OB final

Question 1

What is brown fat

3 things it does

Answer 1

FAt released when you are cold
increases metabolic rate
causes hyperbilirubinemia because it displaces bilirubin from binding sites (albumin)

leads to hypoglycemia

Question 2

3 things brown fat does to the lungs

Answer 2

increases respiratory rate
decreases surfactant production
vasoconstricts

Question 3

What drugs cause hypoglycemia 3

Answer 3

Maternal terbutaline, mag sul, beta blockers

Question 4

S/S of hypoglycemia 8

Answer 4

Jitteriness, weak anywhere, dyspnea, cyanotic/pallor, tachy, low temp, exaggerated moro reflex, seizures

Question 5

What is low birth weight

Answer 5

2500g or less

Question 6

SGA

Answer 6

Infant or babe below 10th percentile of normal weight for gestational age.

Question 7

What does the umbilical cord look like on an IUGR or SGA babe? 3

Answer 7

Thin, yellow, dry

Question 8

Problems with SGA 4

Answer 8

Hypothermia-lack of fat
hypoglycemia-lack of glycogen stores
polycythemia- hypoxia
impaired mental development-lack of glucose

Question 9

Why won’t SGA babes void for 24 hours after born

Answer 9

Dehydration

Question 10

What are SGA babes at risk for when delivered?

Answer 10

Meconium aspiration

Question 11

LGA measurement

Risk 5

Answer 11

90th percentile of normal gestational age

Multiparaous, gain more than 35lbs, increased weight, genetic, diabetic

Question 12

What does increased BGL in a babe do? 1

one thing to remember about LGA babes

Answer 12

Decrease surfactant

DIABETES!!!!

Question 13

Problems associated with LGA babes 4

Answer 13

Nerve injury (palsy), intracranial hemmorrhage from prolonged labor
Polycythemia
hyperviscosity.

Question 14

postmature infants look like 4

Answer 14

alert, long fingernails, weight loss, big head

Question 15

What is considered preterm infant?

Answer 15

prior to 37 weeks

Question 16

When can babe suck swallow breathe

Answer 16

not until 36 weeks

Question 17

What will erythroblastosis fetali cause in babe

Answer 17

Anemia, jaundice, hydrops-edema, death

Question 18

How to test for erythroblastosis

Answer 18

Indirect or direct coombs test
In-prenatal to check mom’s blood stream
Dir-infant cord blood for abs attached to RBC

Question 19

When do we give Rhogam

Answer 19

at 28 wks and wi 72 hours if an even happens

Question 20

What do we use for an intrauterine transfusion?

what do we use after delivery?

Answer 20

O neg PRBC q2weeks

exchange transfusion of 75%-80% with Rh-blood

Question 21

what will jaundice cause 3

and 3 organs

Answer 21

CP,MR, hearing loss,

kidneys, intestines, pancreas

Question 22

risk factors for hyperbil (two are drugs)

Answer 22

pitocin, antidiuretics,

Question 23

What is the ABO incompatibility?

Answer 23

Mom is O babe is A or AB

mom is A babe is B or AB

Question 24

Neonate hyperbil issues 4

Answer 24

Excessive weight loss after birth, Infection, , male, sibling

Question 25

Tx for jaundice one you don’t know

Answer 25

Albumin protein in general

Question 26

Nursing care for hypoglycemia one drug in emergency

Answer 26

Steroids

Question 27

Symptoms of Respiratory distress syndrome 2

Answer 27

Ground glass on xray-atelectasis

and all respiratory crisis things

Question 28

Treatment for Respiratory distress syndrome O2 level

Answer 28

pao2 50-70mmhg

Question 29

What can excessive 02 therapy cause? 3

Answer 29

cap hemorrhage, scar, retolental fibroplasia

Question 30

Meconium aspiration syndrome 4

and one thing to remember

Answer 30

air in but not out, overdistention of alveoli, rupture, pneumothorax
cant wash out have to let it be reabsorbed.

Question 31

Infection in babes risks 3

Answer 31

Premature and LBW, IGM won’t cross placenta and is needed for bacterial infections
Male gender

Question 32

4 hospital acquired infections

Answer 32

sepsis, UTI, meningitis, pneumonia

Question 33

EAT sleep

console rules

Answer 33

eat at least 1 oz
sleep at least one hour
consoled after ten min

Question 34

Risk for oxytocin 4

Answer 34

water toxin, edema, tachy , hypoTN