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Maternity > Week 2 > Flashcards

Week 2 Flashcards

1
Q

discharge begins when

A

admission

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2
Q

neonatal peroid

A

birth to 28 days

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3
Q

first peroud of reactivity

A

30 mins: HR increases to 160-180 and infant is alert
60-100 min: peroid of decreased responsiveness, infant is tired

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4
Q

second peroid of reactivity

A

2-8 hours after birth
10 min to several hours
tachycardia and pnea, increased muscle tone, improved skin color, meconium passed

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5
Q

what is responsible for gas exhange

A

placenta

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6
Q

ductus arteriosus

A

pulmonary artery to aorta

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7
Q

foramen ovale

A

door between atrial

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8
Q

ductus venosus

A

bypasses the liver

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9
Q

fetal Po2

A

20-30 mmHg

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10
Q

ducuts arteriousus and venous are converted to what in 2-3 months

A

ligaments

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11
Q

3 vessels in cord

A

AVA

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12
Q

what is oxygenated in the cord

A

vein

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13
Q

few first breaths do what to fetal lung fluid

A

air moves in and pushes the fluid in the lungs out

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14
Q

what happens in the atriums after delivery

A

pressure in left atrium increases and closes the door

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15
Q

most critical physiologic change

A

initiation of breathing

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16
Q

labor induces what changes in Co2, O2, and pH and what does that stimulate

A

mild hypercapnia
hypoxia
acidosis
stimulate the respiratory center

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17
Q

4 stimuli

A

chemical
mechanical
thermal
sensory

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18
Q

chemical stimuli

A

flow through umbilical and CO2 and pH and O2

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19
Q

mechanical stimuli

A

squeezed through pelvis

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20
Q

thermal stimuli

A

warm to cold

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21
Q

sensory stimuli

A

handling, talking, rubbing

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22
Q

what system is the last to develop

A

respiratory

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23
Q

fetal lungs secrete how much of fetal lung fluid

A

25-30ml/kg

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24
Q

fetal lung fluid helps develop what

A

alveoli

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25
Q

at term infants should hold how much of air

A

20mL

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26
Q

surfactant relating to age

A

increased surfactant with increased gestational age

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27
Q

why might C section have wetter lungs

A

because the decrease the squeezing

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28
Q

what to do if infant is not breathing

A

positive pressure ventilation

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29
Q

heart rate sleeping and awake

A

sleep 80-100
awake 120 to 160

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30
Q

BP (map)

A

equals weeks
40 MAP = 40 weeks

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31
Q

delayed cord clamping pros and cons

A

increase BV and BP
decrease risk of necrotizing enterocolitis and intraventicular hemorrhage
increase risk of jaundice

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32
Q

ductus arteriousus closes

A

24 hours

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33
Q

RBC

A

higher since the PO2 is lower the fetus needs additional RBC for oxygen transport

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34
Q

what is the best thing for a cold baby

A

skin to skin

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35
Q

4 heat loss modes

A

convection
radiation
evaporation
conduction

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36
Q

convection

A

air/draft

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37
Q

radiation

A

solid objects not touching

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38
Q

evaporation

A

fluid to aircon

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39
Q

conduction

A

2 objects touching

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40
Q

what is non shivering thermogenesis

A

brown fat metabolism

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41
Q

brown fat amount related to gesation

A

increase with gesation

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42
Q

what does the baby need for brown fat metabolism

A

O2 and glucose

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43
Q

what baby might have a hard time with brown fat metabolism

A

hypoxic
hypoglycemic

44
Q

meconium passed within

A

24 hours

45
Q

should void by

A

24 hours

46
Q

general rule of thumb for urine and stools

A

age in days = how many

47
Q

can moms sugar cross placenta

A

yes

48
Q

can moms insulin cross placenta

A

no
baby needs to make own

49
Q

why might gestational diabetes be at risk for hypoglycemia

A

increase sugar and increase insulin and when cord is clamped, still making insulin and then at risk for hypoglycemia

50
Q

preterm babies at risk for hypoglycemia

A

decrease glycogen storage

51
Q

when is glucose the lowest

A

2 hours after birth

52
Q

hypoglycemia s/s

A

jitter
apneic
feeding problems
seizures
lethargy

53
Q

jitter vs seizure

A

jitter stops when you hold hand, seizure doesnt

54
Q

jaundice is peak for term baby

A

3-5 days

55
Q

jaundice is peak for preterm baby

A

5-7 days

56
Q

if someone tells you a baby is in jaundice what is the first question

A

age

57
Q

causes of jaundice

A

increase bill production
ineffective breast feeding = dehydration
composition of breast milk
mom and baby blood incompatibility
sepsis
brusing
premature
delayed mec passing

58
Q

if a baby has an infection where does the temp go

A

hypo

59
Q

is vernix good or bad for babies

A

good

60
Q

acrocyanosis

A

blueish in hands normal due to immature circulatory system

61
Q

mongolian spots

A

above butt

62
Q

erythema toxic

A

normal newborn rash

63
Q

what do we need to do for male genetialia exam

A

ensure both testes have descended

64
Q

seizure activity

A

eyes deviating
staring
apnea
tachycardia
increased salivation

65
Q

for HR and we are palpating the cord we should count for how long

A

6 sec and x by 10

66
Q

when is APGAR preformed

A

1
5
10 min
and every 5 until 20

67
Q

is APGAR an indicator of how well they will do in rest of life

A

no

68
Q

where do babies start to struggle with APGAR

A

under 7

69
Q

do we get head circumference

A

yes

70
Q

where do we inject babies

A

vastus lateralis

71
Q

vit K does what

A

prevents vit K hemorrhagic disease

72
Q

sugar inhibits what production

A

surfactant

73
Q

why do we get bigger babies due to sugar

A

sugar acts as a growth hormone

74
Q

AGA

A

appropriate for gestational age
10-90

75
Q

LGA

A

large for gestational age
90

76
Q

SGA

A

small for gestational age
10

77
Q

gestational age is an important predictor of

A

survival

78
Q

morbidity and morality have a ________ relationship with gestational age

A

inverse

79
Q

Ballard exam

A

exam that estimates gestational age

80
Q

vernix caseosa

A

fetal protective skin film that acts as a barrier in uteri and facilitates postnatal adaptation to dry extrauterine enviornment

81
Q

stork bites/nevus simplex

A

red spot at base of skull

82
Q

relfexes

A

root
moro
palmar
plantar
babinski
tonic neck

83
Q

why do we measure head circumference

A

brain growth

84
Q

anterior fontanel closes

A

18 months

85
Q

caput

A

crosses suture line

86
Q

cephalohematoma

A

does not cross line

87
Q

smbgaleal hemorrhage

A

severe anemia, shock
bleeding into head
high morbidity and mortality

88
Q

hydrocephalus

A

increase in fluid in ventricles

89
Q

low set ears

A

syndrome

90
Q

apnea lasts how long

A

> 20 sec

91
Q

what is abnormal in respiration

A

grunting
flaring
retractions

92
Q

normal heart rate

A

120-160

93
Q

capillary refill is checked on

A

chest

94
Q

3 vessel cord

A

2 arteries
1 vein

95
Q

do we want cord in or out of diaper

A

yes

96
Q

hydrocele

A

extrafluid in testicles

97
Q

evidence of fistula of anus

A

stool from vagina or penis

98
Q

treatment of hyperbilirubinmeia

A

phototherapy
exchange transfusion

99
Q

at risk infants for hypoglycemia

A

preterm
late preterm
SGA/LGA
IDM (infant of diabetic mom)
perinatal stress

100
Q

newly circ infant

A

check for bleeding and urination
check for infection
penis is covered in yellow exudate in 24-48 hours, this is normal

101
Q

most common response to pain

A

vocalization or cry

102
Q

sucrose

A

nonpharm
releases bodies opioid

103
Q

safe sleep position

A

ABC

104
Q

safe sleep prevents

A

SIDS

105
Q

mothers who breastfeed decreased risk for

A

PPH

106
Q

LATCH scoring tool

A

Latch
audible swallowing
type of nipple
comfort level of mother
hold (positioning)

Maternity (8 decks)

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