Obstetrics & Neonatal Flashcards
What history do you want to ask a pregnant pt?
Age (of pt), due date, prenatal care, previous pregnancies and complications, medications, possibility of multiple babies and if already given birth: duration of labor, stained amniotic fluid
What three questions need to be answered upon delivery?
Term gestation, good tone, breathing/crying?
What is the rate when using a BVM on a neonate?
40-60 breaths per min (breaths every 1-2 seconds)
What is the compression:ventilation ratio for neonates?
3:1, 90 compressions and 30 breaths per minute
When is suction indicated in neonates?
Only when there is obvious obstruction to spontaneous breathing or prior to PPV
When should the cord be cut in stable newborns?
30-60 sec after delivery
What is the dose of D10 for neonates?
2ml/kg/hr
What is the maintenance fluid for neonates?
D10 (not NS or LR)
What are the first steps in neonatal resuscitation?
Dry, warm, position, suction (when appropriate), tactile stimulation
What are two ways to stem hemorrhage from the mother after delivery?
Fundal massage and encourage breast feeding, if possible
What is the difference between a nuchal cord and a prolapsed cord?
A nuchal cord occurs when the umbilical cord is wrapped around the baby’s neck. A prolapsed cord occurs when the umbilical cord exits the vaginal opening first, prior to the presenting part.
Under what two instances only should fingers be inserted into the mother’s vagina?
In breech delivery in which the head does not deliver after 30 sec to separate the baby’s mouth from the vaginal wall. In prolapsed cord to lift the presenting part and take pressure off of the umbilical cord.
