Pamela Shared "Maternity Newborn Exam #3" - 31 Picmonics
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Maternity Newborn Exam #3
Postpartum Hemorrhage
- Mechanism
- Uterine Atony
- Lacerations
- Retained Placenta
- Signs and Symptoms
- Bleeding
- Hypotension
- Boggy Uterus
- Considerations
- Oxytocin
- Bimanual Compression of Uterus
- Surgery
- Blood Transfusion
2 mins
Postpartum Infection
- Diagnosis
- Fever > 100.4F After 24 Hours (38 C)
- Risk Factors
- Multiple Vaginal Examinations
- Vaginal Trauma
- Prolonged Rupture of Membranes
- Cesarean Birth
- Anemia of Pregnancy
- Retained Placental Fragments
- Poor Health Status
3 mins
Postpartum Nursing Assessment
- BUBBLE - LE
- Breasts
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy (Laceration)
- Lower Extremities
- Emotions
3 mins
RhoGam [Rho(D) Immune Globulin]
- Indications
- Antepartum Prevention at 28 weeks
- Suppress Antibody Production
- Mechanism of Action
- Lysis of Fetal RBC in Maternal Bloodstream
- Side Effects
- Myalgia and Lethargy
- Considerations
- Negative Coombs Test
- Standard Dose 300 mcg
- Microdose 50 mcg
- Blood Product
2 mins
Pain Assessment
- Types of Pain
- Types of Pain
- Acute Pain
- Acute Pain
- Chronic Pain
- Chronic Pain
- OPQRST Mnemonic
- OPQRST Mnemonic
- Onset
- Onset
- Provoking or Palliative
- Provoking or Palliative
- Quality
- Quality
- Radiation
- Radiation
- Severity
- Severity
- Timing
- Timing
- Nursing Considerations
- Nursing Considerations
- Subjective Findings
- Subjective Findings
- Objective Findings
- Objective Findings
- Reassessment of Pain
- Reassessment of Pain
2 mins
Fever
- Flushed skin, warm to touch
- Flushed skin, warm to touch
- Chills
- Chills
- Sweating
- Sweating
- Change in LOC
- Change in LOC
- Provide adequate fluids
- Provide adequate fluids
- Monitor Electrolytes and Fluid
- Monitor Electrolytes and Fluid
- Monitor vital signs, esp temperature
- Monitor vital signs, esp temperature
- Remove excess clothing and blankets
- Remove excess clothing and blankets
- Sponge bath with tepid water
- Sponge bath with tepid water
2 mins
APGAR Score
- 1 and 5 Minutes
- 1 and 5 Minutes
- Appearance
- Appearance
- Pulse
- Pulse
- Grimace
- Grimace
- Activity and Muscle Tone
- Activity and Muscle Tone
- Respiration
- Respiration
- Total Scores
- Total Scores
- Gentle Stimulation
- Gentle Stimulation
- Oxygen
- Oxygen
2 mins
Eye Medication Administration
- Procedure
- Procedure
- Supine with Neck Hyperextended
- Supine with Neck Hyperextended
- Wash Away Crusts
- Wash Away Crusts
- Cotton Ball on Cheekbone
- Cotton Ball on Cheekbone
- For Ophthalmic Drops
- For Ophthalmic Drops
- Instill Drops into Conjunctival Sac
- Instill Drops into Conjunctival Sac
- Repeat if Missed or Patient Blinks
- Repeat if Missed or Patient Blinks
- 5 Minutes Before 2nd Medication
- 5 Minutes Before 2nd Medication
- For Ophthalmic Ointment
- For Ophthalmic Ointment
- Thin Stream Along Inner Edge
- Thin Stream Along Inner Edge
- Inner Canthus to Outer Canthus
- Inner Canthus to Outer Canthus
2 mins
Vitamin K1 (Phytonadione)
- Mechanism
- Mechanism
- Synthesizes Clotting Factors II, VII, IX, X
- Synthesizes Clotting Factors II, VII, IX, X
- Indications
- Indications
- Hypoprothrombinemia
- Hypoprothrombinemia
- Newborn Prophylaxis
- Newborn Prophylaxis
- Bleeding from Warfarin Overdose
- Bleeding from Warfarin Overdose
- Side Effects
- Side Effects
- Shock
- Shock
- Kernicterus
- Kernicterus
- Cardiac Arrest
- Cardiac Arrest
- Considerations
- Considerations
- Bile Salts required for Intestinal Absorption
- Bile Salts required for Intestinal Absorption
- Increased Risks with IV Administration
- Increased Risks with IV Administration
2 mins
Intramuscular Medication (IM) Administration
- Risks
- Risks
- Injury to Nerves, Bone, and Blood Vessels
- Injury to Nerves, Bone, and Blood Vessels
- Sites
- Sites
- Deltoid
- Deltoid
- Vastus Lateralis
- Vastus Lateralis
- Ventrogluteal
- Ventrogluteal
- Nursing Considerations
- Nursing Considerations
- Selection of Needle Length
- Selection of Needle Length
- Aseptic Technique for Drawing Up
- Aseptic Technique for Drawing Up
- Z-Track
- Z-Track
- 90 Degree Angle
- 90 Degree Angle
- Max Amount (2-5 mL Adult, 1 mL Child)
- Max Amount (2-5 mL Adult, 1 mL Child)
- Techniques to Reduce Pain
- Techniques to Reduce Pain
2 mins
Ergocalciferol (Vitamin D2)
- Mechanism
- Vitamin D2
- Indications
- Hypoparathyroidism
- Rickets
- Hypophosphatemia
- Side Effects
- Fatigue
- Constipation
- Hypercalcemia
- Kidney Stones
2 mins
Breastfeeding
- Benefits
- Complete Nutrition
- Antibody Protection
- Bonding
- Convenient
- SIDS Risk Reduced
- Possible Enhanced Cognitive Development
- Long-Term Health Benefits
2 mins
Depression Assessment
- Physical Changes
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Mood
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Cognitive
- Ineffective Problem Solving
- Slowed Thinking
1 min
Atypical Antipsychotics
- Indications
- Schizophrenia
- Mechanism of Action
- Unknown Mechanism
- Side Effects
- Seizures
- Prolonged QT Interval
- Agranulocytosis
- Weight Gain
- Fewer Extrapyramidal Side Effects
- Fewer Anticholinergic Side Effects
2 mins
Urinary Tract Infection Prevention and Treatment
- Prevention
- Shower after Sex
- Urinate after Sex
- Wipe front to Back
- Treatments and Considerations
- I and Os with Daily Weights
- Increase Water Intake
- Antibiotics
- Avoid Caffeine
- Dr Appointment in 2 Weeks
- Void every 2 - 4 hours
2 mins
Oxytocin (Pitocin)
- Mechanism of Action
- Increase Uterine Contractions
- Indications
- Labor Induction
- Control Postpartum Hemorrhage
- Side Effects
- Uterine Rupture
- Water Intoxication
- Contraindications
- Fetal Lung Immaturity
- Cervix Not Ripened
- Active Genital Herpes Infection
- Considerations
- Use Lowest Dose
- IV Pump
3 mins
Heparin (Unfractionated)
- Mechanism of Action
- Suppresses Coagulation
- Indications
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Side Effects
- Hemorrhage
- Heparin-Induced Thrombocytopenia (HIT)
- Considerations
- Monitor aPTT
- Preferred (Safe) During Pregnancy
- Antidote
- Protamine Sulfate
2 mins
Warfarin (Coumadin)
- Mechanism of Action
- Inhibits Clotting Factors
- Indications
- Atrial Fibrillation
- Venous Thrombosis
- Pulmonary Embolism
- Assessment
- PT/INR Levels
- Observe for Bleeding
- Contraindications
- Pregnancy
- Nursing Considerations
- Vitamin K and Fresh Frozen Plasma
- Prolonged Therapeutic Onset
- Maintain Same Diet
2 mins
Methylergonovine (Methergine) and Ergotamine (Ergot Alkaloids)
- Mechanism
- Smooth Muscle Contraction
- Vasoconstriction
- Indications
- Migraine
- Postpartum Hemorrhage
- Side Effects
- Nausea and Vomiting
- Severe Hypertension
- Tachycardia
- Considerations
- 2nd Line Agent
2 mins
Carboprost (Hemabate)
- Mechanism
- Prostaglandin F2-alpha Analog
- Smooth Muscle Contraction
- Indications
- Postpartum Hemorrhage
- Abortion
- Side Effects
- GI Distress
- Hypertension
- Fever
- Bronchoconstriction
- Considerations
- Identify Cause of Fever
2 mins
