week 5 need to know

Question 1

what is the threshold for low birth weight

Answer 1

under 2500g

Question 2

what are the common causes of spontaneous preterm birth

Answer 2

preterm labour
preterm premature rupture of membranes
cervical insufficiency
amnionitis

Question 3

what are the nursing interventions for a preterm brith

Answer 3

tocolytic therapy
promotion of lung maturity with steroids
management of inevitable preterm birth

Question 4

what does the dosing look like for glucocorticoids to promote fetal lung maturity

Answer 4

for betamethosone you need 2 doses 24 hours apart. if you have a preterm labour make sure you give the initial dose ASAP

Question 5

what is the dosing of magnesium sulphate for fetal neuroprotection

Answer 5

it should be the same
4g loading dose over 30 min
1g/hr maintenance

Question 6

what is the most amount of time a magnesium sulphate infusion should run for

Answer 6

24 hours

Question 7

what is the diagnostic criteria for preterm labour

Answer 7

80% effaced
regular contractions
dilated over 2 cm

Question 8

what are the two tocolytic drugs

Answer 8

nefidepine and nitroglycerine and indomethacin

Question 9

what is the time frame in which preterm labour is considered preterm labour

Answer 9

20-36 weeks and 6 days

Question 10

what is preterm premature rupture of membranes

Answer 10

basically membranes rupture before labour is ready and before baby is at term.

Question 11

why is PPROM so bad

Answer 11

because it will for sure lead to an infection.

Question 12

what is the management of PPROM

Answer 12

steroids
antibiotics (7 day course broad spectrum)
MgSO4
monitor infection

Question 13

what are the main risks of post term for the birther

Answer 13

dystocia, hemmorhage, perineal tearing, PPH

Question 14

what is placental infarct and when does it occur

Answer 14

so basically its when you get past term and placenta starts to calcify because its getting old
this is bad because it impedes blood flow to the baby

Question 15

what are some considerations you would take if the birther is obese

Answer 15

IUPC to monitor contractions
higher dose if antibiotics

Question 16

what are the two nursing interventions with shoulder dystocia

Answer 16

McRoberts maneuvre: push legs all the way back

subpapubic pressure: put pressure on subrapubic area to try and reposition the baby

Question 17

should you do an epiphysiotomy to help with shoulder dystocia

Answer 17

NO ABSOLUTELY NOT are you insane

Question 18

what do you do if you feel a prolapsed umbilical cord

Answer 18

push it back and in and get ready to go to OR for caesarian

do trendelenberg or knee-chest position in the meantime

Question 19

what are the symptoms of uterine rupture

Answer 19

abdominal pain with and without contractions (constant)
signs of shock
decrease in FHR

Question 20

what are the main interventions for a small uterine rupture

Answer 20

laparotomy and laceration repair
also possible blood transfusions (get a type and screen

Question 21

what are the interventions for a large uterine ruptuer

Answer 21

complete hysterectomy

Question 22

why dont we do classic incisions anymore for caesarian

Answer 22

because they can cause uterine rupture

Question 23

what is TOLAC and what do you need to remember

Answer 23

basically trying a vaginal birth after previous caesarian
can go south quickly

Question 24

what is lochia

Answer 24

vaginal discharge after giving birth

Question 25

how would the fundus feel after giving brith

Answer 25

we want it to feel firm. if its soft it could indicate bleeding. should move down periodically

we dont want it to move up

Question 26

how do we determine adequate nutrition in a newborn

Answer 26

tallying ins and outs

Question 27

why do we give vitamin K to newborns

Answer 27

to help with bleeding, they dont have the vitamins yet