Exam 2
What is the taking In phase, taking hold , letting go
Mother is focused primarily on her own needs. No teaching
Assumes responsibility for her own care and shifts attention toward infant. Teaching
Letting go preconceived notions
How does convection happen?
Air flow
What helps babies excrete bilirubin?
Frequent feedings and phototherapy
What is an inevitable abortion?
Membranes ruptures and cervix dilates
If bleeding is excessive then D&C is used
What are the signs of preeclampsia?
Hypertension at 20 weeks
Proteinuria
Edema - facial and upper extremity
What leads to baby having heat loss?
Litt subcutaneous fat
Blood vessels close to the surface
Large skin surface are to body mass
How does radiation heat loss happen?
Next to cold objects
What do you do for cord care?
Check for bleeding/oozing
Check base of redness, drainage or edema
Cord starts to dry and fall off in 10-14 days
Clean with water and let dry
Fold diaper below
What are symptoms of ectopic pregnancy?
Missed period
Severe abdominal pain
Rectal pressure
Vaginal spotting
Signs of preeclampsia progression
Continous headaches
Visual disturbances
Epigastric pain
Decreased output
Positive clonus
Hyperreflexia
What are the ways the baby loses heat?
Evaporation
Conduction
Convection
Radiation
What can happen because of cold stress?
Respiratory distress
Hypoglycemia
Breast engorgement interventions?
Feed frequently
Heat before feeding
Cold in-between feeding
Massage breath
Express milk to soften areola
How to diagnosed Ectopic pregnancy?
Transvaginal ultrasound
HCG level would be high
What is therapeutic management of preeclampsia?
delivery is only definitive treatment
If baby is less than 34 weeks attempt to delay birth for 48 hours and give betamethoasone
Skin is wet
When does physiological jaundice happen?
Occurs after the first 24 hours trauma and immaturity of the liver
Signs of threatened abortion?
Spotting or light bleeding in first half of pregnancy
Uterine cramping
Persistent backache or pelvic pressure
Half will not survive
What medication is used for an ectopic pregnancy?
Methotrexate
Signs of magnesium toxicity?
Decreased reflex's
Decreased output
Respiratory depression
Confusion
Lethargy
How does conduction heat loss happen?
When you come in contact with something that is cold
When does pathological jaundice happen?
Begins in the first 24 hours and may require treatment?
Interventions for threatened abortions?
HCG levels
Vaginal ultrasound
No sexual activity until bleeding stopped
What are the education points with taking methotrexate?
No alcohol
No prenatal vitamins
No sexual intercourse until HCG level are undetected
Signs of HELLP?
Elevated liver enzymes
Low platelets