maternal newborn diagnosis
newborn presents with RDSm peripheral cyanosis, jitterness, jaundice, ruddy skin, seizures and lethargy what does the nurse suspect
Polycythemia
Post term newborns are at risk for what
MAS, and persistant pulomnary hypertension
newborn is <10%, presents with RDS,hypoxia, head larger than rest of body, loose skin
SGA
4 common pp disorders
Hemorrhage
Infection
Thromboemolic disease
PP affective disorder
Newborn born with meconium aspiration is at risk for what three diagnosis
Prolonged tachypnea
intercostal retractions
coarse crackle
pt c/o flu like symptoms, fatigue and presents with axillary adenopathy, with an area of redness, warmth and tender
Mastitis
most common cause of PPH
uterine atony
Occurs in 85% of women during the first few days after birth. continues for up to ten days w/o interventions
S&S sadness,fatigue, cry easily, decrease appetite, anxiety
Baby blues
Nurse is assessing pt and finds the pt tachy, dyspnea and hypoxic what does the nurse suspect
Pulmonary embolus
A newborn born with fetal alcohol syndrome is at risk for what deformity
flattened maxilla
4 T's of PPH
Tone
Tissue
Trauma
Thrombosis
uterus is firm and at u, pt has a steady tricke upon fundal checks what does the nurse suspect
laceration
Nursing interventions for a pt with pph
empty bladder, place catheter
monitor fundus and lochia
VS watching for shock
monitor labs
temperature instability in the newborn what does the nurse suspect
sepsis
First action when newborn is requiring resuscitation
suction nose and mouth
3 Risk factors for PPH
ITP
Von willebrand disease
DIC
nurse assesses pp pt and finds uterine atony, suninvolution, excessive bleeding, and elevated temp. What does nurse suspect?
retained placenta
Newborn is undergoing phototherapy what is the first intervention before turning the therapy on
eye shields to be applied
incomplete involution of uterus after birth. uterus remains enlarged with continual lochial discharge and can result in PPH
Subinvolution
Which newborn would the nurse be implementing eat, sleep, console
Neonatal abstinance syndrome
Sudden onset of hypotension,hypoxia, and coagulopathy due to breakage in barrier between maternal circulation and amniotic fluid
Amniotic fluid embolism
Sites for infection for a PP mother
uterus
breast
urinary tract
wound
Name 4 causes of PPH
uterine atony
previous pph
large baby
prolonged use of oxytocin
4 most common sites for pp maternal infections
uterus
wound
breast
urinary tract
Preterm newborn is at increase risk for RDS what is the cause of this risk
lack of surfactant