Module 18
What is the ductus arteriosus responsible for?
This respiratory condition generally affects preterm newborns due to lack of surfactant and lung immaturity?
What is RDS.
What is a probable sign of pregnancy?
braxton hicks, ballottment, chadwicks, hegars, goodell's, positive pregnancy test
A baby plots on the growth chart at 89% and is considered what?
AGA
when a baby is under phototherapy, what must we monitor?
temperature more frequently, feeds *i&O and diapers, ensuring accurate timing with light therapy, serum bilirubin
a fan is blowing in front of a newborn bassinet, what is this type of heat loss?
convective
This type of jaundice is due to a positive immunoglobulin blood test and ABO incompatibility. typically increased in the first 12-24 hours of life. can be severe
pathologic jaundice
name 2 risk factors for poor pregnancy outcomes
Antiepileptic drugs
Diabetes (preconception)
Folic acid deficiency
HIV/AIDS
Hypothyroidism
Maternal phenylketonuria
Rubella
Obesity
Oral anticoagulants
STI
Smoking
Substance use
Depression
Partner violence
a client was diagnosed with GDM during pregnancy. What is the fetus at risk for?
LGA, Macrosomic baby
what is the blood sugar ranges for a newborn based on hours
0-4hrs above 40
4-24 above 45
24-48 above 50
What is required for a newborn to initiate transitioning from intrauterine to extrauterine life?
initiate breathing
What interventions do we do for a clavicle fracture?
pin the affected extremity to the opposite side to help immobilize it.
normal pregnancy weight gain for an overweight client
15 to 25 lbs
Name one characteristic of a post-term newborn on assessment?
Dry, wrinkled skin
thin umbilical cord
abundant hair on head
alert
thin long extremities
a client is currently pregnant with twins and is 28 weeks gestation, she has a son at home who was born at 37 weeks, a daughter who was born at 32 weeks, and another daughter who was born at 18 weeks gestation and passed away. what is the patient's gtpal?
G4 T1 P1 A1 L2
What kind of pressure is in the lungs while the fetus is inutero?
high pulmonary vascular resistance
what are some s/s of newborn sepsis?
Poor feeds, breathing difficulties, increased o2 requirements, GI problems, persistent crying, temp instability, hypotension, tachycardia, hypotonia, cyanosis, jaundice, poor feeds
name some foods to avoid during pregnancy
fish containing mercury
soft cheese, unpasteurized milk, store made salads like tuna salad, egg salad, chicken salad
no uncooked deli meat
what risks does cmv pose to newborn?
hearing loss is the biggest one but we can see microcephaly, developmental delays, SGA baby
A client's LMP was december 25, 2024, use naegle's rule to calculate due date.
What is the foramen ovale responsible for?
directing oxygenated blood from the placenta to the fetus's developing body by allowing blood to flow directly from the right atrium to the left atrium in the heart, effectively bypassing the non-functional fetal lungs before birth; it usually closes shortly after birth when the baby starts breathing and needs to use its lungs to oxygenate blood.
what should we have ready if we have meconium fluid during labor for the delivery of the newborn?
respiratory/nicu
warmer ready
emergency medications ready
call for help and notify all appropriate resources
not necessary to bathe infant
what supplement is highly recommended during pregnancy to prevent neural tube defects
folic acid 400 to 800 mcg daily
What infection is typically a cause for pneumonia, sepsis, and meningitis in a newborn?
GBS
explain the blood sugar protocol to me :)
we will talk through this.