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

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
bishop score = 4, what do you do?
take measures to ripen cervix
26
important symptom of preeclampsia pain
upper gastric pain
27
SIDS education
baby on back when sleeping
28
which baby is most at risk for hypothermia?
preterm on cold scale
29
pt is preterm, which med do you give
magnesium sulfate
30
pt is bleeding 700mL post vaginal birth (PPH), what do you give them?
cytotec (misoprostol)
31
pt has hyperemesis gravidarum wyd
increase electrolytes and fluids
32
what does betamethasone do
accelerates fetal organ maturation (lungs) decreases fetal respiratory depresson
33
what is the first thing that happens when baby is born
first breath
34
which pt do you see first
golf ball sized blood clot
35
stomach is distended to right, wyd
ambulate to bathroom
36
pt stomach is boggy, wyd
massage and apply pressure to fundus
37
pt has findings placenta is seperate from wall (placenta abruptio), they will experience...
pain and bleeding
38
pt says placenta is in wrong place (placenta previa), what would need FURTHER education?
cervical exam bc that may cause more bleeding
39
pt is 6cm dilated and just had a cervical exam, they say they have to poop, wyd
repositon pt
40
which baby is at high risk for hypoglycemia
born to diabetic mother also big baby and preterm
41
shoulder dystosia, wyd
apply superpubic pressure
42
what do you look for in a pt who may be experiencing magnesium toxicity
lethary and respiratory depresion
43
why do you listen to baby respirations for full minute
bc newborns can be irregular
44
what are the swelling crossings over cranial suture lines
cone head, captus supidema
45
baby just came out of vagina, wyd
skin-to-skin
46
which is an abnormal finding of the fundus after birth
3 fingers above umbilicus
47
mom has varicose veins, how to prevent venous thrombosis
encourage early ambulation, compression socks, etc
48
one breast is red painful and increase temp, wyd
call provider
49
sign of respiratory distress
baby using intercostal muscles (belly breathing)
50
which provider order do you give prior to antibiotics for infection
C&S