Summary Archer Maternity - notes needed during revision for nursing school exams

Routine exams done for everyone ● Blood type/Rh factor ● STI testing ● Glucose challenge ● Urinalysis ● Ultrasound ● Nonstress test (NST) ● Group B Strep ● Kick counts Blood type and Rh Factor ● Important to know the mother's blood type and if they is Rh positive or negative. ● If the mother is Rh negative, and the baby is Rh positive, this is considered a 8set up9 and puts the infant at risk for erythroblastosis fetalis. ● Further testing needed if this is the case - after the baby is born. ○ Direct Coombs test ■ Performed on the newborn's blood sample ○ Indirect Coombs test ■ Performed on the mother9s blood sample ● Treatment = Rhogam Glucose Challenge Oral Glucose Tolerance Test ● Done at 28 weeks ● Mother drinks 50 grams of glucose in an oral solution ● 1 hour later her blood sugar is checked. ● If the BG is greater than 140, the 3 hours glucose test is performed. 3 hour Glucose Tolerance Test ● Done if the 1 hour test is failed or there are other risk factors. ● It is done fasting; mothers must not eat or drink for 8 hours prior to the test. ● A fasting sugar is checked ● The mother drinks 100 grams of oral glucose. ● Her BG is rechecked a 1 hour, 2 hours, and 3 hours. ● A sugar greater than 140 indicates gestational diabetes