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ABSN Cohort 19 > ATI OB > Flashcards

ATI OB Flashcards

1
Q

Calendar Method is 14 days before the…
Days subtracted from shortest
Days subtracted from longest

A

14 days before the onset of the menstrual cycle
18 days from shortest
11 days from longest

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2
Q

Basal Body Temperature (BBT)

A

Temp drops slightly @ time of ovulation, check temp every morning

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3
Q

Sperm and Ovum viability (hrs)

A 
Sperm = 120 hrs
Ovum = 24 hrs
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4
Q

Symptom-Based Method (Cervical Mucus)

A

Post-ovulation, mucus is thin/flexible, can stretch between fingers (spinnbarkeit sign)

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5
Q

Diaphragm/Spermicide
Refit if…?
Leave in for how long…?

A

q2years or if 15lb/7kg weight change

6 hrs post coitus

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6
Q

Toxic Shock Syndrome
Associated w/…
3 S/S…

A

Diaphragms and Spermicides

high fever, watery diarrhea, HypoTN

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7
Q

Emergency Contraceptive time window

A

72 hrs

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8
Q

Transdermal Contraceptive Patch Use timing

A

same day q3weeks

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9
Q

Injectible Progestin (Depo-Povera)
How often
When start
2 S/S

A

q11-13weeks
1st 5 days of menstrual cycle
↑ thromboembolism ↓ bone density

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10
Q

Infant Plastibell
▲ diaper timing
Clean?
Tx for pain?

A

q4hrs
DON’T
Tylenol

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11
Q

Newborn Ranges

Serum Bili, BgL, Hct, WBC

A

↓ 8 mg/dL
40 - 60 mg/dL
48 - 69%
9k - 30k

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12
Q

Newborn Ranges

HR, Temp, Length, Weight

A

120 - 160/min
36.5º - 37.2º
45 - 55 cm/18 - 22 inch
2.5 - 4kg

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13
Q

Newborn feed times

Min, when, on what, how so?

A

15 - 20 minutes
On demand
Nipple + Areola
Tummy to tummy

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14
Q

Leopold Maneuver (4)

A

Fundus
Fetal back
Inlet
Attitude of Head

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15
Q

MSAFP Effective timing
When
Low = 2 Dx
High = 2 Dx

A

15 - 22 weeks
Low / Low Estriol / high hCG = Downs
High = NTD

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16
Q

Biophysical Profiling (BPP) assesses (5) and score total

A 
FHR
Breathing movements
Gross body movements
Fetal tone
Qualitative Amniotic Fluid Volume
10/10, 2 points each
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17
Q

None Stress Test (NST) assesses (1) and when done

A

FHR

3rd trimester

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18
Q

Trimester timings (1st, 2nd, 3rd)

A 
1st = 0 - 12
2nd = 13 - 24
3rd = 25 - 40
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19
Q

Nageles Rule

A

-3 months, +7 days, +1 year from conception

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20
Q

APGAR (5) and score total

A

HR, Resp effort, Muscle tone, Reflex, Color

10/10, 2 points each

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21
Q

Graffian Follice

A

Expels mature ovums

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22
Q

Carseats (3)

A

rear facing until 2 y/o
Turn airbag off
45º to prevent airway obstruction

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23
Q

S3, epistaxis/stuff nose, ↑ caloric intake. numbness in fingers

A

Common @ 2nd trimester

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24
Q

Traditional Spanish Practices for post-birth (4)

A

Warm milk
3 days bedrest
14 days until bathing
Protect head/feet from cold air

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25
Q

Expected weight gain range from pregnancy

A

25 - 35 lbs

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26
Q

Ultrasonography purpose in pregnancy

A

located placenta

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27
Q

Stages of Labor First (3), Second, Third, Fourth

A

First (latent 3cm, active 4cm, transition 8cm+), Second (birth), third (delivery of placenta), fourth (1 - 4 hrs until VS stabilization).

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28
Q

Cleaning Breath vs. Patterned Breathing

A

Cleaning = start to gain focus

Patterned Breathing = during transitional phase

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29
Q

Ferning Test

A

Amniotic fluid dries in a fern shape

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30
Q

Catecholamines what and fx

A

hormone r/t anxiety/fear r/in myometrial d/fx

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31
Q

Natural Active/Passive vs. Artificial Active/Passive

A 
Active = exposure r/in antibody creation (exposure/vaccine)
Passive = antibodies given (milk/gamma globule INJ)
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32
Q

Folic Acid counters

A

NTD and Tubal pregnancy

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33
Q

Presumptive S/S pregnancy (2)

A

S/S and Quickening

34
Q

Quickening

A

Fluttering movements of fetus 16 - 20 weeks gestaiton

35
Q

Probably S/S pregnancy (4)

A

Ab. enlargement, named signs, +Fetal pregnancy test/outline

36
Q 
Hegars
Chadwicks
Goodells
Ballottement
Brackton Hicks Contractions
A 
softening/compressability lower uterus
deepened violet-bluish cervix/vaginal mucosa
softening of cervial tip
rebound of engaged fetus
false painless contractions
37
Q

Positive S/S pregnancy (3)

A

Fetal ♥ Sounds
Radiography
Palpated Fetal movement

38
Q

GTPAL

A 
Gravidity
Term births (↑ 38 weeks)
Preterm births (↓ 20 - 37 weeks)
Abortions/Miscarriages
Living Children
39
Q

BP, pulse, and RR ↑ r/t pregnancy

A

5 - 10 sys/dia
5 - 15/min
1 - 2/min

40
Q

Percutaneous Umbilical Blood Sampling (PUBS)

A

detects fetal anomalies

41
Q

FHR can be heard by Doppler as early as…
Ultrasound
Measurable fundal hieght

A

10 - 12 weeks
16 - 20 weeks
12 weeks

42
Q

Rationale for following Prenatal tests
Blood type, Rh
CBC, HH
Hgb electrophoresis

A

Blood types of mom/baby
infection/anemia
hemoglobinopathies (sickle/thassalemia)

43
Q

Group B Streptococcus (GBS) test timing

A

35 - 37 weeks

44
Q 
Rationale for following Prenatal Tests
1hr/3hr BgL
Papanicolaou (PAP) (3)
Vaginal/Cervical Culture (3)
Venereal Disease Research Laboratory
A

hyperglycemia ( ↑ 140 mg/dL 1hr)
cervical cancer, herpes 2, human pap
Strep B, gonorrhea, chlamydia
Syphilis

45
Q

Contraction Stress Test what (2) and assesses

A

brush nipple/give pitocin, fetal tolerance of contracitons

46
Q

Alpha Fetoprotein is measured w/… and timing

A

Amniocentesis 16 - 18 weeks

47
Q

High AFP and Low AFP = ???

A

NTD

Chromosomal disorders

48
Q

Fetal Lung Test is done when…?
Ratio = maturity?
Absence of ____ = respiratory distress

A

37 weeks
2:1
Phosphatidylglercol (PG)

49
Q

Causes of bleeding in…
1st trimester (2)
2nd trimester
3rd trimester (2)

A

spontaneous abortion, ectopic pregnancy
trophoblastic disease
placenta, abruptio previa

50
Q

Ectopic pregnancy S/S (2)

A

unilateal lower-quadrant ab pain w/out bleeding

shoulder pain

51
Q

Trophoblastic dz S/S (2)

AKA Hyatidid mole

A

N/V with scant/profuse dark brown/red vaginal bleeding

52
Q

Placenta Previa vs. Abruptio previa S/S

they allow?

A

painless bleeding vs. bleeding w/ sharp abdominal pain/rigid uterus

Vaginal examinations

53
Q 
Abortions (cramps, bleeding, cervix status)
Threatened
Inevitable
Incomplete
Complete
Missed
Septic
Recurrent
A 
light, light, closed
moderate, moderate, dilated
severe, severe, dilated
light, light, closed
none, brown discharge, closed
varies, malodorous discharge, dilated
varies, varies, dilated
54
Q

TORCH infections what and acronym meaning

A

cross the placenta and are teratogenic

TOxoplasmosis, Rubella, Cytomegalovirus, Herpes Simples virus

55
Q

Medication for Gonorrhea/Chlamydia

S/S, Chlamydia r/in if untreated

A

Azithromycin (Zithromax)
white/yellowish green discharge
Pelvic Inflammatory Dz

56
Q

Medication for Candida Albicans

A

Fluconazole (Diflucan)

57
Q

S/S MagSulfate Toxicity (5)

Counter med.

A 
Ø deep tendon reflex
Urine output ↓ 30 ml/hr
RR ↓ 12/min
LoC
Dysrhythmias

Calcium gluconate

58
Q

Incompetent Cervix medications + tx (2)

A

tocolytics

bedrest and hydraiton

59
Q

Hyperemisis Gravidarium medications (4), tx (2), R/F (3), ketones?

A

IV LR, Vit B, antiemetics, corticosteroids
Monitor I&Os and NPO 24 - 48 hrs
obesity, multifetal preg, migraine headaches

in Urine

60
Q

Anemia medication

A

Iron Dextran (Imferon)

61
Q

S/S Hypoglycemia (3) vs. Hyperglycemia

A

hunger, blurred vision, tingling

thirst, N/V, polyuria

62
Q

Gestational HTN week, BP

Severe = BP w/ s/S

A

after 20th week
140/90 or higher 4 - 6 hrs apart
160/100 or greater w/ proteinuria, oliguria,

63
Q

HELLP

A

Hemolysis
Elevated Liver enzymes (ALT/AST)
Low Platelets (↓ 100k)

64
Q

Take ferrous sulfate with…?

A

VitC, juices.

65
Q

Preterm labor what is and 2 medications

A

Contractions and cervical ▲ between 20 - 37 weeks
Nifedipine (Procardia/Adalat)
MagSulfate

66
Q

Nifedipine (Procardia/Adalat) fx, effect, do not take w/…?

A

Ca Chnl blocker
Ø contractions
DO NOT TAKE WITH MAGSULFATE

67
Q

MagSulfate Fx, watch for, counter w/

A

Tocolytic to relax suppress contractions
SoB, crackles, TSS
Calcium gluconate

68
Q

Betamethasone (Celestone) #shots and fx

A

2 IM 24 hr apart to enhance fetal lung maturity

69
Q

Premature rupture of membranes (PROM) what is and tx

A

Rupture 1 hr before labor within 20 - 37 weeks

70
Q

▲ Preceding Labor (8)
BWLC
BEGR

A 
backache
weight loss (1 - 3 lbs)
Lightening (easier breathing, ↑ pressure on bladder)
Contractons
Bloody show
Energy burst
GI changes
Rupture of membranes
71
Q

5 P’s of the labor process

A 
Passenger
Presentation
Passageway
Powers
Position
72
Q 
Presentation
Occiput
Mentum
Scapula
Sacrum/Feet
A

Head
Chin
Shoulder
Breech

73
Q

Lie
Transverse
Parallel/Longitudinal

A

Spine relationship to mother

74
Q

Attitude
Flexion
Etension

A

chin/extremities flexed vs. not flexed

75
Q

Large gush during birth? Priority is…?

A

Assess FHR for distress

76
Q

Pain during Stages of Labor

A

1st - visceral back/leg
2nd - somatic
3rd - pelvic
4th - soreness

77
Q

Drug timing during stages

A

1st - sedatives
2nd - opiods/epidural
2nd - spinal, pudendal, local infiltration

78
Q 
FHR Patterns
Accels
FHR brady
FHR tachy
Early Decels
Late Decels
Variable Decels
Decrease/Loss FHR
A 
Reassuring!
Side lying, O2 mask Ø pitocin
O2 mask, IV fluid
Ok
Side lying, O2 mask Ø pitocin
Side lying, O2 mask Ø pitocin
stimulate scalp
79
Q

Perineal Lacerations

1st, 2nd, 3rd, 4th degree

A

skin
muscle
anal
anterior rectal wall

80
Q

Contraction durations to discontinue Pitocin

A

↑ 90 seconds

81
Q

Amnioinfusion is for…? (2)

A

Oligohydraminos and Fetal Cord Compression

ABSN Cohort 19 (28 decks)

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