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M6
| Question | Answer |
|---|---|
| What is IDM? | Infant of Diabetic Mother |
| If the mother had diabetes what can happen to the baby when the cord is cut? | The excessive sugar the was going to the baby via the cord stops, causing Hypoglycemia. |
| What is PIVH? | Periventricular-Intraventricular Hemorrhage, bleeding around and into the ventricles of the brain. |
| How is PIVH graded? | 1 to 4, with 4 being the most severe with poor survival rate. |
| What is PKU? | Phenylketonuria, a genetic disorder that causes CNS damage from toxic levels of the amino acid phenylalanine in the blood. |
| What does PKU cause? | PKU causes a deficiency of the liver enzyme phenylalanine. |
| Are all infants screened for PKU? | YES |
| PKU S/S | Vomiting, Hypertonia, Irritability and infant has eczema and a musty odor of urine. In older children hyper activity, mental retardation, seizures and hypopigmentation of the hair skin and irises. |
| How do you test for Down Syndrome? | Alpha-fetoprotein (AFP) screening, Multiple Marker screening, Chorionic villus sampling, Aminocentesis, Nuchal Translucency |
| Is there a cure for Down Syndrome? | NO, only regular medical care and evaluations. |
| What are 2 medications are used for Cervical ripening? | dinoprostone (Prepidil gel) or (Cervidil) vaginal insert. |
| Can Cervidil cause headaches? | YES |
| When to use cervical ripening? | For live birth or abortion. |
| What medications can you use for postpartum hemorrhage? | Pitocin, methergine and hemabate. Massaging the uterine to contract first. If all else fails the remove the uterine. |
| What vitamin and be rubbed on sore nipples from breast feeding? | Vitamin E |
| A warm shower will stimulate? | Prolactin |
| If your patient does not wish to breast feed what should you do? | Ice 4x a day and suppress milk with compression (bra)for 3 days. |
| How long should you massage your patients fundus? | for 9 days postpartum evaluating the discharge for clots and lochia. |
| If your patient has a full bladder where do you suspect the fundus to be? | Up and to the right. |
| with bladder distention a cath may be required. How long can it take for the bladder tone to be restored? | 5-7 days |
| What is REEDA? | REDNESS, EDEMA, ECCHYMOSIS, DISCHARGE and APPROXIMATION |
| When is Lochia volume heavy? | When your patient is saturating a pad every 2 hours |
| When your pt is positive for Homans sign suspect? | DVT |
| When should you ambulate your patient after surgery? | With in the first 12 hours. |
| What is involation? | Rapid healing after birth/ |
| When should your patient resume sex? | 6 weeks but as early as 2-4 weeks if bleeding has stopped |
| What 2 things cause Early postpartum hemorrhage? | Uterine Atony and Trauma |
| After birth babys can lose up to _____% of weight | 10 |
| Can a full bladder cause bleeding? | YES |
Created by:
SGT WEAVER
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