Pharmacology
Newborn Integumentary Abnormalities
Know Your Acronyms
Postpartum
100
This common labour inducing drug can also be used after delivery to stimulate uterine contractions and help stop postpartum hemorrhaging
Oxytocin/Pitocin
100
This cheeselike whitish substance is fused with the epidermis and serves as a protective covering. It has emollient and antimicrobial properties, and prevents fluid loss through the skin
Vernix Caseosa
-There is evidence that leaving vernix intact after birth has positive benefits for neonatal skin such as decreasing pH, decreasing skin erythema, and improving skin hydration
100
What does AROM stand for?
Artificial Rupture of Membranes
100
Risk of bleeding that decreases after 4 hours but can occur up to 12 hours after birth
PPH (postpartum hemorrhage)
200
This low dose shot is given to newborns to help with blood clotting immediately postpartum
Vitamin K (PHYTONADIONE)
200
These bluish black areas of pigmentation may appear over any part of the exterior surface of the body but are more commonly noted on the back and buttocks of newborns whose ethnic origins are Mediterranean, Latin American, Asian, African. They fade gradually over months or years.
Congenital dermal melanocytosis
200
A person may have to administer insulin to themselves during pregnancy if they have this condition
GDM (gestational diabetes) can be diet or insulin controlled
200
An intervention nurses can provide if a boggy uterus is felt and bleeding has increased
Fundal Massage
300
The recommended treatment for this common (1 in 4 women) vaginal microflora is 5 million units of penicillin G administered intravenously, followed by 2.5 million units every 4 hours during labour.
Group B streptococcus (GBS)
(Cefazolin or clindamycin may be used in women who are allergic to penicillin)
300
These flat, pink capillary hemangiomas are easily blanched. They appear on the upper eyelids, nose, upper lip, lower occiput bone, and nape of the neck. They have no clinical significance and fade between the first and second years of life.
Nevus Simplex or "stork bites"
300
This acronym assists with the postpartum assessment
B.U.B.B.L.L.E.E.
(Breast, Uterine, Bladder, Bowel, Lochia, Legs, Episiotomy, Emotional status)
300
Name the 4 newborn reflexes
rooting, palmar, moro, and babinski
400
Methotrexate, Misoprostol, and Mifepristone are all drugs used for what?
First trimester medical abortions
400
These small white bumps on a newborn's face are caused when dead skin cells from the epidermis get trapped within small pockets on the skin’s surface (sebaceous glands) rather than falling off.
Milia
400
What does TOLAC stand for?
Trial of Labour after C/S
400
What is a normal newborn temperature?
36.5-37.5