Newborn
Give one example of an early/mild feeding cue from a hungry newborn
Rooting, stretching, mouth opening, increased movement, turning head
What is the normal position for the uterus in the first 24 hours after birth?
Midline, firm, at the level of the umbilicus
How many fetal movements should be felt in the third trimester?
At least 6 movements in a 2-hour period
When do we give syntocin during delivery?
With the anterior shoulder
Name two signs of respiratory distress in a newborn
Nasal flaring, indrawing, tracheal tug, grunting, crackles, respirations above 60 or below 30
What are 2 signs of a DVT in postpartum?
Swelling in one leg, warmth, redness & pain
Why would you perform Leopold's Maneuvers?
To determine best place to listen to fetal heart rate (over fetal back) or determine fetal position for birth
Why would you want to avoid giving opioid medications too close to birth?
To prevent respiratory depression in the infant
What does the acronym APGAR stand for?
Appearance, Pulse, Grimace, Airway, Reflexes
What does the acronym BUBBLLEE stand for?
Breasts, Uterus, Bladder, Bowel, Legs, Lochia, Emotions & Episiotomy
Provide an example of when IA (Intermittent Auscultation) is not recommended in labour
Gestational diabetes, preterm labour, abnormal fetal heart rate, epidural, oxytocin administration. Any high-risk pregnancy or concern with fetal well-being.
Name 2 parts of a contraction assessment (what are you assessing for)
Duration, frequency, intensity and resting tone
Why are newborns given vitamin K at birth?
They are unable to produce it on their own for the first few months and it helps to prevent bleeding
Get help, massage the fundus, administer medications as ordered (ie. oxytocin), monitor vitals
What does GTPAL stand for?
Gravida, # Term births, # Preterm births, # Abortions, # of Living children
What type of induction is recommended for an unfavorable cervix (Bishop score <6)?
Cervical ripening - can be mechanical or using medication
Describe how to screen for Congenital Heart Defects in a newborn
At 24 hours of age or later measure the pre-ductal SpO2 in right hand and compare it to the post-ductal SpO2 in either foot. Should be >95% and <3% difference.
Name 2 risk factors for postpartum hemorrhage
High parity, multiple gestation, oxytocin use in labour, induction of labour, use of forceps or vacuum, obesity
Name 2 interventions for intrauterine resuscitation
Change maternal position, administer oxygen, give IV fluids, stop or reduce oxytocin, vaginal exam, help to reduce patient anxiety
How will you recognize that a patient is transitioning from the first stage to the second stage of labour?