Postpartum Sepsis
Why is there a different set of criteria for sepsis in pregnant women?
The physiologic signs of pregnancy may mimic the signs of sepsis
Amniotic fluid embolism occurs when amniotic fluid enters ___________.
The mother's bloodstream
Congenital
True or False: Alcohol consumption during pregnancy is the leading preventable cause of birth defects.
True
A heart rate greater than what is considered positive in a maternal sepsis screen?
≥ 110
AFE can lead to an abnormal clotting disorder called ______ (abbreviation is fine).
DIC (Disseminated intravascular coagulation).
No, fever is not present in all cases.
True or False: Symptoms of FASD typically resolve around the age of puberty.
False. Effects of FASD are lifelong.
Antibiotics should ideally be given within what time frame?
Within 1 hour of presenation
True or false: amniotic fluid embolism is largely preventable.
No, AFE is unpreventable and unpredictable.
What should a nurse educate the mother of a septic neonate with regards to breastfeeding?
Breastfeeding should be encouraged as it provides passive immunity.
True or false: Macrocephaly is a trait commonly found in FASD babies.
False. Microcephaly is a common trait found in FASD babies.
To screen positive for sepsis, ___ of 4 criteria must be met in Step 1 of the screen and ___ criteria must be met in Step 2.
1; 2
What is the treatment protocol for a patient with AFE?
There is no specific protocol; Treat the symptoms.
True or false: Male caucasian babies are at greatest risk for neonatal sepsis.
False. Babies of minority ethnicities are at greatest risk.
List the 3 cardinal features of a FASD baby.
Short palpebral fissures, smooth philtrum, thin upper lip
Gentamicin is (safe/likely safe/contraindicated) for use during breastfeeding?
Likely safe
Name one characterizing sign/symptom of AFE.
Sudden dyspnea, cardiopulmonary collapse, or coagulopathy
Lumbar puncture increases risk of what?
Hypoxia
Explain 2 key nursing interventions/education points involving breastfeeding in relation to FASD.
1. Do not drink alcohol while breastfeeding.
2. Assist with breastfeeding as baby can have poor suck/latch.