ATI maternity

what is an aminocentesis used for

detect lung abnormalities/maturity, detect congenital anomalies, and diagnoses hemolytic disease

how often should a newborn eat

every 4hrs at night

vasa previa

fetal vessels implanted in membrane than placenta

When should bowel sounds be present in a newborn

few minutes of birth

What does the ballard score assess?

gestational age

normal hemoglobin for pregnant people

greater than 11g/d

normal hematocrit

greater than 33

what is considered a prolonged contraction

greater than 90secs

By 6th postpartum day, where should fundus be?

half way between umbilicus and symphasis pubis

Babinski reflex

in response to the sole of the foot being stroked, a baby's big toe moves upward or toward the top surface of the foot and the other toes fan out

Bishop score (5)

includes: 1.Cervical dilation 2. Cervical effacement 3. Cervical consistency ( firm, medium,soft) 4. Cervical position 5. Station

Bulging fontanels at rest indicates (3)

increased intracranial pressure, infection or hemorrhage

direct vs indirect coombs test

indirect detects Rh positive antibodies in moms blood Direct detects Rh negative/moms antibodies in baby bloods

Generalized petechiae over a newborn indicates what?

infection or clotting factor

Pica is a sign of

iron deficiency anemia

what is considered insuffienct timing for uterine relaxation

less than 30 secs

focus on family members and their unit are characteristics of what phase

letting go phase

Indomethacin (Indocin) use

may be used as a tocolytic in preterm labor and closes premature narrowing as closure ductus arteriosus

When should a newborn pass meconium? urine?

meconium within 24-48hr after birth urine within 24hrs after birth

After labor where should the uterus be palpable at

midline or 2cm below umbilicus

How much water should you add to the formula

mix one scoop w/ 2 oz of water

what is considered too frequent contractions

more than 5 in a 10min period

The maternal serum alpha-fetoprotein (MSAFP) screening test is used to identify (3)

neural tube defects (NTDs), spinal defects, and abdominal wall defects

Sutures of a newborn should be

palpable, separated, and can overlap

Plantar Grasp Reflex

place finger across the foot at base of toes; toes curl to grip finger

normal findings of a newborn anus

present, patent and not covered

what is the point of administering Rhogam (Rh (D) immunoglobin)

prevents the mother from forming Rh antibodies

what type of birth control is used for people breastfeeding

progestin only

clinical manifestations of subinvolution of the uterus

prolonged vaginal bleeding or irregular/excessive bleeding

what needs to be assess when giving a sitz bath

pulse rate, this can cause vasodilation

placing a person in a lateral position can help w/ what?

relieve pressure from Inferior vena cava and improve low BP

Dinoprostone gel (Prepidil)

ripens/prepare cervix for labor

when are epidurals administered

second stage of labor

Goodell's sign

softening of the cervix

sucking and rooting reflex

stroke baby's cheek or edge of mouth and they turn toward that side

manifestations of neonatal infection or respiratory distress in the newborn (5)

substernal retractions, apnea, grunting, nasal flaring, and tachypnea

eagerness to learn newborn care skills characteristics of what phase

taking hold phase

expressing excitement and being talkative are characteristics of what phase

taking in phase

What is polyhydramnios? Causes?

too much amniotic fluid 1.Fetal gastrointestinal anomaly 2. Neuro disorders

What is a pudendal block?

transvaginal injection of a local anesthetic into the perineal area, used for episiotomy and repair

Less than 3 uterine contractions in a 10min period in a contraction stress test indicates

unsatisfactory results

What impact does magnesium have on the uterus

uterine atony (it is a smooth muscle relaxer)

slow weak cry APGAR

would be a score of 1

Adverse side effect of opioids (3)

***SLOWS DOWN 1.Sedation 2. Constipation 3. Respiratory depression

what should you do for accelerations

**VEAL CHOP ( A and O) -O2 is good , baby is healthy 1. Nothing, baby is fine

What should you do for Late decelerations (4) IN ORDER

*After peak or contraction. VEAL CHOP (L and P) -Placental insuffiency 1. Turn to left side 2. Fluid bolus 3. Turn off pitocin/give tropolytic 4. O2 mask (norebreather) 10ml/hr

What should you do for an early deceleration

*Mirrors contractions. VEAL CHOP (E and H) -Early decels-> Head compression 1. Nothing, baby is ready for birth

What should you do for a variable deceleration (2)?

*THINK VEAL CHOP (the v &c) Looks like a V OR W -Variable decels -> Cord compression 1. Reposition mom & baby 2. Amino infusion

Diet for mild preeclampsia (6)

-60-70g protein -1200mg calcium -400 mg folic acid -2-6g zinc and sodium -drink 48-64 ounces of water -additional fiber needed

How often should you assess the lochia after birth

-AT LEAST every 15min for 1st hour -then every 4-8hr

Tonic neck reflex (fencer position)

-elicited by turning an infant's head to one side -infant extends arm and leg on that side and flexes arm and leg on the opposite side

One hour glucose tolerance test ? Abnormal value?

-no fasting required -identifies hyperglycemia -done at 24-28 weeks gestation ***greater than 130

circumcision care (5)

-petroleum jelly in 1st 24hrs (PLASTIBELL NO JELLY) - loose diaper - no soap, commercial wipes until 5-6days later - dont remove yellow exudate -loose diaper

Normal blood glucose level

. A value of 130 to 140 mg/dL or greater for a 1-hr glucose tolerance test indicates a positive test result and should be reported to the provider.

How often does the fundus descend

1-2 cm every 24 hours

Every day (24hrs) how much should the fundus descend

1-2cm

If you observe the umbilical cord protruding from vagina what would you do (4)

1. The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix, exerting upward pressure onto the presenting part to relieve umbilical cord compression and increase oxygenation to the fetus. 2.The nurse should wrap the visible cord with a loose sterile towel saturated with warm 0.9% sodium chloride solution 3.The nurse should apply oxygen to the client at 8 to 10 L/min via nonbreather mask. 4.The nurse should place the client into a modified Sims position, knee-chest position, or extreme Trendelenburg to attempt to relieve the compression of the umbilical cord.

smoking cigarettes while pregnant put the babies at risk for (5)

1. fetal intrauterine growth restriction 2.placental abruption 3.placenta previa 4. preterm delivery 5. fetal death.

diet for lactation

1. fluid intake 3.8 2. increase calories by 330 3. reduce iron 4.seafood

Manifestations of trophoblastic disease (5)

1. increasing uterine size ABNORMALLLY FATS 2. Abnormally high HCG 3. N/V 4.NO fetus on ultrasound 5. dark brown/red bleeding

what is assessed in a biophysical profile of a fetus

1. movements 2. amniotic fluid 3.breathing

mastitis clinical manifestations (3)

1. painful/tender localized mass/redded area. USUALLY UNILATERAL 2.Flu like symp (chills, fever, HA, and aches) 3. Fatigue

Endometritis clinical presentation (4)

1. pelvic pain 2. chills 3. fatigue 4. no appetite

manifestations of hypoglycemia in newborns (7)

1. respiratory distress 2.an abnormal cry 3. jitteriness 4.lethargy 5. poor feeding 6.apnea 7. seizures

Clinical manifestations of abruptio placenta (3)

1. vaginal bleeding 2. sharp/ knife like abdominal pain 3. tender rigid uterus

what medications are used to treat chlamydia? Retesting when?

1.A single dose of azithromycin is an appropriate 2.doxycycline twice a day for 7 days. within 3 months

Disease that terbutaline should not be given w/ (5)

1.Cardiac disease 2. Gestational diabetes 3. Preeclampsia/ Eclampsia 4. Hemorrhage 5.Hyperthyroidism

what is considered a reactive finding in a nonstress test

An NST is interpreted as reactive if the fetus has a minimum of two accelerations in a 20-min period, each lasting at least 15 seconds and peaking at least 15/min above the FHR baseline.

what is considered a nonreactive finding in a nonstress test

An NST that does not produce two or more qualifying accelerations within a 20-min period is interpreted as nonreactive. Qualifying accelerations peak at least 15 /min above the FHR baseline and last at least 15 seconds.

Report sudden chest pain and/or sudden SOB indicates

Anaphylactoid syndrome of pregnancy (amniotic fluid embolism)

manifestations of mag toxicity (6)

1. Respiratory depression (less than 12) 2. Absence of deep tendon reflexes 3. Urine output less than 30 ml/hr 4. Decreased LOC 5. Cardiac dysrhythmias 6. Bradycardia

Action of terbutaline (brethine) (1)

1. Stops/decrease uterine contractions THINK PRETERM LABOR

Nonstress test education (4)

1. Takes 20-30min 2.Reclining chair or semi fowlers position w/ slight lateral tilt 3. Can drink before the test (preferably OJ) 4. Press handheld button for fetal movements

what is contraindicated for administering oxytocin

Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a contraindication for the administration of oxytocin and should be reported to the provider.

when placing external fetal monitors, what maneuver is used

Leopold

When performing effleurage w/ belt on for fetal monitoring what is the correct technique

Lightly stroke upper thighs, side of abdomen, and chest

what is a good medication for pregnant women w/ diabetes beside insulin

Limited use of Glyburide, as an oral hypoglycemic

T or F: exposure to sunlight helps w/ pruritus' gravidarum

TRUE

T or F: the anterior fontanels are bigger than the posterior

TRUE

T or F: with placenta previa the fundal height measures greater than gestational age

TRUE

T OR F: the newborn should receive regular feedings at least 24hr before collecting a specimen for universal testing

TRUEE

T or F: high vitamin c products ( citrus fruits, strawberries, melons, and tomatoes ) help increase the consumption of iron)

TRUEEE

What are examples of Tocolytic medications? Use?

Terbutaline, Nifedipine, and Idomethacin Relax uterus/prevents contractions (preterm labor)

Ballard score

Test used to estimate gestational age, based on sum of neuromuscular and physical maturity score the higher the number the more mature

BMI (body mass index) and how much weight to gain

Underweight - Less than 18.5 Normal - 18.5 - 24.9 (25-35 lbs) Overweight - 25 - 29.9 (15-25 lbs) Obese - 30 - 39.9 (11-20 lbs )

Sensation of "ripping" "tearing" or sharp pain, abdominal pain and uterine tenderness is indicated as

Uterine rupture

Sudden onset of abdominal pain and prolonged decelerations indicate

Uterine rupture, EMERGENCY C-SECTION

SGA (small for gestational age) babies are at risk for

1. Hypoglycemia 2. Polycythemia (too many RBC) 3.Hypothermia 4. Meconium aspiration

clinical manifestations of Hydatidiform mole

1. N/V 2. Scant prune colored discharge 3. no weight loss 4. fundal height greater than expected

What kind of symptoms are shown w/ placenta privia

1. PAINLESS, Bright red bleeding 2.

ectopic pregnancy signs (4)

1. ABURPT unilateral lower quadrant pain 2.WITH OR WITHOUT BLEEDING 3. delayed menses (1-2 wks) 4. Referred shoulder pain

Probable signs of pregnancy (8)

1. Abdominal enlargement 2. Hegars sign 3. Chadwicks 4. Ballottement 5. Goodells 6. Braxton hicks 7. Positive pregnancy test 8. Fetal outline

Presumptive signs of pregnancy (7)

1. Amenorrhea 2. Fatigue 3. N/V 4. Urinary frequency 5. breast changes 6. Quickening 7. Uterine enlargement

anterior & posterior fontanels expected findings on a newborn (3)

1. Anterior 5cm & diamond shaped 2. Posterior SMALLER & triangle shaped 3.Soft & Flat

measures to reduce discomfort during breastfeeding (3)

1. Apply breast milk/colostrum to nipples to moisten 2.start w/ less sore nipple 3. adjust infant position

how would you perform a fundal massage (5)

1. Ask client to lie on back w/ knees flexed 2.Place hand on symphysis pubis 3.Place hand around top of fundus 4. Rotate upper hand to massage fundus 5.use slight ward pressure compress the client fundus

Physical findings of postmature babies (greater than 42 wks)

1. Cracked, dry skin 2.Moro reflex 3. Long & hard fingernails 4.

Patient education for hyperemesis gravidarum (2)

1. Diet of clear liquids and band foods 2. Eat frequent small meals before moving to normal diet

Actions to take for late decels

1. Discontinue oxytocin 2.

nursing management for hypovolemic shock (3)

1. Elevate client legs to 30 degree angle w/ right hip elevated (improved blood flow) 2.Provide oxygen w/ rebreather 10L/hr 3.PLACE ON SIDE 4.

clinical manifestations of hyperemesis gravidarum (6)

1. Excessive vomiting for prolonged periods 2. Dehydration w/ possible electrolyte imbalance 3.weight loss 4. Tachycardia 5. Hypotension 6. Poor skin turgor n dry mucous membranes

Positive signs of pregnancy (3)

1. Fetal Heart sounds 2. Fetus on ultrasound 3. Fetal movement

best position for baby in birth (3)

1. Fetal position is occiput anterior (facing down) 2. Fetal lie is longitudinal 3.General flexion

nursing interventions for prostaglandin E2 gel (4)

1.maintain a side lying or supine position with a lateral tilt for 30 to 40 minutes after insertion of the medicine. 2. fetal heart rate and contractions should be assessed continuously. 3. DO NOT use warm water or microwave to warm medication. Let defrost naturally in room temo 4. Delay oxytocin use for 6-12hrs after use

Disseminated Intravascular Coagulation (DIC) clinical manifestations (5)

1.oozing from intravenous access and venipuncture sites 2.petechiae, especially under the site of the blood pressure cuff 3. spontaneous bleeding from the gums and nose 4.signs of bruising 5. hematuria.

soothing methods for newborns (3)

1.small, warm, close places similar to uterine environment 2.car rides, movement and rhytmic noises are soothing 3. Front or back pack carrying provides comfort and close contact

Normal FHR

110-160

when is fetal movement (quickening) felt

14-16wks

Normal HGB for BABIES

14-24

Periods of apnea in newborns should NOT last longer than

15 seconds, REPORT!

Normal platelets for BABIES

150,000-300,000

When is an alpha fetoprotein test performed?

16-18 weeks (4-5 months) (BEST TIMING) but can be anywhere from 15-20

postpartum weight goal loss for breast feeding moms

1kg (2.2 lbs) monthly

. Stages of labor

1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm) Transition (8-10cm w/ urge to push) 2nd stage: delivery of baby 3rd: placental delivery 4th: recovery (1-4hrs)- primary goal to prevent hemorrhage from uterine atony, 1st void within 1 hour and then q2-3 hrs, Rhogam

APGAR scoring

A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent)

How many veins and arteries are in the umbilical cord?

2 small arteries and one large vein

What phase of labor is the epidural given

ACTIVE (4-7CM), given before this phase will prolong labor

PHASES OF MATERNAL ATTACHMENT: Taking in phase When? Main focus on? What is expected? (3)

AKA DEPENDENT STAGE: 24-48hrs Focus on personal needs 1. relying on others for help 2. excited and talkative 3. reviewing birth experience w/ others

when should an electronic fetal monitoring strip be for induction of spinal anesthesia

20-30mins BEFORE to establish baseline

what is considered a preterm newborn

20wks - BEFORE 37 wks

Doses of Betamethasone should of been

24hrs apart

Normal bilirubin level for newborns: @ 24hrs? 48hrs? 3-5 days?

24hrs= 2-6 48- 6-7 3-5= 4-6

Recommended weight gain during pregnancy

25-35 lbs (WITHIN RANGE) 15-20 (ABOVE BMI)

When does breast milk come in?

3-5 days

When should glyburide be taken?

30 minutes prior to meal

Normal chest circumference of a newborn

30-33 cm

Normal newborn respiratory rate

30-60 breaths per minute

Normal head circumference of a newborn

32-36.8 cm

normal newborn head circumference

33-35 cm

PHASES OF MATERNAL ATTACHMENT: Taking hold When? Main focus on? Expected findings? (3)

AKA DEPENEDENT-INDEPENDENT; Day 2-3, last days to weeks Focus on baby care and improving caregiving role 1. Take charge but needs acceptance 2. Practicing and learning 3. Physical and emotional discomforts (baby blues)

what is contraidicted w/ hep b shoot

baker's yeast

How to relieve breast engorgement: breastfed (3) vs not (2)

breastfed; warm shower or warm compress BEFORE, empty each breast at feedings, and cold compress AFTER not; cold compress 15mins ON and 45mins OFFand mild analgesics/anti-inflammatory meds

Cullen's sign

bruising in the skin around the umbilicus that causes bleeding

normal RBC for NEWBORNS

4.8-7.1

normal blood glucose IN BABIES

40-60

Normal HCT for BABIES

44-64%

** normal length for newborns

45-55 cm (18-22inch)

**Normal weight for newborn

5.5-8.8 lbs

Pregestational diabetes diet (4)

55% carbs 20% protein 25% fat LESS THAN 10% saturated fats

When does implantation occur?

6-10 days after conception

how many diapers should a newborn use daily

6-8

how often should a baby nurse in a 24hr period

8-12x

Normal WBC count IN BABIES

9,000-30,000

what is considered a negative finding of a contraction stress test

A negative test is one of the findings for a client having a contraction stress test (CST). This result indicates that at least three uterine contractions occurred in a 10-min period with no late or significant variable decelerations. NO EVIDENCE OF UTEROPLACENTAL INSUFFIENCY

when should a newborn pass stool

A newborn should pass the first meconium stool within the first 24 to 48 hr following birth

what is considered a positive finding of a contraction stress test

A positive test is one of the findings for a client having a contraction stress test (CST). This result indicates that late decelerations occurred with 50% or more of the contractions, even if fewer than three contractions occurred in a 10-min period.

what is important to do when a client is having a rapid progressing labor

Apply perineal pressure to the head to prevent rapid expulsion

Intervention for intestinal gas pains following a c-section

Assist to ambulate , that helps stimulate peristalsis

Betamethasone

Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress.

A positive stress test would indicate the need to do what?

Biophysical profile

Chadwick's sign

Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion.

what kind of bra should be worn for breast support when breast feeing vs non breast feeding

Breastfed; Well-fitting nonbinding bra, NO UNDERWIRE Non; well fitting supportive bra for 72hr

Soft edematous mass that crosses over sutures line on a newborn would be described as? Resolves in how long?

Caput succedaneum, which is a normal finding that should resolve in 3-4 days

Poorly controlled maternal diabetes can cause

Cardiomyopathy

A collection of blood between the periosteum and skull bones and DOES NOT cross sutures, would be described as? Resolves in how long?

Cephalohematoma, results from birth trauma (difficult labor or forceps) Resolves in 2-8 wks

When is the only acceptable reason for bulging fontanels in a newborn (3)

Crying, coughing, or vomiting

most accurate indication of true labor

cervical changes

What is prostaglandin E2 gel used for

cervical ripening and effacement

If a patient is having hypertonic contractions and prescribed oxytocin what should you do?

DO NOT ADMINISTER, this is contraindicated

continous fetal monitoring helps obtain what data

Determination of varability

Kleihauer-Betke test

Determined amount of fetal blood in maternal circulation for suspected placental abruption

Teaching for diaphragm use (3)

Diaphragm is a flexiable rubber cup filled w/ spermicide. INSTRUCTIONS: 1. replace every 2 years for SIZE 2.leave in place for 6hr AFTER sex 3. AVOID oil and lubricant use w/ it

what is a great nursing intervention to implement during second stage of labor

change positions frequently to promote descent of fetus

When is sex of the baby distinguishable

End of 12wks

When can you heart fetal heart tones w/ a fetoscope

End of 16th week

when should a doppler device be able to detect fetal heartbeats

End of 1st trimester as early as 12wks

head circumference of a newborn should be?

Equal to or 2-3cm LARGER than chest

T or F: you can take aspirin w/ heparin

FALSE DO NOT TAKE.

T or F: patient's with chorioamnionitis need a C-section

FALSE. They will just have a dystocia

T or F: you do NOT need consent for hep b

FALSE. You need informed consent

T or F: for type 1 diabetic you would expect to increase insulin after delivering your baby

FALSE. decrease insulin due to losing insulin resistance because birth of placenta

T or F: Indomethacin treatment can be used for 72hr (3 days)?

FALSE. do not exceed 48hrs w/ this treatment

manifestations of spontaneous abortion (3)

FIRST TRIMESTER 1.vaginal bleeding 2. uterine cramping 3. partial/complete expulsion

McRoberts maneuver

Flexing the woman's knees toward her shoulders

PHASES OF MATERNAL ATTACHMENT; Letting go Main focus? Expected findings?

Focus on family as a unit Resumes role

Nifedipine (Procardia) use

For HTN without tachycardia

Risk factors for intracranial hemorrhage (4)

Forceps, vaccuum birth, preciptus/prolonged labor, and large fetal

Contradicted in the care for a newborn w/ a mom who has narcotic disorders

Frequent stimulation

Which structure expels the mature ovum

Graafian Follicle

GTPAL

Gravida= # of pregnancy Term= 38 wks+ Preterm= Abortions= miscarriages or abortions Living children

Methylergonovine (Methergine) contraindicated for? Use of this medicine?

HIGH BP, it is a vasoconstrictor Causes the uterine to contract and prevent hemorrhaging

Saturation of one or more pads within 15mins or less indicates?

Hemorrhage

Chvostek's sign

Hypocalcemia (facial muscle spasm upon tapping)

Most reliable use of contraceptives

IUD

what does an aminocentesis detect in early pregnancy

Identify congenital disorders of the fetus, such as neural tube defects, genetic disorders, and inborn errors of metabolism

what kind of baths should be given to promote the cord falling off

Immersing the umbilical cord stump in water can delay the process of drying, separation, and healing. Sponge baths are appropriate until the stump falls off.

What side effect does epidural have on baby

Impaired placental perfusion

What causes heartburn in pregnancy

Increased progesterone production causes a relaxation of the cardiac sphincter of the stomach and delayed gastric emptying

Why would you be administering Naloxone to a newborn

Iv Narcs to mom during labor

FHR slowing after the start of a contraction and the lowest rate occurs after the peak of a contraction indicates what?

Late deceleration, position laterally

What actions should you take if the patient is experiencing hemorrhage (4)

Massage fundus, administer oxytocin w/ IV fluids, insert indwelling catheter & place the client in lateral position w/ legs elevated

most common risk for placental abruption

Maternal hypertension

Potential side effect of epidural (3)

Maternal hypotension, decreased blood flow to placenta & impaired delivery of oxygen to fetus (IMPAIRED PLACENTAL PERFUSION)

non reactive non stress test

Measures FHR acceleration & indicated NO ACCELERATIONS present

Prenatal visit schedule

Monthly until 28 weeks Biweekly until 36 weeks Weekly until delivery

Myelomeningocele (spina bifida)

Myelomeningocele is a congenital disorder that causes the spine and spinal canal to not close prior to birth, which results in the spinal cord, meninges, and nerve roots protruding out of the child's back in a fluid-filled sac

inhibited parental attachment (3)

NEGATIVE!! -Avoids infant -disappointment in characteristics -turns away from child

Parity meaning? Nullipara? Primipara?

Number of pregnancy which the fetus reaches 20 wks Nulipara= no pregnancy beyond the stage of viability Primipara= 1 pregnancy

Increased fundal height in postpartum period is a sign of what

Over distended bladder that increases hemorrhage risk

Most common cause of an elevated fundus POSTPARTUM

Over-distended bladder

In labor what type of breathing helps to prevent early pushing when not fully dilated

Pant during contractions to help refrain from pushing before fully dilated

5 P's affect and define labor

Passenger, passageway, powers, position, and psyche

Is pink tinged urine an expected finding in a newborn?

Pink-tinged urine is an indication of uric acid crystals and is an expected finding for a newborn during the first week following birth.

palmar grasp reflex

Place finger in palm of hand. Infant's fingers curl around examiner's fingers.

Carboprost (Hemabate) use? adverse effects? (3)

Postpartum hemorrhage. (VASOCONSTICTOR) AE: Hypertension, N/V, blurred vision

What electrolyte should be monitored w/ terbutaline

Potassium, HYPOKALEMIA

Risk factors for developing preeclampsia (5)

Pregestational diabetes mellitus, preexisting hypertension, renal disease, systemic lupus erythematosus, and rheumatoid arthritis.

why does a patient w/ placenta previa need pelvic rest

Prevent premature separation of the placenta that would cause bleeding

PROLONGED deceleration on FHR indicates?

Prolapsed umbilical cord, REPORT ASAP

stepping reflex

Reflex that causes newborn babies to make little stepping motions if they are held upright with their feet just touching a surface

CLINICAL MANIFESTATION IN NEWBORN CAUSED BY MAG TOXICITY

Respiratory depression

oxygen therapy effects on in preterm newborns

Retinopathy of prematurity

magenesium sulfate is used to prevent seizures but also can be used to?

Stop contractions

T OR F: transient strabismus is a normal finding for babies 3-4 months

TRUE

T or F: Nitrous oxide works rapidly

TRUE

T or F: Patient's w/ preeclampsia need to be on bed rest

TRUE

normal newborn height

The expected reference range for a newborn's length is from 45 to 55 cm (17.7 to 21.7 in).

normal newborn weight

The expected reference range for a newborn's weight is from 2,500 to 4,000 g (5.5 lb to 8.8 lb).

When administering oxytocin and misoprostol what should you know

The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and have not begun labor.

What should you do prior to applying EXTERNAL transducer for fetal monitoring

The nurse should perform Leopold maneuvers to assess the position of the fetus to best determine the optimal placement for the external fetal monitoring transducer.

TORCH infections

Toxoplasmosis Other Rubella Cytomegalovirus Herpes

HELLP syndrome

USED FOR SEVERE PREECLAMPSIA hemolysis, elevated liver enzymes, low platelets

Normal temperature range for newborns

Under the arm is 97.7 to 99.5 degrees Fahrenheit or 36.5 to 37.5 degrees Celsius

is it normal for newborns to have barrel chest?

Yes, because respirations are primarily diaphragmatic

Neonatal Abstinence Syndrome (NAS)

a condition in which a child, at birth, goes through withdrawal as a consequence of maternal drug use CAUSES EXAGGERATED REFLEXES

what does spina bifida occult look like

a dimpled area over the defect and the presence of a birthmark or hairy patch above the area.

respiratory rates of 44, apnea lasting 10 secs, and shallow respirations all indicate what

adaption to extrauterine life, continue regular monitoring

When is jaundice normal in a newborn

after 24 hrs due to hemolysis of excess RBCs

Moro reflex

allowing head and trunk of the newborn in semisitting position to fall backwards

which class of meds interfere w/ COMBINED oral contraceptives

anticonvulsants

education for cracked/irritated nipples when breast feeding

apply breast cream and wear breast shells in bra