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Maternal/Newborn OB ATI test
Nursing care during pregnancy, labor, deleivery, post pardum and newborn
13
Nursing
Undergraduate 2
03/03/2013

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Cards

Term
FAS
Definition
fetal alchol syndrome- at risk for
* Feeding problems
* CNS dysfunction (MR, cerebral palsy)
* behavioral difficulties such as hyperactivity.
* Language abnormalites
*Future substand abuse
* Delayed growth and development
* Poor maternal-newborn bonding.
Term
What do neonatal abstinence scoring sytem assess for?
Definition
CNS- wakesfullness, high-pitched, shrill cry, incessant crying, irritability, tremors, hyperactive with increased Moro reflex, increased deep-tendon reflexes,increased muscle tone, abrasions and/or excoriation on the face and kness and convulsions.
Metabolic, vasomotor, and respiratory findings- nasal congestion with flaring, frequent yarning, skin mottling, tachypnea greater than 60/min, sweating, and temp > 99
Gastrointestinal- poor feeding, regurgitation (projectile vomiting) diarrhea, and excessive, uncoordinated, and constant sucking
Term
Opiate withdrawl
Definition
Can last for 2 to 3 weeks, rapid changes in mood, hypersensitivity to noise and external stimuli, dehydration, and poor weight gain.
Term
Heroin withdrawl
Definition
low birth weight and SGA, decreased Moro reflexes (rather than increased), hypothermia or hyperthermia.
Term
Methadone withdrawal
Definition
an increased incidence of seizures, sleep pattern disturbances, higher birth weights, and higher risk of SIDs
Term
Marjiuana withdrawl
Definition
preterm birth and meconium staining
Term
Amphetamine withdrawl
Definition
preterm or SGA, drowiness, jitteriness, sleep pattern disturbanes, respiratory distress, frequent infections, poor weight gain, emotional disturbances, and delayed growth and development.
Term
FAS signs
Definition
*Facial anomalies including eyes with epicanthal folds, strabismus, and ptosis; mouth with a poor suck, small teeth, and cleft lip or palate.
* Deafness
*Abnormal palmar creases and irregular hair.
Many vital organ anomalies, such as heart defects, including atrial and ventricular septal defects, tetralogy of fallot, and patent-ductus arteriosus
* Developmental delays and neurologic abnormalities
*Prenatal and postnatal growth retardation
* Sleep disturbanes
Term
Tobacco withdrawl and affects
Definition
prematurity, low birth weight, increased risk for SIDs increased bronchitis, pneumonia, and developmental delays.
Term
Phenobarbital (Solfoton)
Definition
Anticonvulsant- decrease CNS irritability and control seizures for neonates who have alcohol or opioid addition.
Term
Hypoglycemia
Definition
< 40mg/dl in newborn. preterm <25 mg/dl. Untreated- seizures, brain damage, and death.
Term
Risk factors for hypoglycemia
Definition
* Maternal diabetes mellitus
* Preterm infant
* LGA or SGA
* Stress at birth, such as cold stress and asphayxia
*Maternal epidural anesthesia
Term
hypoglycemia (s/s)
Definition
Poor feeding, Jitteriness/tremors, Hypothermia, Diaphoresis, Weak shrill cry, Lethargy, Flaccid muscle tone, Seizures/coma, Irregular respirations, Cyanosis, Apnea
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