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MOTHER AND CHILD PEDIATRICS PRE AND POST PARTUM CARE REVISION MATERIAL. 2024/2025 £6.27   Add to cart

Exam (elaborations)

MOTHER AND CHILD PEDIATRICS PRE AND POST PARTUM CARE REVISION MATERIAL. 2024/2025

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MOTHER AND CHILD PEDIATRICS PRE AND POST PARTUM CARE REVISION MATERIAL. 2024/2025

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  • August 29, 2024
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  • 2024/2025
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MOTHER AND CHILD PEDIATRICS PRE AND
POST PARTUM CARE REVISION MATERIAL.
2024/2025
1. VEAL CHOP: -variable=cord compression
-early=head compression
-accelerated=oxygen OK
-late=placental insufficiency
2. what to do when there are variable decels: -change to lateral
position or knee chest
-turn of Pitocin
-call provider
3. what to do if there is an early decel: -continue to monitor
4. what to do if there is an accelerated decel: -continue to
monitor
5. what to do if there is a late decel: -turn off pitocin -change to lateral
position
-IV fluid bolus
-call provider
-may need Csection
6. FHR accelerations: -abrupt increase in FHR above the baseline
-for it to be considered an acceleration must be 15 beats above baseline
& occur for at least 15 seconds 7. frequency of contractions: -time of the
start of one contraction to the start of another contraction -timed in
minutes
8. duration of contraction: -how long contraction lasts -timed in
seconds
9. variability EFM: -how squiggly line is



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, MOTHER AND CHILD PEDIATRICS PRE AND
POST PARTUM CARE REVISION MATERIAL.
2024/2025
-we want moderte variation (6-25 bpm above or below
baseline) -don't count periodic changes
10. what are decelerations: -slowing of fetal HR
-can be early, late, or variable
1 1. non-stress test: -monitors for fetal hypoxia & acidosis
-want it to be reactive meaning there are 2 or more accelerations at
least 15 beats above baseline for 15 seconds within 20 minutes
-if baby is not reactive must monitor for another 20 minutes
12. APGAR: -appearance (blue, blue limbs, or pink)
-pulse: if above 100 2 points, if below 100 1 point, if no pulse 0
points -grimace: does baby respond to stimulation?
-activity: looks at muscle tone, want baby to be active
-respirations: want to hear a vigorous cry
13. when is APGAR test done? -1 minute after birth & 5 minutes after
birth -if baby gets a score less than 7 APGAR must be done every 5
minutes for 20 minutes
14. fetal to neonate transitions: -first breath=circulation
-want to stimulate by rubbing to make them cry
-dry baby to conserve heat
15. 4 ways of heat loss in a newborn: -evaporation: make sure to dry
baby -conduction: loss of heat via DIRECT contact w/ something cooler:
have warm blankets
-convection: transfer of heat to cooler air currents: avoid any drafts/wind
-radiation: transfer of heat to cooler surface area via INDIRECT contact
16. normal newborn HR: 1 10-160
17. normal newborn RR: 30-60
18. normal newborn temp: 36.5-37.5


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, MOTHER AND CHILD PEDIATRICS PRE AND
POST PARTUM CARE REVISION MATERIAL.
2024/2025
19. normal newborn BP: 60-80/40-50
20. normal newborn weight: 5.5-8.8 Lbs.
21. new born assessment: -listen to heart & lungs for full
minute -posture: looking at tone
-skin: should be warm centrally w/ acrocyanosis
-head: assess for symmetry, shape, sutures, & fontanelles
-eyes: assess if baby has low set ears
-nose: assess symmetry, shape, any congestion/drainage
-mouth: assess palate, suck reflex, & tongue tie
-neck: see if baby can hold head midline, assess for side-to-side
movement
-chest: assess for shape & nipple symmetry
-abdomen: assess umbilical cord
22. vernix caseosa: -cheesy thick covering over baby
-gives protection & prevents fluid loss
-preterm babies will have more at birth
23. lanugo: -hair over baby's body
-preterm babies will have more
-expected finding
24. erythema toxic: -"newborn rash"
-commonly on face, trunk, & legs
-not concerning
25. congenital dermal melanocytotic: -increase in melanin in skin
-not an abnormal finding but must be reported
-may mistake for bruising later in life
26. telangiectatic: -stork bite


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