OB - Module 9

Question 1

Categories of Gestational Age stressors

Answer 1

Preterm - 42 weeks
LGA - 90th percentile weight
SGA - 10th percentile weight

Question 2

Levels of nursery care

Answer 2

Level 1 - low risk
Level 2 - moderate-high risk
level 3 - tertiary-high risk - neonatal resuscitation

Question 3

Common problems with preterm infants

Answer 3

Respiratory problems, thermoregulation, fluid/electrolye, skin, pain, and nutrition.

Question 4

RDS symptoms

Answer 4

Respiratory depression syndrome
Tachypnea, nasal flaring, grunting.
Treated: Suction, 02 (hood or cannula),
endotrachial tube to insert surfactant
ventilator or positive pressure.

Question 5

BronchoPulmonary Dysplasia

Answer 5

Chronic lung disease caused by mechanical ventilation into lungs. Mechanical ventillation can actually destroy the lungs or cause atelectasis.
Treated: Maintain o2, steroids/diuretics/antibiotics, nutritional supplement, and hydration/suction

Question 6

Postterm risks

Answer 6

Asphyxia in the uterus, mconium aspiration, interrupted umbilical blood flow, and poor placental perfusion (from it dying)

Question 7

When to begin cardiac compressions

Answer 7

FHR

Question 8

Extracorporeal membrane oxygenation

Answer 8

Breathes for the infant and oxygenates blood in meconium aspiration.

Question 9

LGA and SGA complication

Answer 9

hypoglycemia, especially for LGA.