Antepartum Complications
Increased fundal height, difficulty palpating fetal parts or finding fetal heart rate
What are assessment findings of polyhydramnios?
This "p" could represent fetal malpresentation, multifetal pregnancy, macrosomia, and cephalopelvic disproportion
What are problems with the passengar?
This "T" represents lacerations, hematomas, uterine inversion, or uterine rupture
What is trauma?
Apnea, bradycarida, prolonged desaturations, rigid limbs, splayed hands, etc displayed after a d hands-on assessment.
What are signs of overstimulation in a preterm neonate?
Prenatal steroids for prevention, exogenous surfactant administration, supportive therapy with oxygen, nutrition, and fluids
What is management of respiratory distress syndrome?
Blood pressure control, seizure prophylaxis and management, delivery, and post-partum surveillance
What is management of preeclampsia?
African American race, maternal age <16 or >40, substance abuse, multiple gestation, infection, placental problems, etc.
What are risk factors for preterm labor?
Emotional lability, irritability, and insomnia that self-resolve within 2 weeks
What is post-partum blues?
A condition caused by impaired flow of oxygen and nutrients to the fetus from maternal, placental, or genetic factors
What is fetal growth restriction (or IUGR, or SGA)
Irritability, wakefulness, high-pitched cry, hypertonicity, tachypnea, sneezing, and seizures
What are signs and symptoms of neonatal abstinence syndrome?
CBC, BUN, urine ketones, urine specific gravity, electrolytes, liver enzymes
What are labs for hyperemesis gravidarum?
Cesarean birth, dystocia, birth trauma, birth asphyxia, post-partum hemorrhage, and infection
What are complications of a post-term pregnancy?
Surgical birth, prolonged rupture of membranes, internal fetal monitoring, retained placenta, instrumental birth
What are risk factors for post-partum infection?
Poor feeding, poor motor skills, difficulty regulating sleep/wake states, weight greater than the 90th percentile
What are assessment findings for an LGA neonate?
Yellow skin, nails and umbilical cord accompanied by respiratory distress
What are assessment findings seen with meconium aspiration syndrome?
The placenta attaches deeply into the wall of the uterus, myometrium, or surrounding tissues
What is placenta accreta?
A steroid medication given to the pregnant person to promote fetal lung maturity
What is betamethasone?
This post-partum hemorrhage medication is contraindicated in patients with hypertension
Methergine
Asphyxia, hypoglycemia, meconium aspiration, birth trauma, polycythemia, and hypothermia
What are common complications experienced by the post-term neonate?
NPO, IV fluids, elevate HOB, NG/OG to suction, pre and post op care
What is the nursing management of esophageal atresia and tracheoespohageal fistula?
Hallmark signs is abdominal pain and vaginal spotting within 6-8 weeks after a missed menses
What is an ectopic pregnancy?
Hypertension, gestational diabetes, intrauterine growth restriction, premature rupture of membranes
What are medical indications for induction of labor?
Symptoms include guilt, hopelessness, lack of interest in baby, and get worse over time rather than resolving by 2 weeks
What is post-partum depression?
A newborn born weighing between 1000 and 1499 grams, and who weighs less than the 10th percentile for gestational age
What is a very low birth weight and SGA neonate?
Temperature instability, hypotension, tachycardia, hypotonia, lethargy, apnea, hypoglycemia
What are signs and symptoms of neonatal sepsis?