Maternal review

1.     Reflex stroke of baby’s face: Moro reflex

2.     Grasp reflex: put something in hand

3.     Babinski: stroke baby’s foot

4.     Vitamin k and erythromycin ointment: baby wont bleed out, prevent blood clot, prevention of infection of eye to causes blindness

5.     APGAR of 9: baby’s healthy, how often: 1 min and 5 min of life.

6.     Pathological and physiological jaundice: physiological: 3^rd or 4^th day, Pathological: 24 hr

7.     Treat jaundice: phototherapy

8.     Caput succedaneum: accumulation of blood that crosses suture line

9.     Cephalohematoma: accumulation of blood doesn’t cross suture line

10.  Pathophysiology: c-section higher risk for respiratory distress syndrome than vaginal.

11.  Order of vital signs for an infant: Respirations, pulse, then temperature.

12.  Acrocyanosis vs cyanosis: acrocyanosis is bluish color of extremities (hands and feet). Cyanosis is systemic. (NRP: neonatal recuperation program)

13.  Intervention for acrocyanosis: swaddle baby in blanket

14.  Signs of hypoglycemia in infant: less <45 is hypoglycemia, shakiness, jitteriness, lethargic, difficulty feeding.

15.  Fertility: during ovulation period the cervical mucus is thin and stretchy

16.  Infertility: diagnosis after one full year of not being able to get pregnant, cervical mucus is thick and sticky

17.  Birth control: implantable rod (Nexplanon) - 3-5 years, progesterone only pills (breastfeeding women), IUD, Mirena - 5-6 years, Para Gard - up to 10 years (no hormones), Skyla (has hormones), LARC, Nuva Ring, estrogen and progesterone pills

18.  Vasectomy: male sterilization: education prevent pregnant: not effective immediately, use a condom at least for a week

19.  Discharge new parents: have infant sleep on the back to prevent SIDS, approved car seat, pediatric appointment, PKU test goes straight to pediatrician

20.  Circumcision care: petroleum jelly with each diaper change, don’t fasten diaper tight, scant amount of blood, notify provider if more blood

21.  Postpartum mother is Hep B positive: implementation for infant: Hep B vaccine, Hep B immunoglobulin

22.  SGA: small gestational age, IUGR (intrauterine growth restriction): common complications: unstable temperature, hypothermia, Intervention: skin-to-skin

23.  Birth control: Nuva Ring: at risk for developing blood clots and DVT

24.  Barrier method of birth control: diaphragm

25.  Progesterone only pill also called: mini pill.

26.  Couple visits fertility clinic can’t get pregnant and are stressed, and argue all the time and don’t know if its worth it: Suggest a support group to help work through stress

27.  Nursery baby priority: abnormal breathing at 80, respiratory should be 30-50

28.  Different positions to hold baby breastfeeding: football, cradle (most common)

29.  Cradle position: Ears, shoulder, and hip is in alignment so the neck isn’t turned, belly-to-belly, mom support thumb and finger to make shape of letter C

30.  Infant cues for hunger: sucking on mouth, muzzling breast, crying last sign

31.  Testing for infertility done first: analyze sperm count in male, semen analysis

32.  Depo-Provera (medroxyprogesterone): be on it for max of 5 years, decreases bone density

33.  Different skin conditions in newborn infant: Erythema toxicum , Mongolian spots,  milia,

34.  APGAR components: appearance, pulse, grimace, activity, respiratory

35.  Phototherapy: eyes covered, wear just a diaper

36.  Umbilical cord stump care: let it dry, look out signs of infection, contact pediatrician

37.  dosage weight calculation

38.  hep vaccine: IM site: vastus lateralis, lateral interior thigh

39.  bloody stool: meconium

40.  respiratory distress syndrome s/s of newborn infant: Fast and shallow breathing. Grunting. Flaring of the nostrils with each breath. Bluish tone to a baby's skin and lips.

41.  dosage weight calculation. Calculate lb to kg round to nearest hundredth

42.  diaphragm education (barrier method): leave diaphragm in place for 24 hrs for repeated intercourse and must leave in place for 6 hrs after intercourse due to sperm motility

43.  umbilical cord care: don’t submerge into water before stump falls out

44.  self-breast examination: look for dimpling while bending forward from waist, feel for lumps through entire breast, nipple discharge. Week after period ends.

45.  Endometriosis: tissue is growing outside of the uterus, painful

46.  Menopause: menstruation has stopped (cessation), hot flashes, less estrogen

47.  Precursor for cervical cancer: HPV

48.  Pass first meconium: first 24 hours

49.  Rhogam: 28 weeks gestation, and 72 hours after birth

50.  Characteristics of down syndrome infant: palm line goes all the at across, slanted eyes, round face and small head

51.  Risk of oral contraceptive: Shortness of breath. PE, clots

52.  Prevent contracting HIV: condoms, getting tested, abstinence.

53.  Emergency oral contraceptive: plan B

54.  Educate patient unprotective sex: 72 hours to take plan b

55.  How long to wear a diaphragm after having sex: 6 hours

56.  Example of evaporation of heat loss in a baby: dry baby and do skin-to-skin

57.  Radiation, convection, conduction, evaporation:

·      Conduction: the transfer of heat from one object to another by direct contact. Place infant on a surface that has been pre-warmed

·      Convection: occurs as heat is transferred from an object to the surrounding air. Because the infant’s face and head are especially sensitive to cool air, only warmed, humidified oxygen should be used

·      Radiation: transfer of heat between two objects that are not in direct contact with each other. Double-walled incubators, infant heat shields, and radiant heaters over the incubator can decrease radiant heat loss

·      Evaporation: losses occur as moisture from body surfaces is lost to the environment. At the time of delivery, the infant should be dried immediately to prevent rapid heat loss.

58.  Formula feeding: warm formula in a warmer, leave out for an hour.

59.  Concerns for baby receiving phototherapy: assess and look for signs of dehydration and skin integrity

60.  Infant withdrawal from drugs: excessive crying (shrill cry – high pitched), hyper reflexive, tremors

61.  Moro reflex: baby’s arms extending, c-shape with thumb and index finger

62.  Surfactant: prevent alveolar collapse in lungs, promote lung maturity. Give to preterm labor

63.  Endometriosis: pain in abdomen and pelvis, infertility, dysmenorrhea, abnormal uterine bleeding

64.  Different types of contraceptive methods to prevent STI’s: condom use

65.  Prophylactic: prevention

66.  FAS: fetal alcohol syndrome: smaller, small head (microcephaly)

67.  Risk factors for infertility: STI, endometriosis, smoking, obesity

68.  Hydrocephalus: build-up of fluid in the brain resulting to a big head