to feed (hint: 3)
- active (light) sleep
- drowsy state
- awake, alert state
avoid this PPH med for those with asthma
carboprost
when does menstraution reoccur for nonlactating women
7-9 weeks
when is the window the PP ābaby bluesā to be considered PPD
after 10-14 days
when will platelet levels return to normal
by the 6th PP week
how many wet diapers after 4 days old
6 wet diapers day
avoid this PPH med for hx of DVT (may be overlooked)
TXA-tranexamic acid
when do plasma levels reach the pre-pregnancy state
4-6 weeks PP
what nutrients are important during the PP period
high fiber and iron
this occurs in first 24 hours after childbirth
postpartum hemorrhage
average blood loss for a vaginal delivery
200 to 500mL
typical weight of newborn
7.2-7.6 oz (3.2-3.3kg)
leading cause of mortality in the US
postpartum hemorrhage
a sequence of events that result in ischemic or toxic mucosal damage of the gut. no single known cause
necrotizing enterocolitis (NEC)
this returns to normal within hours of delivery
cervix
early sign of RDS
grunting
average blood loss for C-section
700 to 1000 mL
typical head measurement
13-14 inches (33-35cm)
when do baby blues peak
at day 4-5
color of lochia/discharge 7/10 days-6 weeks days after birth
alba (white)
most common cause of PPH
uterine atony
5 Tās of PPH
Tone, tissue, trauma, thrombin, and traction
-poor muscle tone
-jitteriness
-low temp
-lethargy
symptoms of hypoglycemia
crosses placenta, passive immunity
IgG
Rubinās maternal psychologic adaptation
-taking in
-taking hold
-letting go
three processes of involution of the uterus
1.contraction of muscle fibers
2.catabolism
3.regeneration
commitment, attachment, preparation for an infant during pregnancy
stage one of parenthood
this pH is a sign of asphyxia
7.2 or less
commonly associated with the copper rash seen on newborns
syphilis
normal BG after day 1
50-90
color of lochia/discharge 4-7/10 days after birth
serosa (yellow-ish)
daily calorie needs of the newborn
100-110 cal/kg
expected weight loss after delivery
5-6kg
what type of Coombs test for ABO incompatibility
positive indirect Coombs test
PP assessments for the remaining 24 hours
Every 4 hours
the 5 sā of a crying baby
- swinging
- side/stomach position
- shushing
- sucking
- swaddling
avoid this PPH med for cardiovascular disease
misoprotol
avoid this PPH med for those with HTN
methylergonovine
intake for the first 2 days of life
40-60mL/kg (18-27 mL/lb)
infection of endometrium, decidua, and adjacent myometrium
metritis
when does menstruation reoccur for lactating women
dependent on length of feeding
where is the uterus after delivery day 1
the umbilicus
expected weight loss over next 2 weeks
3-4kg
postpartum hemorrhage blood loss following vaginal birth
> 500 mL
this lab reflects tissue perfusion
lactate
moving toward a new normal routine in the first 4 months after birth
stage 3 of parenthood
acquaintance with and attachment to the infant, learning how to care for the infant, physical restoration in first weeks after birth
stage two of parenthood
when do total bilirubine levels peak
4-5 days after birth
typical length of newborn
19-20 inches (48-50.8 cm)
postpartum hemorrhage blood loss following a C-section
> 1,000 mL
how many wet diapers until 4 days old
one wet diaper per day old
normal day 1 BG
40-60
first period of reactivity
birth to 30 min to 2 hours after birth
present in colostrum
IgA
typical chest measurement
12-13 inches (30-33cm)
where is the uterus 2 weeks after delivery
the pelvis
what does LATCH stand for?
Latch
Audible swallowing
Type of nipple
Comfort
Hold
what size blood clots do we worry about?
greater than a golf ball or quarter
PP assessments during the 3rd hours
every 30 min
period after delivery of placenta, lasting for 6 weeks
puerperium
