Maternal Child Chapter 28 and Labs

Medications

100

Use for group B Streptococcus 

What is penicillin?

Page 900

200

Reverses central nervous system and respiratory depression caused by narcotics opiates in newborn.

What is naloxone hydrochloride (Narcan)?

Page 899

300

Nursing interventions includes vital signs q 15min after IV dose, do not exceed 150mg/min, monitor cardiac function, monitor intake and output, DTRs when administering this medication to prevent preeclampsia and eclampsia

What is magnesium sulfate?

Page 813

400

Medication which produces strong, prompt contractions of uterine smooth muscle; used in postpartum hemorrhage from uterine atony; may cause nausea, wheezing, chlls

What is Hemabate?

Page 814

500

What are the criteria for administering Rhogam D during postpartum period?

What is Rh negative mother and Rh positive infant?

Newborn Complications

100

Gestation range for term infants?

What is 38-41 weeks gestation?

Page 908

200

Infant who mothers had this during pregnancy may exhibit macrosomia, hypoglycemia, perinatal asphyxia, hypocalcemia, respiratory difficulties and hyperbilirubinemia 

What is diabetes?

Page 912

300

Types of heat loss in newborn includes

What are radiation, evaporation, conduction, convection? 

Page 867

400

Phototherapy is usually begun when the bilirubin level reach ___

What is 12 to 15 mg/dL?

Maternal Complications

100

Implantation occurs somewhere other than within the uterus, most commonly the Fallopian tube

What is ectopic pregnancy?

Page 881

200

Premature separation of the normally implanted placenta from the uterine wall; Types are Grade 1 (mild,1), Grade 2 (moderate) or Grade 3 (severe)

What is abruptio placentae?

Page 865

300

Early postpartum hemorrhage is blood loss greater than ___mL after vaginal child birth or _____mL after cesarean birth.

What is 500mL vaginal and 1000mL cesarean Birth?

page 887

400

Increasing blood pressure after 20 weeks gestation, accompanied by albuminuria, generalized edema, symptoms may include headache, visual disturbances, and epigastric pain.  

What is Preeclampsia or Eclampsia?

Page 889?

500

During the postpartum period c/o pain and tenderness in the lower extremities, along with warmth, redness and hardening over the involved vessel are clinical manifestations of this postpartum complications. 

What is postpartum thrombophlebitis?

page 90

Name the Substance

100

Use of this substance may cause fetal demise, IUGR, FAS, (facial and cranial anomalies), mental retardation

What is alcohol? 

What is 915

200

Use of this substance may cause tachycardia, prematurity, irritability, decreased ability to interact with environmental stimuli for the fetus or neonate

What is cocaine "crack"?

Page 915

300

Use of this substance can cause increased risk of IUGR, prematurity, cleft palate, "glassy eyed look" int he newborn

What is Amphetamines?

(Page 919)

400

Use of this substance causes lethargy, drowsiness, CNS depression

What are sedatives (barbiturates, tranquilizers)?

What are 915

500

This substance decrease placental perfusion, anemia, PROM, preterm labor, spontaneous abortion

What is tobacco?

Page 915

Labs

100

Leukocytes, total range (serum)

What is 4500-1100?

Appendix B

200

Fasting glucose range (serum)

What is 70-115?

Appendix B

300

Sodium level of 125, c/o muscle weakness, abdominal cramps

(Hyponatremia or Hypernatremia)

Hyponatremia 

pg 542

Sodium Level 135-145

400

Pt has serum potassium level 6.5, cardiac dysrhythmias , ECG changes, irregular pulse, diarrhea

Hyperkalemia 

Page 545

Potassium Range 3.5-5.0 

Appendix B

500

Potential causes of hypocalcemia may include which conditions?  (select all that apply)

-Vitamin D deficiency     -Diuretic Use

-Injury of the thyroid gland    -Severe burns    

Vitamin D, Diuretic use, Severe Burns

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