PMH
Will be screened with the Edinburgh Postnatal Depression (EDPS) scale
What is every postpartum patient during their delivery hospitalization?
An IV pharmacological agent infused primarily as a central nervous system depressant to prevent and control eclamptic seizures.
What is Magnesium sulfate?
Risk factor identification, treatment of hypertension, antithrombotic therapy in high risk groups.
What is primary stroke prevention?
This changes bilirubin into a water soluble form which can be eliminated through urine and stool.
What is phototherapy?
It is their responsibility to administer the EDPS to patients during the postpartum stay.
What is ANY nurse on ANY shift during the patients postpartum stay?
The primary criteria for gestational hypertension.
What is a BP of 140/90 on two occasions at least 4 hours apart following 20 weeks gestation?
Amount of time postpartum patients are at increased risk for a stroke.
What is 12 weeks?
The difference in blood volume, altered blood clotting factors, and increased blood pressure during the postpartum period contribute to a higher stroke risk.
Frequent feedings,monitoring number of diapers, wakefulness and signs of dehydration, and notifying MD of newborn skin color changes.
What can parents do to prevent the escalation of hyperbilirubinemia?
Percent of women in Illinois diagnosed with perinatal depression who receive treatment
What is 15% of women?
Frequency of blood pressure monitoring following a hypertensive crisis
What is:
Q10 min/1 hour
Q15 min/1 hour
Q30 min/ 1 hour
Q1 hour/ 4 hours
BE FAST
What is the acronym for signs of a stroke?
Balance (change in balance), Eyes (sudden change in vision), Face (asymmetry, drooping or numbness), Arms (any weakness or numbness), Speech (slurred speech or difficulty understanding), Time (when was the last time the patient was seen at their base line?)
Positive results indicate that the newborn’s RBCs have been coated with antibodies and thus are sensitized.
What is Direct Coombs test?
Direct Coombs tests the newborn for the hemolytic disease which indicates RBC's have antibodies present from maternal blood. This increases likelihood of the infant having jaundice.
1 in 5 mothers
What is the number of women who experience anxiety or depression during pregnancy or postpartum?
A drop below this number of platelet count serves as a critical warning lab value for HELLP syndrome
What is 100,000/mm3?
Normal platelet values are typically between 150,000 and 450,000. A platelet count of below 100,000 would put the patient at high risk for bleeding
Elevated in the postpartum period this factor increases stroke risk by promoting hypercoagulability.
What is fibrinogen?
This results from normal developmental immaturity of hepatic conjugation combined with increased bilirubin from red blood cell break down.
What is physiological jaundice?
Appears after 24hrs of life, peaks at 4-5 days in a term baby and 7th day in preterm newborn
Resolves on its own within 1-2 weeks
This is considered a positive score on the EDPS
What is a total score of =>10 or a sub-scale score of =>5?
Multisystem severe systemic complication of preeclampsia involving hemolysis, elevated liver enzymes and low platelets.
What is HELLP syndrome?
Conditions including; hypertensive disorders, advanced maternal age, hypercoagulability, migraines, infections, heart disease and hematologic conditions.
What are risk factors that increase the risk of a postpartum stroke?
Hemolytic disease of newborn secondary to blood incompatibility with mother and or polycythemia
What is pathologic jaundice?
Often appears within the first 24 hours of life and can persist beyond 2-3 weeks in infants. Will need treatment through phototherapy or an exchange transfusion.