NON-STRESS TEST 3 Negatives in a row to interpret results of non-stress test N Non-Reactive N Non-Stress is N Not Good BH eisring Education Conetantn aHE ary t ge Sleeps 16-20 hours a day the first 2 weeks, General Characterietice: ree ff W810 52cm ae Circulatory System: Blood Aow from uel vessels & plecenta stops Clogure OF at orth fe Ductus Arterceus SFeramen Ovele * » Dictus Venza. + Pulmonary Circulation ransitory Murmurs Hands & Fact = Ph ectee res: 6 Heat Rate 120 10160 Beataltin RO? \ Sj Temp Heat Loss Due To: Evaporatior Persie from ont ign Lung Maturation <" 26th Week Gectation Convection - Body heat to cool air flow. Pe de uatocten Rak Conduction - Body heat to blankets, atc. Aelia 38th Weok Gestation Radiation - Heat lose to cool temps, © Reap fore «| 02 Consumption t Utilization of Glucose (Hypoglycemia < 45mgis) ‘& Brown Fat Need for Calories tRivk Metabolic Acidosio 1 Surfactant Production e 3.400 grams (Average) or Tle. Bor: Usually to 10% wt, lose tot fow days. Regained within 10-14 days ieadt > Molding 3 Elongated as Caput Succedaneum>Edema > Measurement >33,cm. to 35 om (15-14 in.). Circumference x (ised w2to em than oo) > Fontanels » Bulging? or Sunker? Extremes in Size May Indicate mi Microcephaly, Hydrocephaly or ICF_ 9 * Umbilical Cord = 2 Arteries & 1 Vein Obeain cord blood sample ery oom. Lung Function after BS onersng eacation consitanta in Within the Tet minute of birch “lous Busty Cry “Ne Byspnea 26 Retlactlons Roep Rate 30-60 / Min Kaphragmatic & Abcominal Muscle ised lose BreathorSS HIGH RISK NEWBORN TEMPERATURE NURSING INTERVE} ITIONS BR Minimize Cold Stress. ! PK Maintain Skin Temp. 36.1°- 36.7°C (96.8°-97.7°F) Continuously Monitor Ternp, We Prevent Rapid Warming or Cooling Pe Use A Cap To Prevent Heat Loss From Head. RESP FUNCTION ¥ Position T 02 - Semiprone/Side Lying. Maintain Resp Tract Fatency. ee ee We Stimulate > Remind to Breathe. 4K Monitor For Hypoglycemia. $ Monitor O2 Therapy. # Assess Tolerance Of Oral Or Tube Feedings. $® Access Resp Effort. $#X Monitor Hydration Closely. © Grunting WE Assess For Gastric Residual, Bowel Sounds, * Nasal Flaring Change In Stool Pattern, Abdominal Girth. * Cyanosis Monitor Weight Gain Or Loss. © Apnea iri Eascaton Conon isHELLP Syndrome (Preeclampsia with Liver Involvement) Hemolysis Elevated Liver Function Tests Low Platelet CountEVALUATION OF EPISIOTOMY HEALING Redness Edema Ecchymosis Discharge, Drainage >UMMA ApproximationDEVELOPMENTAL DYSPLASIA OF THE HIP lAsymetrical gluteal and thigh folds. Affected side) Shortening of leg. on Conoutantes he FB owThreatened + inevitable * Incomplete * Complete ° Miseed AB + Recurrent Control Hemorrhage Vaginal Bleeding or Concealed Hemorrhage Painese Bright Red Bleeding During Mild to Severe 28 &3" Trimester Abdominal Pain Has Presumptwe Signe: Of Pregnancy High hCG levels Passage of Vesicles Fiyperemesio Gravidarur Kaa) s Proteinuria TBP i> Faeries. ‘Aniniotic Fluid Index (AFI) >24-25om Watch Galt Intske Develops 3” Trimester in Diabetica 180 Complications — Abruptio Placenta, Fost Partal HemorrhageCLEFT LIP - POST OP CARE C Choking L Lie on Back E Evaluate Airway F Feed Slowly T Teaching L Larger Nipple Opening ; I Incidence t Males P Prevent Crust Formation Prevent Aspiration BEB on uroing eaicotion concuivants, ineASSESSMENT TESTS FOR FETAL WELL-BEING * BIOPHYSICAL PROFILE * Choice for Follow Up Fetal Evaluations Fetal Breathing Movements - 4 episode of 30 2ec, in 3O min B. Fetal Tone - At leaet | epicode of extremity extension and flexion C. Body Mavemert - 3 episodes over 30 min BIOPHYSICAL TESTS * Daily Fetal Movement: Count: (DFMC) * Ultrazongraphy * Biophysical Frofile (BP?) D. Amniotic Fluid Volume - MRI At least 1 pocket measure 20m BIOCHEMICAL TESTS in 2 perpendicular planes E. Non-Strese Test - Reactive - FHR T with activity. Each hae a possible score of 2 Max Score =10 ©) * Amniocentesio * Chorionic Villus Sampling (CVS) * Percutaneous Umbilical Blood Sampling (FUBS) ‘* Maternal Serum Alpha-Fetoprotein (MSAFP) © Indirect Coombs Test Nursing Education Conuitants IneHEPATITIS A & E Hepatitis with avowel... Comes from the bowel.