OB Exam 3 Flashcards
How long is postpartum phase?
6 weeks, but can be up to months
What is uterine involution?
Uterus size decreasing after birth as expected. Fundus should go down about 1cm/day
What is uterine subinvolution?
When uterus size/fundus not going down as expected
What are the normal ranges of newborn vitals?
HR 110-160
RR 30-60
Temp > 97.6 Axillary
What causes pathological jaundice?
Usually caused by hemolysis
Maternal/NB blood incompatibility (ABO incompatibility)
Sepsis
Trauma
Liver disease
When does pathological jaundice appear?
Within first 24 hours of birth
What causes physiologic jaundice?
Immature liver & extra RBCs
When does physiologic jaundice appear?
After 24 hours of life
Which type of jaundice usually resolves without treatment?
Physiological
Bc it’s due to immature liver
Which type of jaundice can cause neurotoxicity?
Both; acute bilirubin encephalopathy can happen
What treatment is used to treat pathologic jaundice?
Phototherapy; it helps excrete bilirubin faster
What treatment can be given if phototherapy fails to treat jaundice?
Exchange transfusions, but rare.
What are the 4 types of heat loss in NB?
Convection, radiation, evaporation, conduction
When does heat loss by convection occur?
When the room is cold.
Flow of heat from the body to cooler room air
When does heat loss by radiation occur?
When NB is placed near a cold wall/window
Loss of heat from body to cooler solid surface in close proximity (indirect contact)
When does heat loss by evaporation occur?
NB sweating, or right after a bath
Loss of heat when liquid on the body surface evaporates
When does heat loss by conduction occur?
When NB is placed on a cold surface
Loss of heat from body to cooler surfaces in direct contact
Which is more common in NB; hyperthermia or hypothermia?
Hypothermia
What is one way you can prevent heat loss on a NB?
Put hat on their little heads
Which type of heat transfer is occurring with skin to skin contact?
Conduction
What are the s/s of hypoglycemia in infants?
Jitteriness, high pitched cry, irritability, apnea
Can be asymptomatic
How is glucose check performed in infants?
Heel sticks
What level of glucose is considered hypoglycemia in infants?
Less than 40
How is phototherapy done?
Strip newborns naked except for their diapers (covering genitals)
Put goggles on them to protect their eyes