Preeclampsia
What are the diagnostic criteria for preeclampsia?
Blood pressure >140/90 x2 at least 4 hours apart AND
Proteinuria OR thrombocytopenia, elevated creatinine, pulmonary edema, visual symptoms, or headache
When do you screen for gestational diabetes?
Weeks 24-28
Normal newborn temperature
36.5-37.5
Which mechanism of heat loss occurs when baby is placed on cold table
conduction
What should hcG levels do after a miscarriage?
drop
What findings distinguishes eclampsia from preeclampsia?
seizures not attributable to other causes
A baby with a mom with GDM is at risk for what?
Hypoglycemia
When should the first dose of Hep B be administered
within 24 hours
Why are newborns prone to heat loss
large surface area-to-body weight ratio
What are symptoms of an ectopic pregnancy?
Shoulder pain, abdominal pain, light headedness, light vaginal bleeding
How long should a woman with preeclampsia be on magnesium sulfate after delivery.
24 hours
Where in the body does bleeding occur in a placental abruption?
Between the uterus and the maternal side of the placenta
In newborns, when does the foramen ovale typically close?
within minutes to hours after birth
Where is brown adipose tissue primarily located?
between shoulder blades, around the neck, kidneys, and mediastinum
What is the leading cause of miscarriages (that is known)
genetic abnormalities
What is the earliest sign of magnesium sulfate toxicity
Loss of deep tendon reflexes
In a client with placenta previa, when will she start to bleed?
When the cervix begins to dilate
Describe the patho of PKU
build up of amino acids
In a cold-stressed newborn, which metabolic disturbance is expected?
Metabolic acidosis
What procedure can increase risk for miscarriage
Amniocentesis
A woman at 30 weeks develops preeclampsia, what two medications would you want to give her?
Magnesium sulfate, betamethasone
What are 5 indications for a C-section?
Gestational HTN/preeclampsia, GDM, cephalopelvic disproportion, placental abruption, placenta previa, cord prolapse, fetal distress, breech presentation, multiple gestation, previous cesarean birth
What can bilirubin do to the brain?
encephalopathy
What is released during birth to cause acrocyanosis?
norepinephrine
What is the difference between misoprostol and mifepristone?
Misoprostol is an inducing agent and mifepristone is a progesterone antagonist