Module 9
**What are the risk factors of postpartum depression?
Previous PPD
History of depression
Mental illness
Chronic stressors
What are some guidelines when performing infant CPR?
One breath, 3 compressions
If HR is greater than 90 use positive pressure
If HR is less than 60 do chest compressions
What can cause meconium released in labor?
Stress (Late decels)
Over 41 weeks pregnant
When should you do induction?
Fetal compromise
Ruptured membranes w/o contractions
Pregnancy over 42 weeks
Chorioamnionitis
Hypertension
Worsening maternal health conditions
Fetal death
History of rapid delivery
What are the signs of readiness for nipple feedings?
Rooting reflex
Sucking on a pacifier
Able to tolerate being held
RR< 60
Presence of a gag reflex
What should a baby look like/do when receiving phototherapy?
Only wear a diaper and eye protection
Rotate to get all body
Feeding every 2-3 hours
Signs of Molar pregnancies?
Increased fundal height
High HCG level
Increased N/V
Grape like cluster on ultrasound
What is necrotizing enterocolitis?
Inflammatory condition of the intestinal tract that can lead to necrosis of the intestine
What are the signs of intrauterine drug exposure?
Irritability, jitteriness, tremors, seizures
Muscular rigidity
Exaggerated Moro reflex
Prolonged cry, difficult to console
Excessive sucking/uncoordinated sucking
Retractions
Tachypnea/apnea
Treatment of Molar pregnancies?
Vacuum aspiration
Oxytocin after molar has been removed
Need 3 normal HCG levels
No pregnancy for a year
What are the signs of Necrotizing Enterocolitis?
Feeding intolerance
Abdominal girth distention
Increased gastric residuals
Decreased bowel sounds
Vomiting
Blood in stools
Respiratory difficulty
What is Bathemosone used for?
Increased surfactant level
What do you want to educate on circumcision care?
Ointment/dressing for 12-24 hours
Ointment for 4-7 days
Avoid soaps
Report bleeding, swelling, drainage or pus
More than a few drops of blood is too much
What are the interventions for Necrotizing Enterocolitis?
Antibiotics
Gastric suction
IV fluids
Parenteral nutrition
When do you provide positive pressure ventilation?
If pulse is less than 90
Once it reaches less than 60 - compressions
Latch scoring tool
0, 1 or 2
Higher the better