Newborn Care & Assessment
This is given to the newborn within the first hour of life due to increase blood clotting factors
What is Vit K injection
Your patient's family calls you to the room and you find your patient lying in bed in excruciating pain and you go to check her, and her pad is saturated with bright red blood and upon assessment her abdomen feels firm and board like. What do could be happening?
What is a placental abruption
You are receiving a new PP patient to the postpartum unit; upon your first assessment you perform fundal massage to assess what type of bright red bleed discharge?
What is lochia rubra
By performing this, it has proven to increase breastfeeding effectiveness, increase feeding time, decrease crying time, better regulate temperature, & improved cardiac stability in LPTB infants.
What is skin-to-skin with mom
What is an normal term newborns heart rate
What is 110-160
Phototherapy is used to treat what condition
Hyperbilirubinemia
Two types of operative vaginal birth (assisted births) include?
What is forceps-assisted and vacuum-assisted
You are planning to breast feed your newborn and due to an increase in blood and lymphatic fluid as milk production increases, the breast become warm, hard and uncomfortable, what condition is this called?
What is engorgement?
You patient is 6 days PP and she calls the OB office complaining of feelings of sadness, increased periods of crying, as well as being restless, fatigued, experiencing insomnia, headaches, anxiety and anger. What may this patient be experiencing?
This can indicate ABO and Rh factor incompatibility.
What is jaundice
The New Ballard Score is assigned to give an estimate of?
What is gestational age
Your patient has been in labor for 20 hours and you notice your FHR baseline has gradually increased and now is in the 160s. Mom says she doesn't feel good, her abdomen is tender, she appears flushed in the face and has a foul odor when changing her pad from the ROM. Upon assessment you find her temperature to be 102.5 F orally. What complication would you be concerned about?
What is chorioamnionitis
Due to what process occurring for the first 2-3 days of the PP period especially at night, you may see loss of 5-6#?
What is profuse diaphoresis d/t extracellular fluid
When performing discharge instructions with your patient, you inform her that sexual intercourse should not resume until how many weeks PP?
What is 6 weeks
This is common for the first 48 hours of life when the hands and feet may appear bluish in color
What is acrocyanosis
This is what is assigned the newborn where they score appearance, pulse, grimace, activity & respiration
What is APGAR
Your patient presented to L&D at 1206 a.m. and you had a delivery of a viable male infant at 0145 a.m. what type of delivery would this be considered?
What is a precipitous labor/delivery
Due to the possibility of retained placental pieces or infection, the patient is at risk of?
What is subinvolution of the uterus
During the first 24 hours of life, the mother should be instructed to breastfeed her newborn at least how many times during this time period how far apart
What is 8-12 and every 3 hours
What is it called when the newborn has a bluish/purple discoloration at the base of the spine at the buttocks?
What is a congenital dermal melanocytosis ("Mongolian spot)
This reflex is done on the sole of the foot where you stroke from the heel upward on the outside of the sole and cross under the toes the toes hyperextend with dorsiflexion of the big toe
What is Babinski Reflex
Your mom that is 32 weeks gestation arrives to L&D in PTL, the doctor may order her to be given this medication to help accelerate fetal lung maturity?
What is antenatal corticosteroids
After birth, it is common for patients to experience "after pains" due to the production of this hormone from the pituitary gland
What is oxytocin
This is when the body produces prolactin and prepares the breast to secrete milk
What is lactogenesis
The patient that is Rh- delivers a Rh + infant, what does she need to receive within 72 hours of birth to protect her with future pregnancies
What is Rhogam