Chap 20
Name Some complications seen in the newborn of a Gestational Diabetic Mother (4)
Macrosomia
Hypoglycemia
Shoulder Dystocia
Respiratory Distress Syndrome
Name 3 complications for mother and newborn with use of forceps or vacuum.
Mom: vaginal hematoma, genital tract lac, urinary tract injury
Newborn: intracranial hemorrhage, serious facial and scalp lacerations and cephalohematoma
Most Postpartum hemorrhages are caused by ?
Uterine Atony
Names the Causes of Small for Gestational age newborns
Maternal factors (Chronic HTN, Smoking, Substance abuse, low gestation wt gain, etc.)
Placental factors: (placenta insufficiency, placenta previa, etc.)
Fetal factors: (Chronic fetal infections-CMV, Rubella, syphilis, Multiple fetal gestation, congenital anomalies)
Signs and Symptoms of newborn with an infection
Temp instability
poor feeding
lethargy
poor muscle tone
resp distress, cyanosis
Tools used to track glucose level in diabetic patients
Self-Monitoring blood glucose
What is the condition where the baby is ready to deliver but part of the cord is exposed and can lead lack of oxygen if not treated
Cord Prolapse
Medications used in a Postpartum Hemorrhage ?
Oxytocin/Pitocin- 1st line
Methergine/methylergonovine
Cytotec/Misoprostol
Hemabate
Interventions preformed for SGA newborns
Weights
blood glucose monitoring
Monitor VS and alert for change in Resp status
Initiate early and frequent feedings unless contraindicated.
Respiratory dysfunction in neonates and is primarily a disease related to developmental delay in lung maturation
Respiratory Distress Syndrome
Substance abuse in Pregnancy is associated with what findings?
PROM
Pre-term labor
Low birth weight
Placental abruption
What is the symptomatic disruption and separation of the layers of the uterus or previous uterine scar?
Uterine Rupture
Name 4 T's of PPH
Tone
Tissue
Trauma
Thrombin
LGA newborns are associated with what Maternal factors
Diabetes
excessive gestational weight gain
Higher weight
Common condition that occurs in infants of diabetic mothers (IDM) within minutes to hours after birth; signs and symptoms are variable and infant may be asymptomatic or may have tremors, poor feeding, or respiratory distress.
Hypoglycemia
What infection is associated with changing Cat litter and gardening in contaminated soil?
Toxoplasmosis
Name at least 4 risk factors to cause labor dystocia.
Abnormal fetal presentation (breech, Occiput Posterior, Shoulder dystocia)
Contractions - Hyper/Hypotonic uterine dysfunction
Maternal Exhaustion
Macrosomia
Name the signs and symptoms of a DVT
Calf pain/tenderness
Edema
Redden/erythema of skin
Acrocyanosis is defined as ?
Bluish discoloration of the hands and feet - which is normal and temporary after birth as the body adjust to new circulation patterns.
Occurs in term or post-term infants
Release of meconium into amniotic fluid r/t stressful event
Meconium Aspiration Syndrome
What is the most common cause of sepsis and meningitis in newborns?
Group Beta Streptococcus Infection- from the mother.
Tested at 35-36 weeks of pregnancy
What are 2 major complications to a newborn associated with a Shoulder Dystocia?
Brachial Plexus Injury
Clavicle Fracture
Name some prevention method used for thrombotic conditions in high-risk patients.
Early ambulation (most cost effective)
Compression stocking
Prophylactic anticoagulation therapy during pregnancy
Preterm newborns are most at risk for?
Respiratory distress- r/t surfactant deficiency
Hypothermia
Infection
glucose abnormalities
Intraventricular hemorrhage
What are the Clinical manifestations seen in babies born with of Esophageal Atresia and Tracheoesophageal fistula?
Excessive secretions/frothy bubbles of mucous in mouth and nose.
Feeding intolerance
Coughing/choking during feedings
Vomiting
Respiratory distress
Respiratory