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Labor and Delivery 3
Terms in this set (52)
Pt has suspected pulmonary edema or PE?
*stat chest x-ray
Rapid response team
*pulse ox on
can help make it easier to breathe.
Your pt gets a pneumothorax, what can we have them do?
*blow through a syringe
Pregnant women are at higher risk for aspiration pneumonia due to?
*do not lye her flat
*all smooth muscles relax
*clear liquids only during labor
The new theory on PE is that it is?
*mixture of amniotic fluid with blood that causes an excessive allergic reaction
*increased risk in C-sections
*can seize but they are not eclamptic
*usually PE are diagnosis post mortem
Pt with PE go into DIC quickly, they will need?
*massive transfusions (40+)
*usually after delivery major fluid shift
Methergine is contraindicated in
In hyperemesis pt what type of diet?
While rehydrating the hyperemesis pt should be?
NPO to avoid vomiting
What anti-emetic can a pregnant women take?
How much folic acid does a pregnant women need?
0.4-0.8/usually this amount is in their prenatal vitamin. Helps prevent neurotube problems
Pregnant women are 4-5 more likely to?
have a DVT
95% of DVT's are where?
Left lower leg
What is the antidote for heparin?
Pt with clotting disorders is not a good canidate for?
Fasting blood sugar on a non diabetic women?
Why are babies of mothers with diabetes so large?
excess amounts of glucose are transferred to the fetus during pregnancy. This causes the baby to secrete large amounts of insulin , which results in increased tissue and fat deposits.
Baby insulin levels will taper down after 24 hours
Mother in car accident or trauma, how long do we monitor for?
*6-8 hours at risk for abruption
*watch baby's strip that will be the first to show signs due to mother has an increase in blood volume of 50%.
When the baby's cord is cut it should cause the baby to breathe, due to chemoreceptors if it doesn't this is called?
If baby doesn't breath after stimulation and drying off , this is called?
Gas exchange that occurs when the cord is clamped is?
carbon dioxide increased
this gas exchange should stimulate baby to breath
Why do we delay cord clamping?
1/3 of baby's blood is in the cord
*help improve transition
*decrease necrotizing gastrointeritis
When baby comes through the birth canal it squeezes out
1/3 of secretions
Air replaces the fluid
screaming help get rid of the rest of the fluid
stimulating helps make baby cry and keep baby warm
What keeps the alveoli open?
surfactant and catecholamines
Remember when a baby is just born , all of the stimulation?
When a baby is in utero the placenta provides gas exchange and the lungs are ?
It work through the foramen ovale, Patent Ductus arteriosus and Ductus venosus
Why do we do CCHD at 24 hours?
prior to the closing of the three cardiac diversions used during utero:foramen ovale, Ductus arterioles and ductus venous
What do Apgar scoring help diagnosis?
If five minute apgar is <7 do?
ten minute apgar
If baby has central cyanosis?
place baby on pulse oxygen this is serious , call NICU
Normal heart rate for infant?
Normal respiratory rate for infant?
Normal temperature for infant?
What is a murmur?
it is a whole in the heart and turbulent blood flow
*loud ones can mean they are closing
On a cord gas what does arterial reflex?
On a cord gas what does venous reflex?
Cord blood have one vein and two?
Umbilical artery represent baby and the range is
Base deficit -1.2--6.0
How soon after delivery should we give vitamin K and erythromycin?
Hep B vaccine and H Big should be given to baby
within 12 hours if mother is Hep B + or unknown
Common issues at birth for baby are?
If a baby is having respiratory issue try to find at why?
and then fix it
What is the number one reason baby's are too hot?
too many blankets
What temperature is considered hypothermia?
Cold stress cause vasoconstriction and decreased?
What is evaporation and the baby?
wet skin and air
How do baby's lose heat through convection?
solid object, baby, to surrounding room drafts
*keep room warm and baby away from drafts
How does conduction and baby work?
solid object, baby, on cold surfaces ex: scale
Why do we delay bath?
*baby smells amniotic fluid which increases :breast feeding, skin protection, and temperature
*do not bathe baby until after 8 hours
Radiation and heat with baby?
Heat transferred between two objects not touching. Windows, or drafts.
Do baby's shiver?
non-shivering thermogenesis through brown fat
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