Gestational Diabetes
This rapid-acting insulin requires the nurse to verify that a meal tray is present before administration to a pregnant client with diabetes.
What is Lispro (Humalog)?
This type of brain hemorrhage, commonly seen in preterm infants can result in significant neurodevelopmental outcomes.
What is a Germinal Matrix Hemorrhage.
This life-threatening condition in newborns may present with subtle signs such as temperature instability, lethargy, poor feeding, respiratory distress, and hypotonia.
What is sepsis
This medication is administered to Rh-negative mothers to prevent the formation of antibodies against Rh-positive fetal blood cells.
What is Rho(D) Immune Globulin (RhoGAM)?
This medication is administered to women with preeclampsia to prevent seizures and requires close monitoring for toxicity, including checking deep tendon reflexes, respiratory rate, and urine output.
What is Magnesium Sulfate?
This test is used to assess fetal well-being by measuring the fetal heart rate in response to fetal movements, and is considered reactive if the heart rate increases by at least 15 beats per minute for at least 15 seconds twice within 20 minutes.
What is a Nonstress Test (NST)?
The nurse teaches the pregnant diabetic client to keep these items on hand to quickly raise blood glucose during a hypoglycemic episode.
½ cup of orange juice, Whole milk, 4 glucose tablets, 1 tablespoon of honey
This chronic lung disease, often affecting premature infants, results from prolonged mechanical ventilation and oxygen therapy, leading to damage in the lungs. Treatment includes diuretics, bronchodilators and corticosteroids.
What is Bronchopulmonary Dysplasia (BPD).
This condition is caused by alcohol exposure in utero and is characterized by growth restriction, neurodevelopmental delays, microcephaly, and distinct facial features such as a smooth philtrum and thin upper lip.
What is Fetal alcohol syndrome (FAS)?
This condition occurs when a mother with blood type O has a newborn with blood type A or B, leading to hemolysis and an increased risk of jaundice.
What is ABO incompatibility?
This pregnancy complication is characterized by hypertension after 20 weeks’ gestation along with symptoms such as proteinuria, headache, visual disturbances, and right upper quadrant pain.
What is preeclampsia?
This term encompasses a wide range of conditions that can occur during pregnancy, including gestational diabetes, preeclampsia, ectopic pregnancy, and preterm labor.
What are pregnancy complications?
BMI of 30, 35 years of age, previous large baby, previous diagnosis of gestational diabetes
Risk factors for developing gestational diabetes
Clinical findings of cyanosis, mottling, poor feeding, respiratory distress, heart murmur, and tachycardia
What are the signs and symptoms of the cardiac issue patent ductus arteriosus?
Symptoms include high-pitched crying, irritability, tremors, poor feeding, and increased muscle tone.
What are the symptoms of neonatal abstinence syndrome (NAS)?
This condition occurs when the placenta implants in the lower part of the uterus, covering or being near the cervix, which can cause painless vaginal bleeding and may require a cesarean delivery.
What is placenta previa?
This severe complication of preeclampsia is characterized by the onset of seizures, which can occur before, during, or after labor, and requires immediate intervention to prevent maternal and fetal harm.
What is eclampsia?
This prenatal procedure is performed to assess fetal lung maturity by measuring the lecithin-sphingomyelin (LS) ratio in the amniotic fluid, with a ratio of 2:1 indicating mature lungs.
What is amniocentesis with lung maturity (LS) ratio assessment?
1-hour oral glucose tolerance test (OGTT) and the 3-hour oral glucose tolerance test (OGTT)
Tests used to diagnose gestational diabetes
This serious gastrointestinal condition in premature infants presents with symptoms such as abdominal distention, bloody stools, feeding intolerance, and lethargy.
What is What is Necrotizing Enterocolitis (NEC)?
This condition caused by Rh incompatibility may present in a newborn with symptoms such as jaundice, anemia, hepatosplenomegaly, and in severe cases, hydrops fetalis.
What are signs of Rh incompatibility?
This early warning sign of preterm labor and should be reported, especially if it occurs before 37 weeks of gestation.
What is uterine cramping?
This severe complication of preeclampsia is characterized by Hemolysis, Elevated Liver enzymes, and Low Platelets, and often presents with symptoms such as upper abdominal pain, nausea, vomiting, and headache.
What is HELLP syndrome?
This non-invasive imaging technique uses sound waves to create visual representations of the fetus, and can be used for various assessments such as fetal growth, anatomy, and placental location.
What is ultrasound?
The nurse identifies the presence of this as a risk factor for developing diabetic ketoacidosis (DKA).
Ketones in urine
This benign newborn condition presents as soft, edematous swelling of the scalp that crosses suture lines and is typically caused by pressure during labor and delivery.
What is Caput succedaneum.
This condition occurs when a pregnancy extends beyond 42 weeks, and the newborn may present with signs such as dry, peeling skin, long fingernails, and meconium-stained amniotic fluid.
What is post-maturity of the neonate?
This type of nursing response acknowledges grief and offers support without minimizing the loss.
What is a therapeutic statement/communication?
This serious pregnancy complication involves the premature separation of the placenta from the uterine wall, often presenting with vaginal bleeding, abdominal pain, and uterine tenderness.
What is abruptio placentae?
This surgical procedure involves placing a stitch around the cervix to prevent premature cervical dilation and is often performed in women with a history of cervical insufficiency or preterm birth.
What is cervical cerclage?
This natural postpartum activity is encouraged in mothers with gestational diabetes because it helps stabilize maternal blood glucose and reduces the risk of developing type 2 diabetes later in life.
What is breastfeeding?
The absence of this primitive reflex, especially if unilateral, may indicate a brachial plexus injury or clavicle fracture in the newborn.
What is the Moro reflex?
This condition occurs when bilirubin levels rise rapidly or exceed 15 mg/dL in a newborn, often due to causes such as hemolytic disease, infection, or an enzyme deficiency.
What is pathologic hyperbilirubinemia?
This nursing intervention supports the grieving process by offering the mother the opportunity to hold, bathe, or create keepsakes with her stillborn infant, if she wishes
What is facilitating memory-making or bonding time with the baby?
This condition occurs when the fetus' head is too large to pass through the mother's pelvis, often leading to difficulty during labor and sometimes requiring a cesarean delivery.
What is Cephalopelvic Disproportion (CPD)?
This severe form of nausea and vomiting during pregnancy can lead to dehydration, electrolyte imbalances, and weight loss, requiring medical management.
What is hyperemesis gravidarum?
This type of diabetes exists before pregnancy and increases the risk of congenital anomalies, especially if blood glucose is not well controlled during the first trimester.
What is pregestational diabetes?
Newborns with this type of infection may present with respiratory distress, feeding difficulties, and a positive blood culture for pathogens like Group B Streptococcus or E. coli.
What is neonatal bacterial infection?
This treatment is used to lower bilirubin levels in neonates with jaundice, involving exposure to specific light wavelengths that help break down bilirubin in the skin.
What is phototherapy?
This is the primary therapeutic effect of magnesium sulfate when administered to a pregnant patient with severe preeclampsia.
What is seizure prevention?
This obstetric emergency occurs when the umbilical cord slips ahead of the presenting part of the fetus, potentially leading to cord compression, fetal hypoxia, and the need for urgent intervention.
What is prolapsed umbilical cord?
This prenatal test evaluates fetal well-being by scoring five components: fetal tone, movement, breathing, amniotic fluid volume, and nonstress test.
What is the biophysical profile (BPP) ?