OB final Flashcards
What is brown fat
3 things it does
FAt released when you are cold
increases metabolic rate
causes hyperbilirubinemia because it displaces bilirubin from binding sites (albumin)
leads to hypoglycemia
3 things brown fat does to the lungs
increases respiratory rate
decreases surfactant production
vasoconstricts
What drugs cause hypoglycemia 3
Maternal terbutaline, mag sul, beta blockers
S/S of hypoglycemia 8
Jitteriness, weak anywhere, dyspnea, cyanotic/pallor, tachy, low temp, exaggerated moro reflex, seizures
What is low birth weight
2500g or less
SGA
Infant or babe below 10th percentile of normal weight for gestational age.
What does the umbilical cord look like on an IUGR or SGA babe? 3
Thin, yellow, dry
Problems with SGA 4
Hypothermia-lack of fat
hypoglycemia-lack of glycogen stores
polycythemia- hypoxia
impaired mental development-lack of glucose
Why won’t SGA babes void for 24 hours after born
Dehydration
What are SGA babes at risk for when delivered?
Meconium aspiration
LGA measurement
Risk 5
90th percentile of normal gestational age
Multiparaous, gain more than 35lbs, increased weight, genetic, diabetic
What does increased BGL in a babe do? 1
one thing to remember about LGA babes
Decrease surfactant
DIABETES!!!!
Problems associated with LGA babes 4
Nerve injury (palsy), intracranial hemmorrhage from prolonged labor
Polycythemia
hyperviscosity.
postmature infants look like 4
alert, long fingernails, weight loss, big head
What is considered preterm infant?
prior to 37 weeks
When can babe suck swallow breathe
not until 36 weeks
What will erythroblastosis fetali cause in babe
Anemia, jaundice, hydrops-edema, death
How to test for erythroblastosis
Indirect or direct coombs test
In-prenatal to check mom’s blood stream
Dir-infant cord blood for abs attached to RBC
When do we give Rhogam
at 28 wks and wi 72 hours if an even happens
What do we use for an intrauterine transfusion?
what do we use after delivery?
O neg PRBC q2weeks
exchange transfusion of 75%-80% with Rh-blood
what will jaundice cause 3
and 3 organs
CP,MR, hearing loss,
kidneys, intestines, pancreas
risk factors for hyperbil (two are drugs)
pitocin, antidiuretics,
What is the ABO incompatibility?
Mom is O babe is A or AB
mom is A babe is B or AB
Neonate hyperbil issues 4
Excessive weight loss after birth, Infection, , male, sibling
Tx for jaundice one you don’t know
Albumin protein in general
Nursing care for hypoglycemia one drug in emergency
Steroids
Symptoms of Respiratory distress syndrome 2
Ground glass on xray-atelectasis
and all respiratory crisis things
Treatment for Respiratory distress syndrome O2 level
pao2 50-70mmhg
What can excessive 02 therapy cause? 3
cap hemorrhage, scar, retolental fibroplasia
Meconium aspiration syndrome 4
and one thing to remember
air in but not out, overdistention of alveoli, rupture, pneumothorax
cant wash out have to let it be reabsorbed.
Infection in babes risks 3
Premature and LBW, IGM won’t cross placenta and is needed for bacterial infections
Male gender
4 hospital acquired infections
sepsis, UTI, meningitis, pneumonia
EAT sleep
console rules
eat at least 1 oz
sleep at least one hour
consoled after ten min
Risk for oxytocin 4
water toxin, edema, tachy , hypoTN
