Pre Birth Questions
New onset hypertension (>140/90) after 20 weeks pregnancy
What is gestational hypertension?
One hour after the start of the first feeding.
When is the first blood glucose tested after delivery?
Newborns that are gasping and/or apneic in the first minute after delivery.
What symptoms lead to the initiation of PPV at delivery?
Hypovolemia or shock
What is the risk to baby if the placenta separates from the uterine wall during pregnancy or labor.
Birthweight less than 2500 grams
What gram weight characterizes small for gestational age?
Vasoconstriction causes decreased uteroplacental blood flow which can put baby at risk for this condition.
IUGR Intrauterine Growth Retardation
>50mg/dl
Target glucose after 24 hours of life.
What is MR SOPA?
Imminent delivery
What is the treatment for placental abruption?
Birthweight of 4000 gm and over
What is the gram weight definition of large for gestational age or macrosomia?
Preeclampsia that has progressed to the convulsive stage.
What is eclampsia?
Heart rate below 60
During Neonatal Resuscitation, what is the indication for chest compressions?
Fetus responds to excess maternal glucose by increasing insulin production.
How does diabetes affect the fetus?
Birth Injuries such as Erb’s Palsy and/or fractured clavicle.
What findings are an anticipated with a macrosomic baby?
Dry, stimulate, suction with bulb syringe
What are the initial steps of NRP?
Gestational hypertension, preeclampsia, and eclampsia
What hypertensive disorders of pregnancy can lead to decreased oxygenation and impaired nutrient delivery for the fetus?
0.2 mg/kg
What is the newborn dosing for epinephrine?