postpartum
What is the minimum hospital stay requirement?
48 hours after vaginal birth, 96 hours after cesarean birth
What medications require special monitoring in pregnancy?
Blood thinners, insulin, anti-seizure medications, psychiatric medications
List three signs of adequate feeding in newborns
Wet diapers 6-8/day, content after feeds, audible swallowing
List the components of a complete first prenatal visit
List the components of a complete first prenatal visit A: Blood typing, Rh status, HIV screening, hepatitis screening, genetic counseling, medical history, risk assessment
What comfort measures help during labor?
Back massage, counterpressure, hip squeezes, hydrotherapy, cool cloths to forehead
What immediate postpartum practices promote bonding?
Skin-to-skin contact, early breastfeeding, rooming-in
What determines safe opioid intervals during labor?
Fetal station, previous dosing, maternal metabolism, anticipated delivery time
Name three causes of pathologic weight loss >10% in first week
Poor feeding technique, delayed lactogenesis, dehydration
What are three lifestyle modifications recommended in pregnancy
Avoiding raw foods, limiting caffeine, daily prenatal vitamins
Identify risk factors for shoulder dystocia
Macrosomia, maternal diabetes, post-term pregnancy, previous shoulder dystocia, prolonged second stage
What are the clinical indicators of amniotic fluid embolism?
Sudden respiratory distress, cardiovascular collapse, coagulopathy, altered mental status
Compare the onset times and duration of commonly used tocolytics
Terbutaline (immediate/4-6hrs), Nifedipine (20min/6-8hrs), Magnesium (immediate/continuous)
What neurological findings warrant immediate evaluation?
Asymmetric reflexes, abnormal tone, absence of suck/root reflex, lethargy, seizure activity
Name four common discomforts of pregnancy
Morning sickness, back pain, heartburn, swelling
What indicates transition from latent to active labor?
Cervical dilation 6cm, increased contraction intensity, effacement progress, station changes
When should additional bleeding assessment occur?
Saturated pad <1 hour, passing clots >quarter-size, increased bright red bleeding
When is prophylactic antibiotic administration indicated in labor?
GBS positive, PROM >18 hours, fever, previous infected infant
What constitutes appropriate umbilical cord care?
Clean technique, air exposure, signs of infection monitoring, parent education, normal healing progression
How do pregnancy-induced cardiovascular changes affect critical care?
Increased blood volume, cardiac output, oxygen consumption; decreased systemic vascular resistance
List signs of potential uterine rupture
Sudden pain change, contraction pattern alteration, fetal heart rate abnormalities, vaginal bleeding
How do you manage engorgement?
Frequent feeding, proper emptying, cold therapy between feeds, supportive bra, pain management
What medications affect uterine contractility?
Beta-agonists, calcium channel blockers, magnesium sulfate, NSAIDs
What factors influence successful newborn transition to extrauterine life?
Gestational age, delivery method, maternal medications, placental function, resuscitation needs
What laboratory values indicate HELLP syndrome?
Hemolysis, elevated liver enzymes, low platelets (<100,000), increased LDH
What non-pharmacologic methods enhance labor progress?
Ambulation, hydrotherapy, birth ball use, massage, breathing techniques