Clinical 1

Question 1

First Stage of Labor

Answer 1

The first stages refers to the interval between the onset of labor and full cervical dilation
Latent phase- Irregular contractions with dilations 0-3cm
Active phase- 4-7cm dilatation and contractions 5-8 min apart
Transition phase- Dilatation 8-10 cm. Contractions 1-2 min apart

Question 2

Second Stage

Answer 2

The second stage of labor refers to the interval between full cervical dilatation (10 cm) and delivery of the infant.

Question 3

Third Stage

Answer 3

The third stage of labor refers to the time from delivery of the baby to the separation and explosion of placenta

Question 4

Apgar Score

Answer 4

• Heart Rate
  -Respirations
  -Muscle Tone
  -Reflex irritability
  -Color

Question 5

Variability

Answer 5

Fluctuations in baseline that are irregular in amplitude and frequency
Measured in a 10 minute window. The amplitude is measured peak to trough

Question 6

Absent

Answer 6

amplitude is undetectable

Question 7

Minimal

Answer 7

amplitude 0-5 bpm

Question 8

Moderate

Answer 8

Amplitude 6 to 25 bpm

Question 9

Marked

Answer 9

amplitude over 25 bpm

Question 10

Bradycardia

Answer 10

Below 110 bpm

Question 11

Normal

Answer 11

110 to 160 bpm

Question 12

Tachycardia

Answer 12

over 160 bpm

Question 13

Ab

Answer 13

Antibody/Abortion

Question 14

ABC

Answer 14

Alternative birthing center

Question 15

ADP

Answer 15

Alpha-fetoprotein

Question 16

AGA

Answer 16

Appropriate for gestational age

Question 17

APROM

Answer 17

Artificial rupture of membranes

Question 18

BPM

Answer 18

Beats per minute

Question 19

BPP

Answer 19

Biophysical profile

Question 20

CPD

Answer 20

Cephalopelvic disproportion

Question 21

CST

Answer 21

Contraction stress test

Question 22

D&C

Answer 22

Dilatation and curettage

Question 23

DIC

Answer 23

Disseminated intravascular coagulation

Question 24

DTR

Answer 24

Deep tendon reflex

Question 25

EDD

Answer 25

Estimated date of delivery

Question 26

FAS

Answer 26

Fetal alcohol syndrome

Question 27

FHR

Answer 27

Fetal heart rate

Question 28

FSH

Answer 28

Follicle stimulating hormone

Question 29

G

Answer 29

Gravida

Question 30

GC

Answer 30

Gonococcus/ Gonorrhea

Question 31

hCG

Answer 31

Human chorionic gonadotropin

Question 32

HELLP

Answer 32

Hemolysis, elevated liver enzymes, low platelets

Question 33

HSV

Answer 33

Herpes simplex virus

Question 34

IDM

Answer 34

Infant of a diabetic mother

Question 35

IUD

Answer 35

Intrauterine device

Question 36

IUFD

Answer 36

Intrauterine fetal demise/death

Question 37

IUGR

Answer 37

Intrauterine growth restriction

Question 38

LDR

Answer 38

labor delivery recovery room

Question 39

LGA

Answer 39

Large for gestational age

Question 40

LMP

Answer 40

Last menstrual period

Question 41

L/S

Answer 41

Lecithin-sphingomyelin ration

Question 42

NEC

Answer 42

Necrotizing enterocolitis

Question 43

NSVD

Answer 43

Normal spontaneous vaginal delivery

Question 44

NST

Answer 44

Nonstress test

Question 45

OCT

Answer 45

Oxytocin stress test (oxytocin challenge test)

Question 46

PID

Answer 46

Pelvic inflammatory disease

Question 47

PIH

Answer 47

Pregnancy-induced hypertension

Question 48

PROM

Answer 48

Premature (prolonged) rupture of membranes

Question 49

PTL

Answer 49

Preterm labor

Question 50

PUBS

Answer 50

Percutaneous umbilical blood sampling

Question 51

RDS

Answer 51

Respiratory distress syndrome

Question 52

ROM

Answer 52

Rupture of membranes

Question 53

SGA

Answer 53

Small for gestational age

Question 54

SROM

Answer 54

Spontaneous rupture of membranes

Question 55

Toco

Answer 55

Tocotransducer, used to measure uterine activity

Question 56

VBAC

Answer 56

Vaginal birth after Cesarean Delivery

Question 57

VDRL

Answer 57

Venereal Disease Research Laboratory Test

Question 58

VLBW

Answer 58

Very low birth rate

Question 59

VTX

Answer 59

Vertex

Question 60

BUBBLE HE

Answer 60

Breast Uterus Bladder Bowel Lochia Episiotomy Hemorrhoids/Hemoglobin Emotions/Extremities

Question 61

Fundal Height Measurements

Answer 61

12 weeks: Just above PS 16 weeks: midway between PS & umbilicus 20 weeks: at umbilicus After 20 weeks, cm=weeks

Question 62

How big is a newborns stomach? Day 1?

Answer 62

Cherry 5-7 mL

Question 63

How big is a newborns stomach? Day 2?

Answer 63

size of a walnut 22-27 mL

Question 64

How big is a newborns stomach? One week?

Answer 64

Size of an apricot 45-60 mL

Question 65

How big is a newborns stomach? One month?

Answer 65

Size of a large egg 80-150 mL

Question 66

Infant Meds:

Answer 66

Erythromycin ointment-OU within 12h of age Vitamin K: 1mg IM within 12h in vastus lateralis Hep B Vaccine: IM vastus lateralis - Never inject more than 1 mL into neonate in the same site

Question 67

Normal Infant Glucose & Signs of hypoglycemia

Answer 67

-40-80 mg/dL -IMMEDIATELY report any readings less than 40 -Signs of hypoglycemia: Jittery, high pitched cry, sleepiness

Question 68

When should a baby have their first void?

Answer 68

Void within 24 hrs, at least 1 wet diaper per day of life First void may have red "dust"

Question 69

When should a baby have their first stool?

Answer 69

Meconium within 24hrs of age

Question 70

Infant Vital Signs

Answer 70

HR: 110-160 bpm RR: 30-60 bpm Temp: 36.5-37.5 C (97.7-99.5 F) BP: average 80/50 Normal Weight: 2700 to 4000g (5.9-8.8 lb)