Card Set Information
Standard to predict length of pregnancy. 1st day of LMP - 3 months + 7 days
Expected date of delivery
Woman who is/has been pregnant
number of pregnancies that reached VIABILITY
Woman who has never been pregnant
Woman who is pregnant for 1st time
Woman who has been pregnant more than once
Woman who hasnt completed a pregnancy past point of viability
1 pregnancy that reached age of viability
More than 1 pregnacy that reached point of viability
Toxoplasmosis, Other (syphilis, varicella) Rubella, Cytomegalovirus, Herpes Simplex
Major S/e of lumbar epidural
Maternal BP in mild preeclampsia
Maternal BP in severe preeclampsia
Mag sulfate is used to tx
Preeclampsia and can also reduce BP, can tx preterm labor
Therapeutic maternal serum magnesium levels are
Antagonis of mag sulfate is
Calcium; keep an amp at bedside if pt on mag sulfate
What to assess postpartum
BUBBLEHE: breasts, uterus, blader, bowels, lochia, episiotomy, Homan's, emotions
How to perform Homan's test
Press down on pt knee and have her dorsiflex foot. Should NOT be paniful.
UTerine findings postpartum
firm and midline. Height should decrease U+1, U-1
When do PP blues occur and how long last?
3-4 days PP, subsides by week 2 PP
What does REEDA scale evlauate?
Perineal healing; higher total score--worse the perineum
What does REEDA scale stand for?
Redness, edmea, ecchymosis, discharge, approximation
Apgar scoring systen best score
APgar assesses for:
HR, respiratory effort, muscle tone, reflex irritability, color
Initial newborn assessment
RATS GUS: Respirations, apical pulse, temp, skin color, gestational age, umbilical cord, sole creases
What do we put on eyes as prophylaxis against Gonorrhea and Chlamydia
erythromycin opthalmic ointment within 1-2 hrs of birth. Required by law.
What do we give newborns for clotting factors
Vitamin K injection in vastus lateralis
DIscuss Hep B vaccine
Requries parental consent. Need 3 doses. Admin in VL
Hep B Immunoglobin. Done to infants born to HbsAg Pos mothers. One dose within 12 hrs of birth
Collection of blood btwn cranial bone and periosteal membrane that doesnt cross sutures and disappears p 2-3 wks-months
Collection of fluid-scalp swelling; crosses sutures and present at birth. Reabsorbed wthin few days
When does physiologic jaundice occur?
AFTER first 24 hrs
When does bilirubin levels peak in infants?
Max bilirubin levels udring 1st week of life
When does breastmilk jaundice occur
After 4th day of mature breast milk
Peak of bilirubn for breastmilk jaundice and when occurs
20-25; 2-3 weeks
Stroking on sole elecits fanning & extension of toes