Definitions
This pregnancy complication is defined as new-onset hypertension after 20 weeks gestation with proteinuria or organ dysfunction.
preeclampsia
Painless, bright red vaginal bleeding in the second half of pregnancy is most consistent with this obstetric emergency.
Placenta previa
This bedside tool objectively measures bilirubin levels without a blood draw.
Transcutaneous bilirubin measurement
Positioning a COVID-19 patient in this way can help to improve ventilation and perfusion, improving overall outcome.
Prone
This therapy converts unconjugated bilirubin into water‑soluble forms using blue light.
phototherapy - blue LED light therapy converts unconjugated bilirubin into water soluble isomers that can be eliminated via bile and urine without liver conjugation. Can be blanket or bank of lights
This condition refers to a birth weight greater than 4,000 grams, regardless of gestational age.
Macrosomia
List 5 manifestations of influenza - think "FACTS"
Fever, aches, cough, tired/fatigue, sudden onset
This laboratory test is used to identify hemolytic disease of the newborn by determining whether the infant’s red blood cells are coated with maternal antibodies.
Direct Coombs test
Encouraging frequent early feedings are a nursing priority to prevent this complication in SGA and LGA newborns.
Hypoglycemia
This steroid is given to patients in preterm labor to reduce neonatal respiratory morbidity by enhancing surfactant production.
betamethasone
This is an umbrella term, describes effects of alcohol on newborn involving facial dysmorphology, growth deficiencies, CNS dysfunction
Fetal alcohol spectrum disorders (FASD)
You are taking care of a patient who has been diagnosed with preeclampsia. She reports right-sided abdominal pain and you note her platelets have been trending down. What potential complication do you suspect?
HELLP syndrome
A pediatric patient presents with suspected RSV and the provider orders a CXR as part of their assessment. What might the nurse expect to see on the CXR?
Chest radiograph: might reveal hyperinflation and patchy areas of atelectasis or infiltration
This intervention promotes thermoregulation, bonding, pain management, and infection prevention in preterm infants.
Skin to skin / kangaroo care
This group of medications—including nifedipine and terbutaline—is used to suppress uterine contractions in preterm labor.
Tocolytics
This term refers to the presence of excessive (>2000 mL) amniotic fluid as is associated with maternal diabetes and fetal anomalies of development
Polyhydramnios
Abdominal distention, vomiting, poor feeding, and a ruddy appearance in a newborn with FGR suggest this hematologic complication.
Polycythemia
This infertility test assesses fallopian tube patency using contrast dye.
hysterosalpingography
Monitoring abdominal girth in preterm infants can help detect this life‑threatening GI condition.
necrotizing enterocolitis (NEC)
Ricci p. 810
Because oseltamivir can decrease the effect of the live attenuated influenza virus vaccine, how much time is suggested to wait before and after the vaccine before utilizing this drug?
Avoid giving vaccination within 2 weeks before or 48 hours after oseltamivir.
This combination medication is approved for preventing complications in COVID-19 patients who are 12+ years, but should be started within 5 days of symptoms onset and should be given with caution with renal impairment.
Paxlovid
Apnea, bulging anterior fontanel, and difficulty feeding may indicate this neurologic complication in preterm infants.
Periventricular hemorrhage (PVH)
Discuss how a patient might be assessed for risk of experiencing preterm labor.
risk factors, cervical length, fetal fibronectin
Ricci pg. 689
This are three actions a nurse can take to promote adequate oxygenation in the preterm infant.
Bonus: this is how the nurse can decrease the risk of the newborn developing ROP (retinopathy of prematurity)
Observe for cues (grunting, shallow breathing, tachypnea, apnea, tachycardia, central cyanosis, hypotonia, retractions, nasal flaring)
slight head elevation
continuous O2 sat monitoring with supplemental O2 prn (80-95%)
administer exogenous surfactant via nebulizer as ordered
cluster cares
maintain neutral thermal environment,
have bag and mask and suction at bedside
Risk of ROP with hyperoxygenation (avoid extreme oxygen variability, below 88 or above 95%)
Ricci p 754
This treatment for Rh incompatibility is considered preventive rather than therapeutic.
Anti-D (RhoD) immune globulin prophylaxis (RhIG)
Current recommendation = every Rh-negative nonimmunized patient to receive RhIG at 28 weeks’ gestation and again within 72 hours after giving birth (p 625 Ricci)