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R/D > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

APGAR question

A

8

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2
Q

chorioamnioitis question

A

pick choice with maternal fever, which is most important clinical sign (as well as maternal tachy, fetal tachy, and foul amniotic fluid smell)

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3
Q

What is a clinical finding of HEELP syndrome?

A

abnormal CBC

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4
Q

What would be your first priority for a mother with a stage 4 incision?

A

ice pack

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5
Q

what do you give a pt with normal c-section findings

A

stool softener

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6
Q

scenario where fetus is good and cervix is 8 cm dilated, what would you expect?

A

make sure neonatal resuscitation is set up in room

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7
Q

What do you prepare BEFORE pt has a seizure?

A

pad side rails? if its during then pick airway

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8
Q

pt is 6 cm and not progressing. she is becoming increasingly anxious bc past birth was traumatic. What do you say?

A

address their fears and ask how she’s feeling

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9
Q

pt is stuck at 5cm for long time, what do you do?

A

reposition frequently and ambulate

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10
Q

mother tells nurse she has dreams about harming baby and now wants to do it, what do you do?

A

this is an emergency situation seek help

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11
Q

PPH, trauma and trickling of blood. What could have caused this?

A

laceration/episiotomy

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12
Q

Which pt is most at risk for developing preterm labor?

A

pt w reoccuring UTIs and previous preterm labor

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13
Q

What stage of pregnancy is this?

6cm dilated with effacement and station

A

stage 1 active phase

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14
Q

What stage of pregnancy is this?

10 cm until delivery of baby

A

stage 2

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15
Q

What stage of pregnancy is this?

delivery of baby until delivery of placenta

A

stage 3

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16
Q

What stage of pregnancy is this?

mother is sitting with baby on lap

A

stage 4

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17
Q

inevitable vs threatened abortion main difference

A

inevitable = cervix is dilated, threatened = cervix not dilated

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18
Q

incomplete vs complete abortion main difference

A

incomplete = open cervix, partial explosion of products

complete = cervix is closed, passage of tissue

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19
Q

physiologic vs pathologic jaundice

A

physiologic = common, presents after 24 hr and self resolves
pathologic = less common, within 24 hr, serious

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20
Q

parents are calling from home concerned about symptoms of jaundice

A

tell them its normal and will be ok

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21
Q

how do i know that my baby is eating properly?

A

6-8 wet diapers

22
Q

what assessment is necessary b4 discharging baby post circumcision

A

I&O

23
Q

which statement does the mother need MORE education on with a molar pregnancy

A

i can carry my baby to term if i stay on bed rest

24
Q

moms BG is 115 and tells normal range is below 140, what do you do

A

expected finding, do nothing

25
Q

bishop score = 4, what do you do?

A

take measures to ripen cervix

26
Q

important symptom of preeclampsia pain

A

upper gastric pain

27
Q

SIDS education

A

baby on back when sleeping

28
Q

which baby is most at risk for hypothermia?

A

preterm on cold scale

29
Q

pt is preterm, which med do you give

A

magnesium sulfate

30
Q

pt is bleeding 700mL post vaginal birth (PPH), what do you give them?

A

cytotec (misoprostol)

31
Q

pt has hyperemesis gravidarum wyd

A

increase electrolytes and fluids

32
Q

what does betamethasone do

A

accelerates fetal organ maturation (lungs)

decreases fetal respiratory depresson

33
Q

what is the first thing that happens when baby is born

A

first breath

34
Q

which pt do you see first

A

golf ball sized blood clot

35
Q

stomach is distended to right, wyd

A

ambulate to bathroom

36
Q

pt stomach is boggy, wyd

A

massage and apply pressure to fundus

37
Q

pt has findings placenta is seperate from wall (placenta abruptio), they will experience…

A

pain and bleeding

38
Q

pt says placenta is in wrong place (placenta previa), what would need FURTHER education?

A

cervical exam bc that may cause more bleeding

39
Q

pt is 6cm dilated and just had a cervical exam, they say they have to poop, wyd

A

repositon pt

40
Q

which baby is at high risk for hypoglycemia

A

born to diabetic mother

also big baby and preterm

41
Q

shoulder dystosia, wyd

A

apply superpubic pressure

42
Q

what do you look for in a pt who may be experiencing magnesium toxicity

A

lethary and respiratory depresion

43
Q

why do you listen to baby respirations for full minute

A

bc newborns can be irregular

44
Q

what are the swelling crossings over cranial suture lines

A

cone head, captus supidema

45
Q

baby just came out of vagina, wyd

A

skin-to-skin

46
Q

which is an abnormal finding of the fundus after birth

A

3 fingers above umbilicus

47
Q

mom has varicose veins, how to prevent venous thrombosis

A

encourage early ambulation, compression socks, etc

48
Q

one breast is red painful and increase temp, wyd

A

call provider

49
Q

sign of respiratory distress

A

baby using intercostal muscles (belly breathing)

50
Q

which provider order do you give prior to antibiotics for infection

A

C&S

R/D (4 decks)

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