Antepartum & Newborn Word Scramble
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| Question | Answer |
| Signs/Symptoms of Preeclampsia | systolic BP >= 140mmHg or diastolic BP >= 90mmHg that develops after 20wks gestation and is accompanied by proteinuria >0.3g in a 24 hr. urine collection (random urine dipstick is usually >=1+) |
| Eclampsia | Progression of preeclampsia- HTN complicated by generalized seizures that cannot be attributed to other causes. |
| Genetic Risk factors for pregnancy induced hypertension (PIH) | Family history of PIH, Mother or sister who had preeclampsia Expectant father previously fathered a pregnancy in another woman who had the disorder |
| Fetal Risks of PIH | Prenatal death(ie IUGR), persistent hypoxemia/acidosis(reduced maternal blood flow to placenta). Pulmonary edema, circulatory/renal failure, intracranial hemorrhage(risks assoc. with preeclampsia/eclampsia. |
| Maternal Risks of PIH | Aspiration may cause maternal morbidity after an eclamptic seizure. |
| pharmacological agents used in treatment of PIH | Anti-hypertensive meds- systolic BP is >= 160mmHg or diastolic BP is >=110mmHg. Hydralazine(Apresoline)(popular-less risk). Used to relaxe arterial smooth muscle to reduce blood pressure. Niphedipine, B-blocker, Calcium channel blockers |
| Anti-convulsants given to prevent seizures | Magnesium Sulfate (most common) Dilantin Diphenylan |
| When giving anti-hypertensive meds to a woman on magnesium sulfate, monitor for _______. | Hypotension |
| Signs of dehydration in a newborn | Urine output <2 ml/kg/hr Urine specific gravity >1.010 Weight loss greater than expected Dry skin and mucous membranes Sunken anterior fontanelles Poor skin tugor Blood: elevated Na+, protein, and hematocrit levels Hypotension |
| Signs of overhydration in a newborn | Urine output > 5ml/kg/hr Urine specific gravity <1.002 Edema Weight gain greater than expected Bulging fontanels Blood: decreased Na+, protein,& hematocrit levels Moist breath sounds Difficulty breathing |
| Daily calorie intake for preterm infants | 105-130 kcal/kg/day |
| Average healthy preterm infant should gain approximately _____g/kg/day. | 15-20 g/kg/day |
| Aspirate the stomach contents to measure the residual amount in the stomach every _____ before tube feedings. | 2-4 hours |
| Preterm infants may need ____ kcal/oz instead of ______kcal/oz for term infants to meet their requirements | 24 kcal/oz, 20 kcal/oz |
| Signs of lack of readiness for breastfeeding | fatigue, bradycardia, tackypnea, or apnea |
| Respiratory distress syndrome in preterm infants is caused by | insufficient production of surfactant |
| By ______ weeks, production of surfactant is usually mature enough to enable the infant to breathe normally outside the uterus. | 34-36 weeks |
| Signs of Respiratory Distress Syndrome (RDS) in infants | Tachypnea, Tachycardia, Nasal flaring, chest retractions, Cyanosis, Audible grunting of expiration, Breath sounds decreased, Rales may be present |
| Postmaturity Syndrome | The infant may not receive the appropriate amount of oxygen and nutrients and may be SGA |
| Skin condition of postterm infant | May appear thin with loose skin folds, cracked peeling skin, and meconium stain |
| Symptoms of Postmaturity Syndrome | Alert and wide-eyed, Worried face Thin with loose skin, little subcutaneous fat Little-no lanugo and vernix caseosa, Abundant hair |
| Signs of Recent Cocaine Use | Diaphoresis, high BP, irregular respiration, Dilated pupils, increased body temperature Sudden onset of severely painful contractions Fetal tachycardia, excessive fetal activity Angry, caustic, abusive reactions and paranoi |
| Vague somatic complaints | Anxiety, depression, panic attacks, sleeplessness, anorexia |
| Placenta Previa | placenta is coming out first--> baby doesnt get oxygen |
| Abruptio placenta | Placenta separates prematurely RIGID BOARD-LIKE ABDOMEN |
Created by:
amysfenton
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