Maternal Newborn - Week 4 Tips Flashcards

(71 cards)

1
Q

Severe Pre-eclampsia HELLP Syndrome (HEL)

A

Hemolysis
Elevated Liver enzymes
Low platelet count

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2
Q

Logan Bow

A

stainless steel wire w/ tape that protects newly repaired cleft lip

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3
Q

Dystocia

A

prolonged/difficult labor

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4
Q

“TORCH” infections

A
Toxoplasmosis
Other (Hep B, Syphilis, B Beta Strep)
Rubella
Cytomegalovirus
Herpes Simplex Virus
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5
Q

“TORCH” infections causes

A
raw/undercooked meat or handling cat poo
Congenital anomalies
Mothers/children with rashes
Droplet infection
Direct contact lesions
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6
Q

Intrauterine Device (IUD) complications (PAINS)

A
Period
Abdominal pain
Infection
Not feeling well, fever/chills
String missing
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7
Q

Newborne Assessment Components (APGAR)

A
Appearance
Pulse
Grimace
Activity
Respiratory Effort
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8
Q

APGAR is taken @ which 2 times?

A

1 and 5 minutes post-birth

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9
Q

APGAR Scoring

A

Each section is 1 - 2 out of 10
0 - 3 = severe distress
4 - 6 = moderate difficulty
7 - 10 = adapting

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10
Q

APGAR Activity 0 - 2

A

Flexion
0 = flaccid
1 = some flexion
2 = well flexed

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11
Q

APGAR Grimace 0 - 2

A

Rule soles
0 = no response
1 = grimace
2 = cry

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12
Q

APGAR Pulse 0 - 2

A

Pulse of ♥ @ Apex w/ neonatal stethoscope
0 = absent
1 = ↓ 100 bpm
2 = ↑ 100 bpm

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13
Q

APGAR Respiratory Effort 0 - 2

A

Observe cry
0 = no respiratory effort
1 = weak cry
2 = good cry

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14
Q

APGAR Appearance 0 - 2

A

Observe color
0 = pale/blue
1 = pink bod/blue extremities (acrocyanosis) OK!
2 = completely pink

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15
Q

Maternity History (GTPAL)

A
Gravida
Term Births (↑ 38 weeks)
Preterm Births (Viability to 37 weeks)
Abortions/Miscarriages
Living Children
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16
Q

Oral Contraceptive Potential problems (ACHES) and meanings.

A
Abdominal pain (liver/gallbladder)
Chest pain/SoB (pulmonary emobolus)
Headache (HTN, brain attack)
Eye problems (HTN, vascular accident)
Severe leg pain (thromboembolic proccess)
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17
Q

Preterm Infant Anticipates Problems (TRIES)

A
Temperature regulation
Resistance to infections
Immature liver
Elimination problems
Sensory-perceptual issues
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18
Q

Fetal Heart Rate (FHR) - VEAL CHOP

A

Variable Decels - cord compression, move mom
Early Decels - head compression
Accelerations - O2, good!
Late Decels - Placental utero infufficiency, BAD!!!

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19
Q

Admitting Pregnant Ladies (FETUS) Assessment

A
F - Fetal ♥ Tones, document qshirt
E - Emotional Support
T - Temperature mom
U - Uterine Activity
S - Sensations in fetal movement qshirt
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20
Q

Fetal Tone assessment at 20 vs 24 weeks.

A

Doppler
20 - symphysis pubis
24 - towards umbilicus

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21
Q

Unusual fetal movement r/in lower back pain?

A

Softly palpate lower abdomen for ↑ 2 minutes… if +pain with ▲ uterine tone, contractions are expected.

Initiate continuous fetal monitoring!

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22
Q

Admitting Post-partum ladies (BLPC) Assessment

A

B - Boobs
L - Lochia
P - Perineal Care
C - Cesarean Section

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23
Q

BLPC Boob milk timings

A

first 24 hours = colostrum

first 72 hours = breastmilk

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24
Q

BLPC Lochia timings

A

immediately - red/heavy, needs pad ▲ q1-2hrs
7 days post - lighter, needs pad ▲ q4hrs
IF heavy, smells bad, and w/ pain REPORT

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25
BLPC Perineal Care
first 2 weeks post-delivery | water rinse post urination w/ warm water and sitz baths
26
BLPC Cesarean Section
Staples removed 5 days post delivery | REPORT redness, warmth, discharge
27
Placenta Previa (%)
low implantation of placenta (0.005%)
28
Abruptio Placenta
premature separation of placenta (10%)
29
Causes Placenta Previa (5)
``` High parity OLD Hx C-sections Hx curettage Multiple gestation ```
30
Causes Abruptio Placenta (7)
``` High parity OLD Short umbilical cord HTN Trauma Vasoconstriction r/t cig use Thrombic conditions ```
31
Placenta Previa vs. Abruptio Placenta Bleeding?
ALWAYS w/ Previa | Sometimes w/ Placenta
32
Placenta Previa vs. Abruptio Placenta Blood Color?
Bright red Previa | Dark red Placenta
33
Placenta Previa vs. Abruptio Placenta Pain?
Painless previa | SHARP STABBING PAIN AAAH PLACENTA
34
Placenta Previa Management (3)
Bed rest, side-lying Weigh perineal pads NEVER exam pelvis/rectum
35
Abruptio Placenta Management (6)
``` Fluid replacement O2 via mask Monitor FHR Lateral position NEVER exam pelvis TERMINATE PREGNANCY ```
36
Thyroid Hormone Medications are...?
Synthetic THYROxine (T4) which ↑ metabolic rate
37
Thyroid Medications examples (4)
LevoTHYROxine (Synthroid, Levothyroid) LioTHUROnien (Cytomel) Liotrix (THYROlar) THYROid (Thyroid USP)
38
AntiThyroid Medications function...?
block conversion of T4 and T3, which treats Grave's Disease and Thyrotoxicosis
39
Grave's Disease
When autoimmune antibodies r/in hyper secretion of thyroid hormones
40
AntiThyroid Medication examples (4)
Proplythiouracil (PTU) Methimazole (Tazapole) Thyroid Radioactive Iodine Thyroid NonRadioactive Iodine
41
Thyroid Radioative vs. NonRadioactive Iodine
Radioactive - destroys thyroid cells (good for thyroid cancer) Non - iodine inhibits hormone production
42
Thyroid Iodine, how's it taste?
LIKE SHIT Drink through a straw to prevent staining of teeth. No radioactivity precautions necessary for this medication.
43
Oral Hypoglycemic Agents function...?
Promote insulin release in DM-2 patients
44
Oral Hypoglycemic Agent examples (3)
Glipizide (GLUCOtrol) Chlorpropamide (DIABines) Glyburide (DIABinese, Micronase) MetformincHC1 (GLUCOphage)
45
Insulin Overdose antidose
Glucose (GLUCAgon)
46
Anterior Pituitary (Growth) Hormones function...? WATCH OUT for when taking?
Stimulate growth for patients w/ growth deficiencies. DM, as they ↑ r/o hyperglycemia
47
Growth Hormone examples (2)
Somatropin | Somatrem (Protropin)
48
Posterior Pituitary (Antidiuretic) Hormones function...?
promotes reabsorption of water in kidneys and causes vasoconstriction
49
Antidiuretic Hormones examples (2)
Desmopressin (DDAVP, Stimate) | Vasopressin (Petressin Synthetic)
50
Anticonvulants function...? how?
treat epileptic seizures by suppressing rapid firing neurons in brains that start them.
51
Anticonvulsant medications (Caphe Valet, misour!) (4)
CA-rbamazepine PHE-nytoin/PHE-nobarbital VAL-proic Acid ET-hosuximide
52
CAPHE vs. VALET anticonvulsants
VALET's are only for petit mal seizures
53
Petit Mal Seizures
aka Absence Seizures... | involve brief lapses of attention
54
"PHENytoin" Adverse Effects All seizure medications have these.
``` P -interactions H -irsutism E -nlarged gums N -ystagmus Y -ellow browning skin T -eratogenicity O -steomalacia I -nterferences w/ B metabolism N -europathies ```
55
Hirsutism
Unwanted hair growth where men get it
56
Nystagmus
Repetitive uncontrolled eye movements
57
Osteomalacia
Softening of bones
58
Neuropathy - Ataxia
Loss of full control of body movements
59
Neuropathy - Vertigo
Sensation of spinning/dizziness
60
Antiparkinson/sonian medications treat...? How...?
Parkinson's disease. | ↑ dopamine activity to reduce ACh in brain, halting progression but NOT providing relief
61
Beta-Adrenergic Blocking Agents treat? how?
Open-angle glaucoma by blocking beta-1 and beta-2 receptors
62
Beta-Adrenergic Blocking medication examples (4)
BETAxolos (Betoptic) LevoBETAxolol (Betaxon) Levobunolol (BETAgan) Timolol (BETimol)
63
Prostaglandin Analogs treat? how?
glaucoma (w/ fever sfx than B-Adrenergic Blockers) by relaxing ciliary muscle, r/in aqueous humor outflow
64
Prostaglandin Analog medication examples (2)
LatanoPROST | TravoPROST
65
Alpha2-Adrenergic Agonists treat? how?
Increased ocular pressure by ↓ aqueous humor production. ALSO protects retinal neurons from death
66
Alpha2-Adrenergic medication examples (2)
BrimonIDINE (Alphagan) | ApracionIDINE (Iop Idine)
67
Direct Acting Cholinergic Agonists/Muscarinic Agonist function? 1 example?
constricts pupil and ciliary muscle, this widens trabecular meshwork, r/in ↑ outflow aqueous humor Pilocarpine
68
Cyloplegic medication function
paralyze ciliary muscle
69
Mydriatic medication function
dilate pupil
70
Oculus Dexter, Sinister, Uterque
Dexter - R eye Sinister - L eye Uterque - Both eyes
71
Side effects to Opthalmic Medicatiosn (BAD POCC)
``` Blurred vission Angle closure glaucoma Dry eyes Photophobia Ocular Pressure Can cause systemic effets Ciliary muscle constriction ```