what is the number one cause of postpartum hemorrhages Uterine Atony
did you know Urine output is a good way to measure organ perfusion
Jaundice in the first 24 hours is typically Patho and it could be because of sepsis and blood
incompatibility
Risk factors for Jaundice Brusing
Sibling with Jaundice
Hemo Disorder
Tramatic Birth
Not feeding
what is the process of normal clotting? Coagulation Process and Fibralinic
Risk factors for postpartum hemorrhages Multi-gestation, Trauma, Retained Placenta
Pieces, Magsulfate (not allowing the fondus to cramp back down), Chorio, and Oxytocin (Due to
uterus cramping down too fast)
Prolapse Cord and what to do Call for help, Lifts whatever part is being compressed, change
position (mothers)
What is the Ballard score? A simplified score for assessment of fetal maturation of
newborns. (six neuromuscular signs, six physical signs)
Factors that increase risk of maternal fetal blood incompatability ABO blood types
Mom is RH negative
, Pre pregnancy blood transfer
Multi-pregnancy
What does a newborn screen check -Genetic screening
-has to be done 24 hours after birth or before discharge
-mandated
-heel stick
-will not get results right away they will be mailed to you
Premature Rupture of membranes - first thing check FHR
- Check time of Rupture
- Monitor signs of infection (check color and smell of amniotic fluid)
-Limit vaginal exams
- if mom is in preterm labor give tocolytics
Fetal dimise or loss -Ask if they want to hold the baby
-make memory box
-take pictures
-religious preferences
-talk about the infant
Safety Protocols in maternity ward -matching wrist
-don't leave baby alone
-alarms
-Parents should ask for photo idea if they find anything suspicious about a person
Symptoms of newborn congenital heart disease -mumurs