OB section Flashcards
Causes of respiratory distress
coldness, surfactant deficiency in the lungs, poor gas exchange, ventilatory failure
Symptoms of respiratory distress
- cold stress = hypoglycemia + metabolic acidosis
- amniotic fluid is meconium stained
What are the types of jaundice
pathologic & physiologic
Pathologic jaundice
- appears within the first 24 hours of life due to underlying disease
- usually Rh incompatibility
Physiologic jaundice
- appears after 24 hours
- initiate early and frequent feedings
- stimulate the intestinal activity and passage of meconium which excretes bilirubin
- phototherapy used to fix
Normal bilirubin levels at 24 hours
2-6mg/dL
Normal bilirubin levels at 48 hours
6-7mg/dL
Normal bilirubin levels at 3-5 days
4-6mg/dL
What would cause hypoglycemia
mother has diabetes or baby small for gestational age
What are the early s/s of hypoglycemia
diaphoresis, jitteriness, lethargy
What are the late s/s of hypoglycemia
poor feedings, tremors, hypothermia, flaccid muscle tone, irregular respirations, apnea, cyanosis, weak shrill cry
What can happen if hypoglycemia is not caught and treated in a newborn
SEIZURES!
What are the treatments for hypoglycemia
- monitor BG using heel stick
- initiate feedings below 40mg/dL
- if baby does not respond to breast feeding move to formula
How to prevent hypoglycemia
early breast feeding
Therapeutic BG level
40-60
