Everythiong Pepi Flashcards
(37 cards)
110bpm - 150bpm is what?
A normal FHR
What do you use APGARS for?
To assess pepi tone, respiration, heart rate, colour, reflexs
When is Vitamin K strongly recommended IM?
- When forceps, ventouse, kiwi cup or a C-section
What are you looking at in the top to toe @ birth?
- Fontenelle’s present no haemorrhage
- symmetrical facial features
- Mouth moist clear - Reflex’s
- Ears skin tags - Hip joints
- spine straight - HC
- Anus is present - Length
- soft puku - Heart
- Femoral pulses - Lungs
- genitalia F or M
- Testiest down
What is the correct amount of Vitamin K to give IM?
0.1mL
What is the correct amount of Vitamin K PO?
0.2mL
How many does of oral Vitamin K is needed and how often?
3 oral does at birth, 1 week and 5-6 weeks postpartum
What do you prescribe for oral thrush?
Nystatin (Nstatin) 100,00 units/mL
How much Nystatin is prescribed & how long for?
1mL QID after feeds for 7 days
If you suspected conjunctivitis what are your actions?
- Swab eyes and nasal passage
- Encourage the use of breastmilk until results
confirm suspicions - prescription for Chloramhenicol 0.5% - 1%
Drops or Gel
What medication would you give for thrush on the bottom?
- Clotrimazole 1%
- Miconazole 2%
A Baby develops Jaundice in the first 24 hours of life is this normal?
NO this is pathological and transfer of care is recommended.
Jaundice is visible at 4 days of age only on the eyes and face.
This is normal continue to breastfeed the pēpi and use filtered sunlight
Definition of prolonged Jaundice?
- 2wks for a full term pēpi
- 3wks for a premature pēpi
Pēpi can lose weight in the first week of life, what is a normal percentage of loss?
up to 7% - 10%
As a midwife what is your care plan for a pēpi that has lost 7 %?
- Continue to feed every 3 - 4hrly as this is a normal weight loss in the first week.
- re-weigh in three days
At what percentage do you need to consult?
10% or more
What is unconjugated bilirubin?
It is a waste product of haemoglobin breakdown
How is Bilirubin carried to the liver?
By a protein called Albumin
When is Jaundice considered pathological
- If it occurs in the first 24hrs
- prolonged jaundice does not improve and continues for more
than 3weeks.
You have a postnatal visit with a mama & pēpi is 3 wks old and still has visible Jaundice what are your actions?
- Speak with the parents
- Consultation with peds
- SBR
What is Infantile Haemangioma?
Strawberry Naevus
What are Infantile haemangioma associated with?
- Premature birth
- Low birth weight
- Multiples
- Whanau history
Is it normal for Pēpi to develop Sticky eyes?
Yes - as the tear ducts can become blocked.
-Massaging and applying breastmilk will help to clear it.
