Preeclampsia
After 20 weeks
S2S stands for...
Skin to skin
One minute after birth, a newborn has a heart rate of 70 beats/minute. Which of the following APGAR heart rate scores should the newborn recieve?
1
What prenatal lab test is diagnostic for gestational diabetes?
Glucose tolerance test
Name four risk factors for PPH:
Prior c-section/uterine surgery, multiple gestations, >4 prior births, prior PPH, EFW of >4000 grams, BMI >40, HCT <30%, placenta previa/lowline, placental count <100,000, suspected accreta/percreta & known coagulopathy
How would a nurse check for clonus in a patient with preeclampsia?
They would assess for the beating of the foot when the foot is quickly dorsiflexed.
A variable deceleration indicates...
Cord compression
A mother of a newborn asks a nurse what the white pimple-like structures are on her newborn's nose. The nurse explains to the mother that the structures are...
Milia
Name three risk factors for developing gestational diabetes:
Fam Hx of DM, BMI > 30, Previous infant > 9 lbs, PCOS, HTN or Gest HTN, Minority, Maternal birth weight > 9lb or < 6 lb, Glycosuria at first prenatal visit, hx impaired fasting glucose, age > 25.
What do the four T's stand for?
Tone, Trauma, Tissue & Thrombin
A patient with severe preeclampsia begins to experience a seizure. When implementing care, the primary response is to...
Maintain the airway
NAS stands for...
Neonatal Abstinence Syndrome
A blueish marking across the newborn's lower back is more commonly found in African American, Asian, or Native American ethnicities. It is called a...
Mongolian spot
When do most patients develop gestational diabetes during pregnancy?
2nd to 3rd trimester
Methergine 0.2mg IM is used to help the uterus contract. Which type of patient should not receive it?
A patient with existing hypertension
Calcium gluconate
What does PPH stand for...
Post Partum Hemorrhage
What noninvasive screening is commonly done on a newborn to assess for jaundice?
Transcutaneous
The prevalence of gestational diabetes, according to the CDC is... (what percentage)
9%
A patient with asthma should not receive what uterotonic agent?
Hemabate (250 mcg IM)
Hemolytic anemia, elevated liver enzymes and platelets below 10,000
GDM stands for...
Gestational Diabetes
An initial assessment of a newborn's urine shows rust-colored streaks in the diaper "brick dust". What is the cause of this?
Uric acid crystals
This is thought to be the cause of GDM:
hormones from the placenta/Insulin resistance
What is the priority nursing action for postpartum hemorrhage?
Massage the uterus until firm