Medications
Side effects of Betamethasone
Side effects of Betamethasone hypertension, infection, elevated blood sugar
What does a non reactive stress test mean?
No fetal reaction it is a concern about the baby and needs to be evaluated
What is the priority action when the nurse observes a prolapsed cord?
Insert 2 fingers to lift up he presenting part on he cord ( sterile ideally)
What steps are taken to identify a newborn
2 Identifiers applied to newborn immediately after birth
ID band on parents and newborn verified.
All staff have photo ID badges
Facility locked
Manifestation of Neonatal Abstinence syndrome
High pitched shrill continuous /prolonged cry
How long can a diaphragm be applied? pg 6
Can insert 6 hours before
Must stay in place 6 hours
A medication give to promote lung maturity
Betamethasone
What does a reactive stress test mean?
The baby is healthy
Seizure precautions for a client with Preeclampsia
Full resuscitation by bedside
pad bed rails/ bed rails up
Suctions by bedside
O2 by the bedside
What vital signs indicate hemorrhage?
Decreased BP Increased HR
What medications are given to newborn in the first 2 days
Vitamin K
Erythromycin ointment in the eyes
Hepatitis B
What is a concern with a patient for Combined Oral contraceptives?
Blood clots
A medication give to induce contractions, and stop hemmorhage
Oxytocin
What medication is given to rh negative pregant patients at 28 weeks and after birth
Rhogam
What diseases should a client be on airborne precautions?
M=measles (rubella)
Chicken Pox (Varicella)
TB tuberculosis
What are the phases of psychosocial maternal adaption? pg. 129
Dependent ( taking in phase relying on others)
Dependent-independent (taking hold phase-wants to take charge)
Interdependent ( letting go phase resume all roles)
Where should the nurse give the injection in a newborn?
Vastus lateralis
What medications decrease the effectiveness of Oral contraceptives? 7
Antibiotics, anticonvulsants, antifungals
What medications start cervial ripening or dilation?
Dinoprotone
Misoprostol
What is the indirect coombs test
An indirect Coombs test, also known as an antibody screen, looks for antibodies in the blood that could attack red blood cells. It's often used to determine if someone might have a reaction to a blood transfusion or as part of prenatal testing.
An indirect Coombs test, also known as an antibody screen, looks for antibodies in the blood that could attack red blood cells. It's often used to determine if someone might have a reaction to a blood transfusion or as part of prenatal testing.
An indirect Coombs test, also known as an antibody screen, looks for antibodies in the blood that could attack red blood cells. It's often used to determine if someone might have a reaction to a blood transfusion or as part of prenatal testing.
Detects antibodies to for rh negative blood has been exposed to rh positive blood
3 periods of a adjustment for newborn
1st period of reactivity
Period of relative inactivity
Second period of reactivity
What are priority actions for pp blood loss?
Assess uterus , massage if boggy, elevate legs, initate IV, adm o2, Adm methylgovine or oxytocin
Care of a plastibelll circumcision
No petroleum jelly with a plastibell circumcision
assess for bleeding clean with water no soap
do not wash of yellow substance
will heal in a couple of weeks
What manifestations associated with Oral Combined contraceptives?
Chest pain, SOB, Leg pain, headache, Vision changes and hypertension
What medication is given to stop hemmorrhage?
Methylgovine
how to determine preterm labor
Obtain swab of vaginal secretions for fetal fibronectin best indicator
If a pregnant woman has a Negative Rubella titer when should he nurse administer the MMR (measles mumps rubella)
After delivery, cannot get pregnant for 28 days
If the patient is recieving magnesium sulfate via IV and complains of warmth and burning. What action should the nurse take ?
Tell the patient this is expected.
Expected findings of hypoglycemia in newborns
BS below 30, poor feeding , jittery, hypothermia, weak cry
What hormonal method can a breast feeding client take?
Progesterone ( mini pill)
What is methotrexate used for to treat?
Given to treat ectopic pregnancy
cause of preterm labor
Cervical shortening infectious organisms
smoking trauma
What are indications of forcep injuries post partum?
Lacerations, hematomas to mom, blood clots, pelvic uterus prolapse
Cerebral palsy, skull fractures and facial palsy
What s/s should the nurse monitor the client receiving magnesium ?
DTR, Respirations, BLadder distention,
What is the other name for vitamin K
Phyotonadione
What are possible complications of IUD
Ectopic pregnancy, perforation of uterus
What are adverse effects of tebutaline?
Chest pain jaw pain confusion
Why does do they give a prebolus epidural
To make sure that the epidural is in the correct place
How does the nurse know that the oxytocin is working?
Regular contractions, lasting less than 60 seconds
What will be give for a patient with a 3rd degree laceration?
A puendendal block