drugs and more drugs
methergine
What is a medication to treat post partum hemorrhage? (It is contraindicated in patient with hypertension or pre-eclampsia)
FHR
What is fetal heart rate?
Football hold
What is way a mother can hold her infant to breastfeed that can decrease pain from c/s.
Cervical weakness, tobacco smoking, uteroplacental insufficiency, inadequate prenatal care, UTIs, twins and triplets, placental abruption, advanced maternal age.
What are risks associated with preterm labor and birth?
HPV vaccine, MMR vaccine, Varicella (chicken pox) vaccine, LIVE flu vaccine.
What immunizations should be avoided during pregnancy? Live flu vaccine is nasal spray. Injection is okay.
betamethasone
What is used to to accelerate lung development in premature babies while in utero. Usually used 24-37 weeks of gestation.
BPP
What is biophysical profile? This is a ultrasound that assess well being of fetus by evaluating five key parameters-- body movement, muscle tone, breathing movements, heart fate, and amniotic fluid volume.
Erythema Toxicum
What is a pink rash that appears suddenly anywhere on the body of a term newborn during the first three weeks? Also called erythema neonatorum. No treatment required.
A fall or blow to abdomen, previous cesarean delivery, placenta previa, advanced maternal age, multiparity, prior uterine surgeries (d and c), IVF.
What are risk factors for Placenta Acreta?
Administer oxygen
What should you administer when infant is not responding to stimulation following birth?
MgSO4
What is magnesium sulfate? MgSO4 is used to treat preeclampsia which includes high blood pressure and protein in the urine. It can help prevent seizures in those with severe preeclampsia. This allows the fetal brain protection.
HELLP
What is the syndrome characterized by hemolysis (breakdown of red blood cells), elevated liver enzymes, and low platelet counts. Most cases occur during the third trimester but can occur within 48 hours of delivery. Multiparity and age contribute to increases risk. Mortality rate can be up to 24% in mother and 37% in fetus.
Leopold Maneuvers
What is the external palpation of the maternal uterus to determine fetus' presentation?
Persistent and excessive tiredness that can significantly impact daily life in new mother.
What is post partum fatigue? Sx include difficulty concentrating and making decisions, reduced energy levels, irritability, and mood swings, difficulty falling or staying asleep. Generally resolves in several months. If persistent or is associated with feelings of sadness, hopelessness, and anxiety can lead to post partum depression or psychosis.
dry mucus membranes, sunken fontanels, poor feeding, lethargy.
What are indicators of worsening infant jaundice?
fluconazole
What is a medication to treat vaginal candidiasis? It can be given orally in a single dose tablet. It can also be given orally as a liquid and IV for serious infections.
HIV
What is human immunodeficiency virus. In the pregnant patient, care is needed to prevent episiotomies, tearing as this can expose infant to virus unnecessarily. A C-section may be recommended.
Caput Succedaneum
What is edema of scalp's soft tissues. Can cross suture lines. Usually resolves in a few days.
Associated with gestational diabetes in mother.
What is hypoglycemia in infant
call for emergency assistance, notify provider, place pt in Trendelenburg position, elevate presenting part of fetus off of the cord, cover the exposed cord with warm, moist gauze to prevent drying and chilling, administer oxygen to mother if needed.
What is how nurses respond to cord prolapse?
Thalidomide, scopolamine, and alcohol
What are medications no longer used for women during pregnancy? Thalidomide was used for morning sickness in late 1950s. Discovered to cause sever birth defects in thousands of children (1961). Scopolamine was used as "twilight sleep" during labor (early 1900's-1970's). Found to increase length of labor, use of forceps, and higher risk of infant suffocation. Alcohol was used to delay preterm labor. Not shown to delay labor. Concern for side effect to mother and infant.
LGA
What is large for gestational age? (MACROSOMIC)
Cephalohematoma
What is a collection of blood that pools between skull bone and periosteum (the thin membrane covering the bone)? Occurs from trauma during birth, often with forceps or vacuum delivery. Typically seen in one area and does not cross suture lines. Can take weeks to months to resolve.
pain, swelling or tenderness in affected leg, often starting in the calf. Area is warm to touch.
What is deep vein thrombosis? Is a risk for pulmonary emboli. SX of pulmonary emboli are sudden shortness of breath, chest pain while breathing in, coughing, rapid breathing.
78
What are the number of days until pinning?