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49 Cards in this Set
- Front
- Back
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How many umbilical veins? How many umbilical arteries? |
2 umbilical arteries. 1 umbilical vein. Umbilical vein brings blood to the fetal heart (oxygenated). Umbilical arteries bring blood away from the fetal heart (deoxygenated). |
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Normal HR? |
1. 110-160 2. 30-60 3. 36.5 - 37.2 |
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Why does respiration initiate in the neonate? (3) |
Initiation of breath due to increased co2, exposure of light, cooler environment. |
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Signs of respiratory distress? |
Cyanotic, flaring of nares, gasping, ribs moving a lot, grunting or moaning, tachypnea, rapid/shallow breathing, shortness of breath. |
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How long after birth does fetal hemoglobin get replaced? |
6 months |
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WBC of newborn |
9000 to 30000 |
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Types of heat loss? |
Evaporative - Amniotic fluid, sweating (most common at birth) Conductive - cool surface Convective - Windows, fans, etc. Radiation - most common at birth. Near a cold object. Sucks the heat! |
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Nurse thermoregulation measures |
1. change room temp. 2. head cap. 3. Blankets. 4. Skin-to-skin 5. One layer less |
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How to prevent heatloss at birth? |
Dry immediately! |
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When should newborn void? What should it look like? How often. |
1. Within 48 hours. 2. Clear and odorless. 3. 4 to 6 weeks. |
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When does vernix appear? |
After 35 weeks and starts to dissappear. |
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Moulding? Fontanels? Sutures? |
1. Cone head. 2. Soft membrane gap 3. Strong elastic fibres between bones |
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What enzymes do a newborn not have? |
1. Amylase, lipase |
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Small whitish pearls on newborn gums? |
Epstein spots. |
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Sucking and swallowing by? |
32-33 weeks |
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Reccommended breastmilk/breastfeeding times? |
6 months breastfeeding, 12 months human milk. |
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Newborn stomach growth |
First day : 5-7 ml Second day: 5-15 ml for couple of next days. Week: 45-60 ml One month: 150 ml per feed. |
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Characteristics of bottles for bottle feeding of formula |
1. BPA free 2. Not in microwave. 3. Store for 24 hours. 4. Exact instructions |
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When does newborn screening occur? Newborn hearing? |
After 24 hours. 24 hours before discharge. |
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Caput succedaneum? |
Edema on babie's scalp. Benign. Caused by pressure against certvix. By 24 hours the fluid is absolved. REASSURANCE TO PARENT! |
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Cephalhematoma |
1. Blood between skull line and the periosteum. Bleeding does not cross sutre line. Cause by injury. appears after a couple of days. Takes 3-6 weeks to resolve. REASSURANCE TO PARENTS! |
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Subgleal Hemorrage |
Bleeding into the SG compartment. Boggy feeling, but mass firm. Tachycardia. Caused by vaccuum suction. Crosses sutre line. Monitor LOC, behavior, referral. |
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Eccymosis? |
Resolves in a week. Usually benign. |
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Low birth weight value? |
Under 2500g |
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Prematurity statistics? |
6 to 7 percent of births. Preterm is birth before 37 weeks. |
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IUGR caused by? Diagnosed by? |
1. Caused by hypoxia. 2. Diagnosed by NST |
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Post term baby statistics? |
10 percent. After 42 weeks. Most AGA. Meconium staining. Wasting. |
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Normal blood glucose for neonate? |
2.5 - 3.6 |
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What could cause cold stress and what are some of the symptoms. |
1. Body temp is less than 36. Get cascade of things happening. Signs of hypoglycaemia. Signs of respiratory distress. Could be due to environmental factors. Immature thermoregulation. |
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Millennium Development Goals |
1. Gender equality. 2. Reduce child mortality. 3. Improve maternal health. |
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Family Systems theory |
The family systems theory is a theory introduced by Dr. Murray Bowen that suggests that individuals cannot be understood in isolation from one another, but rather as a part of their family, as the family is an emotional unit.
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The 1971 multicultural policy recognizes |
1. Value and dignity of all canadians 2. Rights of aboriginal peoples 3. Status of canada's first two languages |
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Cultural Safety VS Cultural Competence |
Whether a patient feels culturally safe is dependent inpart on whether the care provider is culturally competent part on whether the care provider is culturally competent. |
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Developmental roles of transitioning to Parenting |
Accepting the pregnancy, Identifying with the mother role, reordering of relationships, establishing a relationship with the baby, preparing for childbirth. |
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Nageles rule |
First day of LMP - 3 months + + 7 days. |
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How many visits by 28 weeks and 36 weeks? |
28 weeks -> every 2 weeks 36 weeks -> Weekly |
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USS performed at what dates |
12-18 weeks |
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Peak of HCG during pregnancy |
12-14 weeks |
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Potential outcomes of teen pregnancy |
1. Risk of still born 2. Pre-term baby 3. Low birth-weight baby |
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CO increases in first and second stage of labour |
1. 15 percent 2. 30-50 percent |
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Define Lightening |
Baby dropping into the pelvis |
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5 P's affecting labour |
1. The passenger. 2. The patient 3. The Powers 4. The practitioner 5. The Position |
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Steps in the mechanism of labour |
1.Engagement - Enters pelvic inlet. Enters at widest. 2. Descent - Measured by stations 3. Flexion 4. Internal rotation 5. Head extends 6. External rotation (45 degrees) 7. Expulsion |
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Spinal blocks are mostly used for _______ and are inserted into the ___________ |
1. Casearean Section 2. Subarachnoid space. |
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Placenta previa |
Placenta blocks the cervix |
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Characteristics of an unfavorable induction |
0 dilated, firm cervix, posterior, 0-30 percent effaced |
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Uterine hypercontractions? |
More than 5 per 10 mins. |
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Mercers Developmental tasks of parenting 1. Preparatory stages 2. After pregnancy |
1. Attachment, commitment, preparation 2. Aquaintance, learning. |
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Signs of late PPH |
1. Larger Uterus. 2. Pain. 3. Foul smelling, heavy lochia. |
