Post Partum Complications
Intrauterine Growth Retardation (IUGR)
Uterine Stimulants
Normal Newborn
Miscellaneous
100
Early postpartum hemorrhage generally occurs during this time period.
What is the first 24 hours?
100
List 4 maternal factors contributing to IUGR.
What is Primiparity, grand multiparity, multiple-gestation pregnancy (twins and higher order multiples), lack of prenatal care, age extremes (under 16 or over 40), and low socioeconomic status (which can result in inadequate health care, inadequate education, inadequate living conditions, and malnutrition)
100
This medication is a hormone and neuropeptide. As a medication, it is used to cause contractions of the uterus in order to start labor or increase the speed of labor, and to stop bleeding following delivery.
What is Oxytocin?
100
Another name for aquaMEPHYTON injection. Given becuase the intestines are sterile at birth, without food, flora or vitamin production.
What is Vitamin K?
100
Normal postpartum diuresis, increased bladder capacity, decreased bladder sensitivity from stretching or trauma and the use of regional and general anesthetics, all place a postpartum woman at risk for:
What is UTI?
200
List 5 factors that put the postpartum mother at risk for Post partum hemorrhage.
What is uterine atony, precipitous delivery, Lacerations, hematomas, retained placental fragments, coagulopathies, and Inverted uterus
200
List 5 environmental factors that contribute to IUGR?
High altitude, exposure to x-rays, excessive exercise, work-related exposure to toxins, hyperthermia, and maternal use of teratogenic drugs, such as nicotine, alcohol, antimetabolics, anticonvulsants, narcotics, and cocaine affect fetal growth?
200
This medication is an ergot alkaloid uterine stimulant. It works by causing sustained uterine contractions, which helps to reverse postpartum hemorrhage caused by uterine atony.
What is Methylergonovine (Methergine)?
200
The average fluid requirement for a newborn.
What is 140 to 160 ml/kg/day
200
Polyhydramnios, preeclampsia, cesarean birth and a history of this condition place the postpartum woman at risk for what complication
What is DVT?
300
Late postpartum hemorrhage generally occurs during this time period.
What is 24 hours to 6 weeks after birth?
300
This form of IUGR is associated with an acute compromise of ureteroplacental blood flow.
What is asymmetrical IUGR?
300
This E1 analog medication controls refractory cases of postpartum hemorrhage caused by uterine atony by inducing uterine contractions.
What is Prostaglandin?
300
When should the Hepatitis B vaccine be administered?
What is birth 2 months and 6 months?
300
This is a commonly used technique of gestational age assessment. It assigns a score to various criteria, the sum of all of which is then extrapolated to the gestational age of the baby.
What is the Ballard score?
400
If a mother received narcotics within 4 hours of delivery, her newborn may experience some degree of respiratory depression due to transplacental drug effect. This medication is given to reverse the effects of narcotics.
What is Naloxone Hydrochloride?
400
This common complications of the SGA newborn is caused by chronically lower-than-normal oxygen levels in utero because of placental insufficiency.
What is Fetal hypoxia?
400
This is a non medicinal technique used to cause uterine contractions and control bleeding.
What is fundal massage?
400
The nurse is assessing the newborn, she observes sunken fontanelles, poor skin turgor, and decreased urine output. She suspects the newborn is:
What is dehydrated?
400
All Oklahoma babies are screened for:
What are Fatty Acid disorders, Amino Acid Disorders, and Organic Acid Disorders?
500
A unilateral inflammation of the interlobular connective tissue in the breast that occurs primarily in lactating women
What is Mastitis?
500
This type IUGR is caused by long-term maternal conditions (such as chronic hypertension, severe malnutrition, chronic intrauterine infection, substance abuse [drugs, alcohol, tobacco], and anemia) or fetal genetic abnormalities
What is symmetric (proportional) IUGR
500
Side effects the nurse should assess for, after administering prostaglandins.
What is Check temperature every 1-2 hours or after patient c/o chills Auscultate breath sounds frequently Assess for nausea, vomiting and diarrhea?
500
This medication is an opiate-receptor antagonist that reverses the effects of narcotics in the newborn, given to the mother within 4 hours of birth.
What is Naloxone Hydrochloride (Narcan)?
500
Exclusive breast milk and or 20 calories/ounce formula is sufficient as the sole source of nutrition to meet the dietary needs of a newborn from:
What is birth up to six months?
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