Assessments

Question 1

GTPAL

Answer 1

Gravidity (# times preggies)
Term births (37-42)
Preterms (20-37)
Abortions (prior to week 20)
Living youngsters

Question 2

Apgar

Answer 2

Appearance
Pulse
Grimace
Activity
Respiration

Question 3

GBS leads to…

Answer 3

Sepsis
PNA
Meningitis

Question 4

GBS RFs

Answer 4

Premature
ROM >18 hrs
Mom fever during labor
Previous infant with GBS
GBS during pregnancy
Young
African American

Question 5

GBS tx and testing guidelines

Answer 5

Vaginal/rectal swab week 35-37
Abx if RF and no culture
IV Penicillin G during labor

Question 6

Guidelines for FHR Assessment

Answer 6

Initial 10-20 min continuous FHR assessment
Then intermittent auscultation q30m for low risk / q15m for high risk
In stage 2: q15/q5

Question 7

Fetal tachy early sign of…

Answer 7

Hypoxemia

Question 8

Fetal tachy due to…

Answer 8

Mom infection, hyperthyroidism, drugs, dehydration
And hypoxemia

Question 9

What causes fetal bradycardia?

Answer 9

Mom supine
Hypoxia
Meds
Mom hypotension
Fetal cardiac arrhythmias
Congenital heart block
Idiopathic
Cord prolapse
Rapid fetal descent

Question 10

Minimal variability due to…

Answer 10

Hypoxemia
CNS depressants
Neurologic injury

Question 11

Accelerations due to…

Answer 11

Fetal movement
Contractions

Question 12

Early deceleration due to…

Answer 12

Head compression

Question 13

Variable compression due to…

Answer 13

Cord compression

Question 14

Late deceleration due to…

Answer 14

Placenta insufficiency / hypoxemia

Question 15

Prolonged deceleration due to…

Answer 15

Disruption in fetal oxygen supply

Question 16

What can cause cord prolapse? (Plus additional risk factors)

Answer 16

Water breaking before baby in birthing canal (AROM)
SGA (small baby for gestational age)
IUGR (intrauterine growth restriction)
Unengaged fetal part
Polyhydraminos (too much amniotic)
Multiple gestation

Question 17

Fetal attitude

Answer 17

Relation of body part
Biggest example: chin flexion or extension

Question 18

Preferred lie

Answer 18

Longitudinal

Question 19

True labor characteristics

Answer 19

Regular contractions
Cervical change
Fetus engagement
BOW may break
Changing positions doesn’t matter
Also: contractions felt in lower back

Question 20

Fake labor characteristics

Answer 20

Irregular contractions
Braxton Hicks (at top of uterus)
Cervix not changed
Fetus not engaged
No ROM or bloody show
Lying down stops sensation

Question 21

Membrane assessment

Answer 21

“TACO”
Time of rupture
Amount of amniotic fluid
Color of fluid
Odor

Question 22

Tests for ROM confirmation

Answer 22

Fern
Amnisure

Question 23

Labs for preggies

Answer 23

CBC (WBC, platelet, H&H, RBC)
Type and screen (Rh status)
RPR for syphilis
GBS

Question 24

Mom VS postpartum

Answer 24

Fever 24 hours (dehydration)
Baseline BP (with 48 hr ortho hypo)
RR 16-24
Pulse 50-100

Question 25

Lochia types

Answer 25

Rubra - red, 1-3 days
Serosa - pinkish, old blood and serum
Alba - white/yellow, bacteria and leukocytes

Question 26

BUBBLEHE

Answer 26

Breasts
Uterus
Bladder
Bowels
Lochia
Emotions
Homan’s sign for DVT
Episiotomy / lacerations

Question 27

Signs of bladder distention

Answer 27

Fundus shift
Increased lochia
Bladder discomfort and bulge
Frequent voidings <150 mL

Question 28

10 Apgar

Answer 28

Active, HR over 110, reflexes, pink all over, good resp and crying

Question 29

Normal newborn VS

Answer 29

HR 110-160
RR 30-60
Temp 97.7 - 99.5
BP 50-75 / 30-45

Question 30

Ss newborn respiratory distress

Answer 30

Grunting
Nasal flaring
Ribs retracting
Color changes

Question 31

Normal blood work in newborns

Answer 31

Elevated WBC
Elevated RBC, H and H
Platelets normal

Question 32

How many times newborn pee?

Answer 32

6-8 x / day