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Rho(D) immunoglobin (RhoGAM) indications - Mother Rh negative and
baby Rh positive.
Given at 28 weeks of gestation
Protects future births
Given during amniocentesis d/t possible mixing of baby/mother blood
Late decels indicate what? - Utero-placental insufficiency
Oxytocin contraindication - Late decels
Newborn screening tests need to be repeated if done within what time frame? -
Before 24 hours, if sent home before the tests will need to be repeated at
follow up visit
APGAR scoring - Activity (muscle tone)
Pulse (heart rate)
Grimace (reflex irritability)
Appearance
Respirations (airway)
At 1 and 5 min. of life, score of 0-2 for each, 8-10 normal
APGAR - See photo
, Resuming sexual intercourse postpartum - Wait 2-4 weeks, slower and less
intense sexual response, use water soluble lube, begin ovulating within one
month (breastfeeding consistently is great form of birth control)
Recent cocaine use for a client in labor may increase risk of? - Abruptio
placenta d/t vasoconstriction
Hyperemesis gravidarium dietary teaching - Eat to taste to avoid nausea,
eat protein following snack, eat healthy snack at bedtime, alternate fluids and
liquids Q 2hrs
Minimize pain for newborn during heel stick - Pacifier with glucose
Swaddle immediately after
When do you screen for gestational diabetes? - 28 weeks
3 hr glucose test done after 1 hr test if 1 hr test is above 140 mg/dL
When do you screen for Rubella during gestation? - Initial prenatal visit
When do you screen for Group B Strep (GBS) during gestation? - 35-37
weeks
If positive, treatment intrapartum with antibiotics
When would you do a 24 hour urine specimen for protein during gestation? -
If at risk for preeclampsia, gestation hypertension